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 with hospitals typically covers annual accounts and statutory filing, day-to-day bookkeeping, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where it applies and VAT support where the treatment of a particular supply needs to be reviewed. Because hospital businesses vary so much, we start by looking at your structure, income streams and cost base, then shape the service around what you actually need rather than offering a fixed list that ignores your circumstances.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide treatment, diagnostic or related services. The common thread is that they all have financial complexity: significant staff costs, medical equipment, premises and facilities, ongoing supplier commitments and often more than one income stream. If you are unsure whether your organisation fits, it is worth a conversation so we can look at your situation properly.
We work on a fixed, transparent fee basis wherever possible, so you know what you are paying for and there are no hidden extras. The fee is based on the scope of work involved, which depends on factors such as the size of the hospital, the number of staff on payroll, the volume of transactions, how many entities are involved and the level of reporting you need. We will talk through the scope with you first, explain what is included and confirm the fee before any work begins.
We carry out work in line with UK accounting standards and HMRC requirements, keeping your records, filings and deadlines in order. If you need confirmation of a specific qualification, professional membership or regulatory detail that applies to your engagement, just ask and we will be straightforward with you. You should always feel comfortable that the people handling your hospital's accounts and tax affairs are working to the right standards.
VAT treatment for hospital-related supplies is not something that can be generalised. It depends on the nature of the specific supply, the activities involved, the status of the organisation and the individual circumstances surrounding the transaction. Some supplies may be treated differently from others, and the position can change as your services or structure change. We review the detail with you rather than applying a blanket assumption, and we flag where advice or confirmation on a particular point would be sensible.
Yes. Large purchases such as medical equipment, refurbishment or new facilities have a real impact on your cash position and on how your accounts and tax position look over time. We can help you plan for that expenditure, factor it into your budgeting and forecasting, and make sure it is reflected accurately in your management accounts and financial reporting. That gives you a clearer view of what you can commit to, and when.
Switching is usually more straightforward than people expect. We start by understanding your hospital or hospital group, then review your current accounting and tax position, including any outstanding records, filings or queries. From there we agree the scope of ongoing support and take over the relevant work, dealing with the transition on your behalf wherever we can. If you have a mix of entities, payroll arrangements or reporting deadlines, we will map those out early so nothing slips.
The simplest starting point is a conversation about your hospital, how it is structured, what your income streams look like and where you feel your accounting or tax support is falling short. From that we can outline what support would look like, confirm the scope and fee, and set out a clear path forward on an ongoing basis. You do not need everything perfectly organised in advance — part of our job is helping you get to that point.
