Accountants for Private Hospitals, Clinics & Care Homes
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Insurer and self-pay income reconciliation, consultant fee arrangements, statutory accounts and management reporting by department.
Occupancy and fee income tracking, local authority and private resident billing, agency staff cost control and CQC-ready records.
VAT partial exemption on mixed medical and cosmetic work, capital allowances on theatre and imaging equipment, and payroll for clinical teams.
Consolidated accounts, intercompany recharges, group VAT and site-by-site profitability reporting for expanding providers.
Full expensing and Annual Investment Allowance claims on theatre, imaging and ward equipment, plus group relief and tax planning.
Healthcare is largely VAT exempt, but cosmetic work, pharmacy sales, catering and room hire are not. We calculate partial exemption correctly.
Companies House and HMRC filings on time, plus monthly management accounts showing income and margin by department or site.
Large-volume payroll including bank and agency shifts, unsocial hours, statutory pay and pension auto-enrolment, filed accurately every cycle.
NHS Pension administration and support for consultants on Annual Allowance, plus correct treatment of self-employed consultant fees.
We understand NHS funding, insurer income, consultant fee models and care home fee structures.
Management accounts by department, site or service line, ready for the board pack each month.
We calculate and document the exempt and taxable split so recoverable input VAT is not lost.
Bank shifts, agency cover, unsocial hours and auto-enrolment processed accurately every cycle.
Accounts, returns and payroll filed on time, with records that stand up to funder and CQC scrutiny.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your sites, your income mix and your reporting deadlines.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our accountants handle everything. Switching partway through the year is straightforward, and we deal with your old accountant for you:
Tell us about your hospital and current accounting requirements.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Our work for hospitals covers the essentials of day-to-day accounting and compliance: bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, together with Corporation Tax support where applicable and VAT guidance where relevant. In practice, much of the value comes from how those services are applied — tracking staff costs across departments, accounting properly for medical equipment and other capital expenditure, keeping on top of premises and supplier costs, and reporting multiple income streams clearly. The exact mix depends on your structure, size and activities, and we can adjust it as your hospital or hospital group changes.
This service is aimed at hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital organisations that need accurate accounts, payroll, tax compliance and financial reporting. If your organisation delivers hospital-based care and treatment, spends heavily on staff, premises and medical equipment, and reports on more than one stream of income, you will recognise the pressures we work with. We focus on hospital operations rather than mixing them up with unrelated healthcare or professional sectors.
We work on fixed, transparent packages, so you know what you are paying for from the outset rather than receiving an open-ended hourly bill. The fee reflects the scope of the work — factors such as the size of the hospital, how many sites or entities are involved, payroll volumes, the number of income streams, whether equipment and capital expenditure need close tracking, and how involved the tax and VAT position is. There are no hidden fees, and if your requirements change we will agree the revised scope before anything moves. A short conversation is usually enough for us to understand what you need and set out the options clearly.
Hospitals operate in a heavily regulated environment, so it matters that your accounts and tax filings are prepared properly and on time. We prepare accounts and returns in line with UK accounting and tax requirements, keep records in an orderly and verifiable state, and flag the deadlines that apply to your organisation so nothing creeps up unexpectedly. If you have an existing accountant, we can also review the current position and highlight anything that needs attention. As always, we would rather raise a question early than leave an issue to surface during a filing deadline.
The big ones tend to be staff costs and payroll, medical equipment and capital expenditure, premises and facilities costs, supplier and professional services payments, and the reporting of several income streams in a single set of accounts. Cash flow and budgeting matter just as much, particularly where equipment investment or changing demand affects the timing of money in and out. On the tax side, we look at Corporation Tax where it applies and the VAT treatment of what your hospital does, since that depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We never assume one hospital's position mirrors another's.
VAT is rarely a simple yes-or-no question for hospitals. Different activities, supplies and arrangements can be treated differently, and the correct treatment depends on the nature of the supply, what the organisation actually does, its legal status and the specific circumstances involved. That means a private hospital, an independent hospital and a hospital operator could each end up in a different position. We help you understand which supplies fall where, keep the supporting records in good order, and make sure returns are prepared consistently. Where a point is genuinely unclear, we would rather investigate it properly than guess.
Yes. Medical equipment and other capital expenditure are a major feature of hospital finances, and they need to be recorded, categorised and reported correctly rather than simply treated as everyday spending. We can help you track those purchases, keep the accounting treatment consistent, understand how they affect your reported position, and factor them into budgeting and cash flow planning so a large purchase does not catch you out later in the year. That kind of visibility makes conversations with lenders, investors or board members far easier too.
Getting started is usually straightforward. We begin with a conversation about your hospital or hospital business — its structure, income streams, staffing and the accounting and tax work you need — then review your current records and filing position. If you are moving from another accountant, we can handle much of the handover for you, including the professional clearance process, so you are not left chasing paperwork. Once everything is in place, we set out how the ongoing support will work and who to contact when a question comes up.
