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 work with private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses operating in and around Lingfield. Our focus is on privately run and independent hospital organisations rather than public-sector bodies. Because hospitals differ so much in size, structure and services, we start by understanding how your site or group actually operates before recommending an approach to your accounts, payroll and tax.
Support typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, alongside Corporation Tax support where it applies and VAT support where relevant. The detail is shaped around hospital-specific items such as staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments, professional services and the different income streams you generate. You can take the full package or focus on the areas where you need the most help.
We work on fixed, transparent packages based on the scope of what you need, so you know what you are paying for rather than receiving an open-ended bill. The fee depends on factors such as the number of entities, the size of your payroll, the complexity of your income streams and whether you need management accounts or reporting on a regular basis. There are no hidden fees, and if your requirements change we will discuss the scope with you first.
Hospitals often generate income in several different ways, and each stream can carry its own accounting and tax treatment. We map out how your income is structured, record it accurately and report on it in a way that shows you what is actually performing. Where VAT applies, the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so we look at each stream individually rather than applying a blanket rule.
Yes. Medical equipment, fit-out costs and other capital expenditure can have a significant impact on your accounts, your tax position and your cash flow, particularly when purchases are financed or spread over time. We help you record these costs correctly, understand how they affect your reported position, and plan for major purchases without losing sight of day-to-day cash flow. This is an area where forward planning tends to make a real difference to hospital businesses.
VAT is rarely a case of everything being exempt or everything being taxable in a hospital setting. The correct treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, which means it should be reviewed rather than assumed. We help hospital businesses review their supplies and activities, keep appropriate records and handle VAT reporting without overclaiming or underclaiming.
We are happy to talk through how the practice is regulated, who will look after your work and how your data is handled before you commit to anything. For hospital businesses, compliance matters across more than just the accounts — it also touches payroll, VAT and statutory filings. If you have existing advisers, we can review what is already in place and confirm anything you need clarified as part of our initial conversation.
Getting started usually begins with a conversation about your hospital or hospital business, followed by a look at your current accounting and tax position. If you are switching accountants, we can talk you through what information is needed and how the handover from your existing adviser works in practice. From there we agree the scope, put the right support in place and get on with keeping your finances in order.
