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 typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax support where applicable and VAT support where relevant. Because hospital businesses often have complex cost structures — staff, medical equipment, premises, suppliers and professional services — we look at the whole picture rather than treating each task in isolation. The result is a set of accounts and reports that reflect how your organisation genuinely operates and that you can use to make decisions.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses. Each one has a different structure, set of activities, income streams, staffing model and cost base, so the accounting and tax support they need can vary quite a bit. We take the time to understand your particular setup before recommending how we can help.
We work on fixed, transparent packages based on the scope and complexity of the work you need, so you know what you are paying for and there are no hidden fees. What a hospital business requires depends on factors such as the number of staff on payroll, the range of income streams, the volume of transactions and the level of reporting needed. Once we understand your situation, we will set out a clear scope and a clear fee.
We are a professional accounting practice, and the work we carry out for hospitals is handled by people who understand the compliance requirements that apply to UK businesses. If you need assurance about specific qualifications or regulatory memberships relevant to your circumstances, just ask and we will confirm the position clearly before you commit to anything.
Yes. Where Corporation Tax applies to your organisation, we can help with preparing and submitting returns, along with the underlying records and calculations. On VAT, hospital businesses can have quite different considerations depending on the nature of their supplies, the activities they carry out and their organisational status, so we review your specific position rather than making assumptions. VAT treatment is never automatically the same for every hospital or every type of supply, and we will explain how it applies to you.
Medical equipment and facilities often involve significant capital expenditure, which can affect both your cash position and how your accounts and tax position are presented. We can help you plan for larger purchases, reflect them properly in your management accounts and annual accounts, and understand the impact on cash flow. That way, big commitments do not come as a surprise and you can plan ahead with a clearer view of what is affordable.
Yes, and we aim to make the move as straightforward as possible. We will usually ask for details of your current accountant so we can request the information we need, then review your existing records and bring everything up to date. You do not need to have your paperwork in perfect order before getting in touch — sorting that out is part of what we do.
Simply get in touch and tell us a little about your hospital or hospital business, what you need help with and roughly where things stand now. We will then talk through your accounting and tax requirements, explain how we would approach them and set out a clear scope of work. From there, you can decide whether to move forward — there is no pressure and no obligation.
