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.
It covers the core financial work a hospital needs to stay compliant and well informed, including bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, Corporation Tax support where applicable and VAT guidance. The exact mix depends on your size, structure and activities, so a single-site independent hospital and a hospital group running several locations will typically need quite different levels of support. We agree the scope with you upfront so it reflects what your hospital genuinely needs rather than a fixed list.
We support private hospitals, independent hospitals, hospital operators and hospital groups across Location, including businesses that run multiple sites or provide a defined range of treatments and services. Their accounting requirements differ depending on whether they operate as a limited company, a partnership or another structure, and on how their income streams and staffing are arranged. If you are unsure whether your organisation fits, it is worth a conversation, because the right answer usually depends on your circumstances rather than a label.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees appearing later. The fee reflects the complexity of your hospital business, including the number of sites, the size of the payroll, the volume of transactions and the level of reporting and tax support required. Rather than quoting a figure before we understand your circumstances, we review your position first and then set out a clear proposal.
Yes. Payroll is usually one of the largest and most sensitive costs a hospital carries, covering clinical teams, administrative staff, support workers and often agency or locum arrangements. We can manage payroll processing, deductions, pensions and the associated reporting so payments are accurate and made on time. Getting payroll right matters for both staff retention and compliance, so it is an area worth keeping tightly controlled.
Corporation Tax applies to hospitals trading through a limited company in the usual way, and the profit position depends on how income, staff costs, equipment, premises and other operating costs are accounted for. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not safe to assume that all hospital services are exempt or that all hospital-related supplies are taxable. We help you work through the position based on what your hospital actually does.
Yes. Medical equipment and capital expenditure can tie up significant funds, and the timing of those outlays often has a bigger effect on cash flow than the headline cost itself. We help you plan for major purchases, understand the impact on your cash position and reflect equipment and premises costs properly in your management accounts and budgets. That makes it easier to plan expansion, refurbishment or replacement cycles without being caught short.
Hospitals frequently earn income from several directions at once, which can include self-pay patients, private medical insurers, corporate arrangements and other service income. Each stream can bring different billing cycles, payment terms and reporting requirements, and mixing them together without clear separation makes it hard to see which activities are actually profitable. We structure your bookkeeping and reporting so each stream is visible and can be reviewed on its own terms.
It usually starts with a conversation about your hospital, its structure, its current accounting arrangements and what you would like to improve. We then review your existing records and tax position, confirm the scope of support that fits and handle the handover with your previous accountant. Switching is generally more straightforward than people expect, and we manage the practical steps so continuity is maintained and nothing is missed.
