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.
We support private hospitals, independent hospitals, day-case and specialist hospital providers, hospital operators and hospital groups, along with the trading and property companies that often sit alongside them. The accounting needs of a single-site independent hospital look very different from those of a multi-site operator or a group with shared central costs, so we start by understanding your structure and how income and costs flow through the organisation. That way the bookkeeping, reporting and tax work reflects what you actually do rather than a generic template.
Depending on what you need, this can include day-to-day bookkeeping, payroll for clinical and non-clinical staff, management accounts, budgeting and cash flow forecasting, annual accounts, financial reporting, Corporation Tax support where it applies, and VAT support. We also look closely at the hospital-specific areas that drive the numbers, such as staff costs, medical equipment, premises and facilities, supplier payments and the different income streams the hospital generates. Services are packaged around your requirements rather than a fixed list.
We work on fixed, transparent fee packages agreed in advance, so you know what you are paying for and there are no hidden extras. The fee reflects the size and complexity of the hospital, the volume of transactions, your staffing and payroll requirements, the level of reporting you need, and whether VAT or Corporation Tax work is involved. We will talk through your circumstances and set out the scope clearly before any work begins.
We follow recognised professional and regulatory standards in the work we carry out, hold appropriate professional indemnity cover, and keep up to date with UK accounting and tax rules as they change. You will receive clear engagement terms setting out what we do, who looks after your work and how your information is handled. If you would like detail about the specific qualifications held by the team, we are happy to answer that directly.
Where a hospital trades through a limited company, Corporation Tax will usually apply to its taxable profits, and there are further considerations around employment taxes on staff pay and benefits, and the treatment of medical equipment and capital expenditure. VAT is more nuanced — the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being standard-rated. We look at your particular mix of activities before advising.
Yes. Purchases of scanners, diagnostic equipment, theatre kit, IT systems and building works can have a significant effect on both cash flow and your tax position, and the accounting treatment needs to be right. We can help you keep track of capital costs, plan for replacement and maintenance cycles, and factor major purchases into your budgets and forecasts so they do not come as a surprise.
Yes. Staff costs are usually the largest single expense for a hospital, covering clinical teams, nursing, administrative, facilities and support staff. We can run payroll, handle PAYE and pension reporting, deal with starters and leavers, and make sure the figures in your management accounts reflect the real cost of your workforce. If you use a mix of salaried staff and contracted arrangements, we will help you keep the treatment of each one clear.
Switching is usually simpler than people expect. We will have an initial conversation about your hospital or hospital business, review your existing records and reporting, and then handle the handover with your current accountant, including any outstanding accounts or returns. Once the scope and fees are agreed, we can begin working with you, and you will have a clear point of contact for questions as things progress.
