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 work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital businesses such as day-case and specialist treatment facilities. The common thread is that each one has accounting and tax requirements shaped by its structure, activities, income streams, staffing, premises, medical equipment and operating costs. If your organisation sits outside that description, it is still worth getting in touch, because we can confirm whether your circumstances are a good fit.
Depending on what you need, our work can cover annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax support where it applies and VAT guidance where it is relevant to your supplies and activities. We also help with the practical side of hospital finances, such as keeping track of equipment costs, premises and facilities overheads, supplier payments and multiple income streams. The mix is agreed with you rather than applied as a fixed template.
We work on fixed, transparent packages so you know what you are paying for and when, with no hidden fees added on later. The right level of support depends on factors such as the size and structure of your hospital or hospital group, the number of staff on payroll, the complexity of your income streams and the reporting you need. Once we understand your circumstances, we will set out clearly what is included so you can make an informed decision.
Yes. Hospital payroll is often one of the largest and most complicated cost areas, covering clinical, administrative, facilities and support staff, each potentially on different terms, shift patterns and pay arrangements. We can manage payroll processing, keep records accurate and help make sure PAYE and related obligations are handled correctly and on time. That gives you a reliable picture of staff costs, which feeds directly into budgeting and management reporting.
Where a hospital or hospital business is subject to Corporation Tax, we help calculate liabilities, plan for payment dates and make sure the figures in your accounts and returns are consistent and properly supported. On VAT, treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so there is no single rule that applies across the board. We review your position and advise on what is actually relevant to you, rather than assuming every hospital is treated the same way.
Medical equipment and capital expenditure can absorb significant sums and affect your tax position and cash flow for years, so we help plan for purchases and replacements rather than treating them as one-off surprises. We look at how spending fits alongside your income streams, payment cycles and supplier commitments, and reflect that in management accounts and forecasts. This makes it easier to spot pressure points early and plan major outlays sensibly.
Our work is carried out in line with recognised UK accounting and tax standards, and we keep our knowledge current as rules and reporting requirements change. We are careful to only advise on areas we are properly equipped to handle, and where a matter sits outside our remit we will say so rather than guess. If you need clarity on how a specific hospital accounting or tax issue applies to your organisation, we can talk it through before you commit to anything.
Getting started is usually straightforward. We begin with a conversation about your hospital or hospital business, how it is structured and what you need from an accounting service, then review your current records and reporting to see what is working and what needs attention. If you are moving from another accountant, we can handle the practical side of that transition with you and confirm the details once we understand your position. From there, we put ongoing support in place in a way that fits around your operation.
