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.
The work covers the accounting and tax side of running a hospital or hospital business. That includes maintaining accurate bookkeeping, preparing annual accounts and management accounts, running payroll for clinical and non-clinical staff, supporting budgeting and cash flow planning, producing financial reporting, and handling Corporation Tax and VAT matters where they apply. Because hospital finances involve a mix of income streams and significant fixed costs, the emphasis is on keeping records reliable and reporting clear enough to support everyday decisions.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as day-case facilities, diagnostic and treatment units and specialist inpatient providers. The right accounting approach depends on how the organisation is structured, the services it delivers, its staffing model, its premises and equipment, and where its income comes from. Two hospitals of a similar size can have quite different accounting requirements, so we look at the detail rather than making assumptions.
Yes. Bookkeeping and payroll are usually the foundation of hospital accounting, and both need to cope with the scale and complexity of a hospital workforce. Payroll often includes a mix of full-time, part-time and bank or shift-based staff, different pay rates and numerous deductions, so accuracy and consistency matter. Alongside payroll, we keep the underlying bookkeeping tidy so that income, staff costs, supplier payments and other expenditure are recorded correctly and can be reported on with confidence.
VAT treatment in the hospital sector is rarely a simple yes-or-no question. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and some hospital-related supplies may be treated differently from others. We review the actual activities and income streams involved, explain how the rules apply to them, and help put appropriate processes in place so VAT is handled consistently. Where a position is unclear, we help you understand the options before you commit to a treatment.
Yes. Where a hospital operates through a limited company, Corporation Tax applies and needs to be planned for rather than left until the filing deadline. We prepare and support Corporation Tax computations and returns, and we produce management accounts and financial reporting that show how the hospital is performing across income streams, staff costs, equipment, premises and other operating costs. That reporting is most useful when it arrives regularly enough to inform decisions, not just to satisfy a year-end requirement.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The fee itself depends on the size and complexity of the hospital or hospital business, the volume of transactions, the number of staff on payroll, the reporting you need and the level of tax and VAT support required. We discuss this with you upfront so the scope and the cost are agreed before any work begins.
Medical equipment and capital expenditure are among the largest financial commitments a hospital makes, and they need to be planned for rather than absorbed as a surprise. We help with budgeting and cash flow forecasting so that significant purchases, replacements and refurbishment costs can be considered alongside ongoing payroll, premises and supplier commitments. We can also support the record-keeping and reporting side of capital expenditure, so the financial picture stays accurate as assets are acquired and used.
Getting started is straightforward. We begin with a conversation about the hospital or hospital business, what you need from your accounting and what is currently in place, then review the existing records, reporting and compliance position. If you are moving from another accountant, we can handle the practical side of the transition, including professional clearance and obtaining the relevant records. From there, we agree how the ongoing support will work and put it in place.
