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.
It depends on what your hospital needs, but typically it covers bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, and Corporation Tax or VAT support where those apply. We can take on the full finance function or work alongside an existing internal team. The scope is agreed in advance so you know what is being done and why.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and related hospital businesses. That includes organisations with a single site and those running several facilities, and it covers different operating models and ownership structures. If your organisation provides hospital services or supports them commercially, the accounting and tax requirements are usually complex enough to benefit from focused support.
We use fixed, transparent packages rather than open-ended hourly billing, so you can see what you are paying for before work begins. The fee reflects the size of your operation, the volume of transactions, the number of staff on payroll and the level of reporting you need. There are no hidden fees, and if your requirements change we explain the impact on your fee rather than simply adding charges.
We prepare accounts, tax returns and payroll in line with UK accounting standards and HMRC requirements, and we keep up to date with the changes that affect hospital businesses. Where a specific piece of work requires a particular expertise, we are straightforward about it. We also do not claim relationships with the NHS or public-sector bodies that we do not have — our focus is on the hospital businesses we genuinely support.
VAT for hospitals is rarely one-size-fits-all. Whether a supply is exempt, standard-rated or treated in another way depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. NHS hospitals and private hospitals do not automatically receive identical treatment either. We look at your actual income streams and transactions, explain the position clearly and help you keep the supporting records in order.
Yes. Payroll is one of the largest and most sensitive costs in a hospital, covering a wide mix of clinical and non-clinical roles, varied pay arrangements, overtime, shift patterns and pension contributions. We can run payroll end to end, produce payslips, handle the relevant HMRC reporting and keep the records organised, so staff are paid correctly and on time and the numbers reconcile with your accounts.
Medical equipment purchases and other capital expenditure need to be recorded correctly and considered for their tax treatment, which can affect both your reported position and your cash flow. We can help you plan significant purchases, account for them properly in your records and reflect them accurately in your annual accounts and management reporting. We also factor upcoming expenditure into cash flow forecasts so you can see the impact before committing.
It usually starts with a conversation about your hospital, how it is structured and what is currently working or causing difficulty. From there we review your existing records and requirements, agree the scope of support and handle the handover with your previous accountant. You do not need to have everything tidy before getting in touch — we are used to picking things up mid-year and putting them in order.
