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 hospitals and hospital businesses of different sizes and structures, including private hospitals, independent hospitals, hospital operators, hospital groups and hospital organisations. Some clients are single-site, others operate across multiple locations or specialisms, and their accounting needs can look quite different as a result. Because of that, we start by understanding how your hospital is set up and how it generates income before recommending how the support should work.
The core of the service typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax and VAT support where those are relevant to your hospital. Day-to-day support usually means keeping records accurate and up to date, preparing reports you can actually use to review performance, and making sure deadlines for accounts and tax are met. What we provide is shaped around the size and structure of your hospital, so not every hospital needs or wants the same combination.
Yes — payroll is often one of the largest and most complex cost areas for a hospital, particularly where rotas, shift patterns, overtime and varying pay rates are involved. We can manage payroll processing alongside the wider accounting work, so staff costs flow correctly into your management accounts and year-end figures rather than sitting in a separate system. That gives you a clearer picture of one of your most significant operating costs.
We use fixed, transparent packages based on the work your hospital actually needs, and we agree the scope with you upfront so you know what is included. A single-site hospital with straightforward reporting requirements will not need the same package as a hospital group with multiple locations, larger payroll and more complex income streams. We avoid hidden fees and will always discuss any change in scope with you before it happens rather than surprising you later.
Hospitals should look for an accountant who is properly regulated, works to recognised professional standards, and carries the right professional indemnity arrangements. It also matters that they understand the sector, because hospital accounts involve considerations that generic accountants may not deal with regularly — substantial staff costs, medical equipment and capital expenditure, premises, supplier arrangements and a mix of income streams. You should feel comfortable asking directly about regulation, compliance and how they handle confidentiality and data.
The main areas are usually Corporation Tax where it applies, VAT, and payroll-related taxes such as PAYE and National Insurance, but the detail depends entirely on your structure and activities. VAT is a good example: treatment is not automatically exempt or automatically taxable, and it depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances. We review your position properly rather than applying a blanket assumption. Tax treatment can also differ between NHS hospitals and private hospitals, so the work has to be based on your own circumstances.
Medical equipment and facilities often involve significant, lumpy expenditure that does not sit comfortably alongside steady monthly running costs, and that combination can put real pressure on cash flow. We help by building budgeting and forecasting into your reporting so large purchases can be planned for rather than absorbed as a shock, and by tracking capital expenditure clearly in your accounts. We also look at how your income streams and supplier payment cycles line up, so you can see where timing pressure might arise.
Switching is usually more straightforward than people expect, and you do not need to manage the handover yourself. We can contact your existing accountant to request the information and records needed, and we will confirm what is required from you at each stage — typically identification documents and authority to act on your behalf. Once everything is transferred, we review the position and put the ongoing accounting and tax support in place, so there is no gap in compliance.
