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.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide services alongside their clinical operations. The common thread is a need for accounting that copes with substantial payroll, significant equipment and premises costs, and income that arrives through a mix of channels. If your organisation is a hospital or hospital business operating in or around Morpeth, we can look at your circumstances and suggest how the support would work in practice.
Support typically covers annual accounts, day-to-day bookkeeping, management accounts, payroll for clinical and non-clinical staff, budgeting, cash flow planning and financial reporting. Where they apply, we also handle Corporation Tax matters and VAT support, along with general tax advice and help preparing for year-end. Because hospital businesses vary so much, the mix is agreed around your structure and priorities rather than being fixed in advance.
We work on fixed, transparent packages with no hidden fees, so you know what you are paying for and what is included. The level of fees reflects the scope and complexity of the work — for example, the number of staff on payroll, the volume of transactions, the number of income streams and whether VAT returns or Corporation Tax filings are involved. We set this out clearly before anything begins, and you can adjust the scope as your hospital's needs change.
Yes. Payroll is often one of the largest and most complicated costs a hospital carries, particularly where staff work shifts, overtime, variable hours or a mix of clinical and administrative roles. We can take on the payroll process, including payslips, RTI submissions and the related record keeping, and make sure the figures flow through to your management accounts so staffing costs are visible alongside your other operating expenses.
VAT in a hospital setting is rarely straightforward. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — it is not a case of everything being exempt or everything being taxable. Hospital businesses can have a mix of income streams and cost categories that behave differently, so we review the detail before advising on how returns should be prepared and what can be reclaimed.
It depends on how the hospital business is structured and how it operates. Companies are generally within the scope of Corporation Tax on their taxable profits, while other structures are treated differently, and the position can be affected by capital expenditure on medical equipment, premises costs and how income and expenses are categorised. We review your circumstances, handle the filing where it applies and plan ahead so there are no surprises at the deadline.
Yes. Large equipment purchases and other capital expenditure can put real pressure on cash flow, and they need to be recorded correctly so your accounts and tax position reflect what has actually happened. We can help you plan for these costs, review how they affect your budgeting and financing decisions, and make sure your financial reporting distinguishes clearly between capital investment and ongoing operating costs.
It usually begins with a conversation about your hospital, its structure and what you need from an accountant. We then review your current accounting and tax position, and where you are moving from another accountant, we can handle the handover directly with them so you are not left chasing records. From there we agree the scope of support and put the ongoing arrangements in place.
