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 core of the service covers annual accounts, bookkeeping, management accounts, payroll for clinical and non-clinical staff, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies and VAT support where it is relevant. In practice, most hospital clients use a blend of these, depending on the size of the operation, how many staff they employ and how involved they want to be in the day-to-day numbers. We can handle the full finance function or focus on specific areas where you need extra capacity, such as payroll runs or management reporting.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as day-case units, diagnostic and treatment centres and specialist inpatient facilities. The right mix of services depends on your structure, your income streams, your staffing model and the scale of your premises and equipment. If you are unsure whether your organisation fits, it is worth a conversation — the answer is usually found in the detail of what you do and how you are set up.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee depends on the scope of the work, the volume of transactions, the size of the payroll and the level of reporting you need, which is why we agree it upfront rather than guessing. There are no hidden fees, and as your hospital grows or your requirements change, we review the arrangement with you so it stays sensible.
We manage the filing and reporting calendar for you, including Companies House and HMRC deadlines, payroll and PAYE obligations, VAT returns where they apply, and Corporation Tax where relevant. Record-keeping matters more in a hospital than in many businesses because of the volume of transactions, the payroll complexity and the capital items involved, so we help put a workable system in place rather than something that collapses under its own weight. We are also happy to be clear about the professional standards and registrations that apply to our work, and about who is responsible for what.
Yes, and this is one of the areas where hospital accounts often need the most attention. Income might come from self-pay patients, private medical insurers, corporate arrangements, contracts with other providers or a mix of several sources, and each has its own timing and margin. We help set up reporting that separates those streams so you can see what is genuinely profitable, spot late or short payments early, and forecast cash more accurately rather than working from a single overall figure.
Medical equipment and other capital projects are usually significant, infrequent outlays, which makes them awkward to absorb into monthly budgeting unless they are planned for. We help you build them into your cash flow forecasting and management accounts, consider how purchases might be treated for tax purposes, and see the effect on your finances before you commit. That way, investment decisions are made with the numbers in front of you rather than after the fact.
It depends. VAT treatment for hospitals is not something that can be decided by a general rule, because it turns on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances. Some supplies may be exempt while others are standard-rated, and a hospital's overall position can be affected by the balance of what it provides and to whom. We review your particular situation and explain what it means for your pricing, invoicing and returns.
Getting started is a simple conversation about your hospital, what you need and where the current gaps are. If you are switching accountants, we handle the handover process, including requesting the relevant records and information from your existing adviser, so you are not left chasing paperwork yourself. Once everything is in place, we agree the scope, the reporting schedule and how often you want to hear from us, and then the ongoing support begins.
