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 scope is built around what your hospital or hospital business actually needs. Typically that covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies, and VAT support where relevant. Some hospitals need a full finance function handled for them, while others want specific areas strengthened or brought up to date. We agree the scope with you upfront so it reflects your structure, income streams and internal setup.
This service is aimed at hospitals and hospital businesses rather than the wider healthcare sector in general. That includes private hospitals, independent hospitals, hospital operators and hospital groups, whether you run a single site or manage a number of locations or service lines. If your organisation generates income through hospital activities, carries substantial staff, equipment and premises costs, and needs accounting and tax work that understands those pressures, this is likely to be a good fit.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for before any work begins. The fee reflects the size and complexity of your hospital, the volume of transactions, the number of staff on payroll and the level of reporting and tax support you need. There are no hidden fees or surprise invoices, and if your requirements change as the hospital grows, we review the arrangement with you rather than leaving you guessing.
Yes. Payroll is often one of the largest and most complex costs a hospital carries, particularly where you have clinical and administrative teams on different contracts, shift patterns, overtime arrangements and pension schemes. We can manage the payroll process end to end, including calculations, payslips, pension contributions and the associated reporting, so staff are paid accurately and on time and your records stay in order. We can also work alongside an existing internal team if you prefer to keep payroll partly in-house.
The position is rarely uniform, and it depends on the nature of the supplies you make, the activities involved, your organisation's status and the specific circumstances. Some hospital-related supplies may be treated differently from others, and the same business can have a mix of treatments across its activities. On the direct tax side, Corporation Tax applies where it applies to your structure, with considerations around capital allowances on medical equipment, premises costs and allowable expenses. NHS hospitals and private hospitals do not automatically have identical accounting or tax treatment, so we look at your circumstances individually rather than applying a blanket rule.
Yes, and these areas tend to matter a great deal to hospitals. Medical equipment purchases, site improvements and facility upgrades often involve significant outlay, and the timing of that spending has a direct effect on cash flow and on your tax position through capital allowances. We can help you plan for that expenditure, model the cash flow impact and keep your reporting clear, so investment decisions are based on solid figures rather than guesswork.
Management accounts should tell you something useful rather than simply restating what has already happened. We focus on reporting that breaks down income streams, staff costs, equipment and premises expenses, supplier payments and other operating costs in a way that makes trends visible and supports decisions on pricing, staffing or investment. Depending on your needs, that might be monthly, quarterly or another rhythm that suits how you run the hospital, with figures explained in plain English rather than left to speak for themselves.
Getting started is usually simpler than people expect. We begin with a conversation about your hospital or hospital business, what is working well and where you feel exposed, then review your current accounting and tax position. If you are moving from another accountant, we can handle the practical side of that transition, including requesting your records and picking up the existing figures. From there we agree the support you need and put it in place, with no requirement to change how you operate beyond the finance side.
