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.
It depends on the hospital, but most hospital businesses need a combination of bookkeeping, payroll, management accounts, annual accounts, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where it applies and VAT where relevant. We also help with the areas that tend to be specific to hospitals, such as tracking staff costs across departments and teams, accounting for medical equipment and capital expenditure, monitoring premises and supplier costs, and reporting accurately on different income streams.
This service is aimed at hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators, hospital groups and similar organisations — that want an accountant who understands the operational side of running a hospital. If your organisation employs clinical and support teams, invests in equipment and facilities, deals with a wide range of suppliers and earns income from more than one source, your accounting needs a hospital-shaped approach rather than a generic one.
Fees are based on the scope and complexity of the work, so they are agreed with you in advance rather than pulled from a one-size-fits-all price list. That means fixed, transparent packages wherever possible, with no hidden fees and no surprise invoices. As the hospital grows, adds services or takes on more staff, the scope can be reviewed so the fee continues to reflect what you actually need.
Yes. Payroll is often one of the largest and most complicated costs a hospital carries, particularly where there is a mix of full-time, part-time, bank and locum staff, along with varying shift patterns, rates and deductions. We can manage payroll processing, payslips, pension contributions and the associated reporting so people are paid accurately and on time, and so the payroll figures feed properly into the hospital's accounts and management information.
VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances — it is not something that can be assumed across the board. Some income streams may be treated differently from others, and mixed activities can make partial exemption and record-keeping more involved. We review your position and help you account for VAT correctly rather than applying blanket assumptions.
Medical equipment and other capital purchases can be significant, and how they are recorded affects your accounts, your tax position and your cash flow. We help you plan for larger purchases, account for them correctly, understand the relevant tax treatment where it applies, and see how they fit into your wider budgets and forecasts, so investment decisions are not made in isolation from the numbers.
Yes, where it applies to your organisation. We prepare annual accounts and financial reporting that give a clear view of performance, and handle Corporation Tax computations and returns where these are relevant to the hospital's structure and activities. Alongside that, management accounts can be produced regularly so you are not relying on a single set of figures at year end to understand how the hospital is performing.
Getting started is straightforward. We begin with a conversation about your hospital, how it is structured and what is currently in place, then review your accounting and tax position to see what needs attention. If you are moving from another accountant, we can manage the handover and contact them on your behalf, so the switch is as smooth as possible and nothing gets missed along the way.
