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.
The core of the service covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax and VAT where these apply to your hospital business. Because hospital organisations differ so much in size and structure, the exact mix is agreed around your circumstances — a single-site independent hospital will have different needs from a hospital group running several sites.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that support them. If your organisation provides hospital services, employs clinical and non-clinical staff, maintains premises and medical equipment, and deals with a range of suppliers and income streams, the accounting and tax work involved is likely to be a good fit for the support we provide.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect in advance. The scope is based on what your hospital actually needs — the volume of transactions, the size of the payroll, the number of sites or entities involved, and the level of reporting and tax support required. There are no hidden fees, and the service can be adjusted as your hospital business grows or changes.
We prepare your accounts and tax information in line with UK accounting standards and current HMRC requirements, keeping records accurate, well organised and ready for filing deadlines. Where the rules are detailed or the position is unclear — for example around VAT treatment or capital expenditure — we take the time to work through the specifics rather than applying a blanket assumption, and we explain the reasoning behind the position taken.
Hospitals tend to have a distinctive cost and income profile. Staff costs across clinical and non-clinical teams, medical equipment and capital expenditure, premises and facilities, supplier payments and professional services all need careful tracking, while income may come from several different streams. This combination affects how management accounts, budgeting, cash flow planning and financial reporting should be structured, and it can also influence your Corporation Tax position where it applies.
VAT treatment for hospitals is not something that can be decided by a single rule. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances of each case, so some supplies may be treated differently from others within the same organisation. We review how your hospital operates and what it provides, then advise on the treatment that applies to you rather than making sweeping assumptions.
Yes. Large purchases such as medical equipment and other capital expenditure have a significant effect on cash flow, tax position and reported results, so they need to be planned for rather than absorbed as a surprise. We can help you budget for them, reflect them correctly in your accounts, and understand how they interact with your wider financial position so decisions are made with the full picture in view.
Getting started is usually simpler than people expect. We begin with a conversation about your hospital business, what you currently have in place and what you need from an accounting service, then review your accounting and tax requirements. If you are moving from another accountant, we can deal with the handover of records and correspondence so the transition is handled smoothly and your reporting continues without interruption.
