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 support typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax and VAT where it applies to your organisation. In practice, that means managing the day-to-day records behind staff costs, medical equipment purchases, premises and facilities costs, supplier payments and the different income streams your hospital generates, then turning those records into accounts and reports you can actually use to make decisions. The exact scope is agreed with you up front, so you know what is being handled and what is expected from your side.
We work with hospitals and hospital businesses rather than the wider healthcare sector generally. That includes private hospitals, independent hospitals, hospital operators and hospital groups, whether they run a single site or several. The common thread is a business that carries significant staff costs, expensive medical equipment, substantial premises overheads and multiple income streams — and needs accounting support that recognises those realities. If you are unsure whether your organisation fits, a short conversation is usually enough to establish whether we are the right fit.
Pricing is based on the work involved, which depends on factors such as your hospital's structure, the number of staff on payroll, transaction volumes, how your records are kept and the level of reporting you need. We use fixed, transparent packages where the scope allows, and we set out what is included before any work begins, so there are no hidden fees or unexpected invoices later. If your requirements change as the hospital grows or takes on new services, we review the arrangement with you rather than simply increasing charges.
UK accounting work of this kind needs to be carried out by people who are properly qualified and who keep pace with current accounting standards, Companies House filing requirements and HMRC rules. We are happy to talk you through how we work, who will look after your affairs and what professional oversight applies, and you should always feel comfortable asking any accountant about their qualifications and memberships before appointing them. Compliance matters more than ever for a hospital, where payroll, VAT and reporting obligations can be substantial and where errors can be costly to unwind.
The most common pressure points are staff costs and payroll, medical equipment and capital expenditure, premises and facilities overheads, supplier and professional services payments, cash flow, and reporting across multiple income streams. Corporation Tax will be relevant for many hospital organisations depending on their structure, and VAT needs careful attention too. Cash flow and budgeting also matter enormously, because a hospital's costs tend to be fixed and ongoing while income can be uneven. Good accounting support connects all of these together rather than treating them as separate jobs.
VAT treatment for hospitals is not a single, uniform answer. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances — so some income may be treated differently from other income, and different hospitals may not be in the same position as one another. We review your particular activities and income streams, explain how the rules apply to your organisation, and help you put the right processes in place to account for VAT correctly and avoid surprises.
Yes. Medical equipment purchases and other capital expenditure can have a significant effect on your accounts, your cash flow and your tax position, and they need to be treated correctly rather than simply recorded as everyday spending. We help you plan for these costs, account for them properly, understand the impact on your reported position, and factor them into budgeting so that a major purchase does not create unexpected pressure elsewhere in the business.
It usually begins with a conversation about your hospital, your current accounting arrangements and what you would like to improve. If you decide to move across, we can liaise with your existing accountant to obtain the records and information needed, handle the handover, and set up a schedule that fits your reporting cycle and payroll dates. There is no requirement to change how your hospital operates internally — the aim is to make the transition straightforward and get you to a position where your finances are clear and up to date as quickly as practical.
