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 service covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable and VAT support where relevant. Because hospital businesses differ so much, the mix is tailored to your circumstances — a hospital group with several sites and complex payroll will need a different emphasis from a single independent hospital. We also help with the practical side of hospital finance, such as tracking medical equipment costs, premises and facilities expenditure, supplier payments and income from different streams, so the accounts tell a coherent story.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide related services. Their accounting needs vary depending on their structure, the treatments and services they offer, how they are funded and the scale of their operations. A small independent hospital with a single site has a very different set of priorities from an operator running multiple locations and managing shared overheads. We shape the support around those differences rather than applying the same approach to every organisation.
Pricing is built around fixed, transparent packages rather than open-ended hourly billing, so you know what you are committing to in advance. The fee reflects the scope of work involved — the size of your team, the number of income streams, the complexity of your reporting requirements and the level of support you need. There are no hidden fees and no surprises added on later. If your requirements change as the hospital grows, we review the scope with you and adjust accordingly.
Hospital payroll often involves clinical and non-clinical teams, different contract types, variable hours, overtime, enhancements and pension arrangements, which makes accuracy and timing important. We manage payroll processing and the associated reporting so staff are paid correctly and the administrative side is kept in order. Where your hospital also uses locums, consultants or other contractors, we can help ensure those arrangements are treated appropriately. Payroll costs are usually one of the largest single items in a hospital's accounts, so getting this right supports both compliance and cash flow planning.
Corporation Tax applies where the hospital business operates through a limited company, and the position depends on taxable profits, allowable expenses and any reliefs available. 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 a case of everything being exempt or everything being taxable. Hospitals with a mix of private patient income, contracted work and other services can have genuinely complicated VAT positions. Our role is to look at your particular activities and help you understand how the rules apply to you.
Yes — these are areas where hospital businesses often need the most support. Large capital items such as medical equipment can create significant cash outflows, and planning for them needs to sit alongside day-to-day running costs and staffing. We help build budgets and cash flow forecasts that reflect how income actually arrives and when payments fall due, so decisions about investment are made with a clear view of the financial position. Management accounts and financial reporting then keep you on track against those plans as the year progresses.
Switching is usually far less disruptive than people expect. We handle the transition, liaise with your existing accountant to obtain the necessary records and make sure nothing falls through the gap during the changeover. Once everything is in place, we review your accounting and tax position so we understand where you are starting from, then put the ongoing support in place. If your current arrangements work well in some areas, there is no need to change everything for the sake of it — the priority is getting the right outcome for your hospital.
It starts with a conversation about your hospital or hospital business — how it is structured, how income arrives, what your cost base looks like and what you need from an accountant. From there, we outline the support that fits and explain how the fixed pricing works, with no obligation to proceed until you are comfortable. If you decide to go ahead, we handle the handover and set up a practical ongoing arrangement. The aim is to make the first step straightforward rather than another task on a long list.
