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 covers both the day-to-day and year-end accounting work a hospital or hospital business needs: bookkeeping, payroll, management accounts, annual accounts, budgeting and cash flow support, financial reporting, Corporation Tax where it applies, and VAT and wider tax support where relevant. Because hospitals vary so much in size, structure and activity, the mix of services is agreed around your organisation rather than taken from a standard menu, and it can be adjusted as your operations change.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, including hospital businesses with their own facilities, clinical teams, equipment and supplier relationships. Accounting needs differ depending on structure, activities, income streams, staffing, premises and operating costs, so the support is matched to those factors. If your organisation sits slightly outside that description, it is still worth a conversation so we can be honest about whether we are the right fit.
Yes. Hospital payroll tends to involve shift patterns, overtime, varying hours, agency or locum arrangements and different pay frequencies, which makes accuracy and timing particularly important. We can manage payroll processing, deductions, pension contributions and related reporting, and make sure payroll figures reconcile properly with your bookkeeping and management accounts. That keeps staff costs visible and reduces the risk of corrections and queries later on.
Management accounts give you a clearer view of income and costs on a regular basis, which matters when staffing, equipment, premises and supplier costs all move at different speeds. We can prepare regular management accounts, help build budgets and forecasts, and track cash flow so you can plan for equipment purchases, recruitment or quieter trading periods. The goal is information you can act on, not a set of figures that gets filed away and forgotten.
Hospitals can have quite different tax and VAT positions depending on the nature of their supplies, the activities they carry out, their organisational status and their specific circumstances. Some supplies may be treated differently from others, so it is not simply a case of all hospital services being exempt or all hospital-related supplies being taxable. We review the detail, explain how the rules apply to your organisation and keep the treatment consistent as your activities develop.
Pricing is based on the work involved — the size of the hospital business, transaction volumes, payroll numbers, reporting requirements and how much hands-on support you want. We use fixed, transparent packages where the scope is clear, so you know what you are paying for, and we avoid hidden fees. If your requirements change, the scope and pricing are reviewed openly rather than adjusted quietly.
Medical equipment and capital expenditure can be significant, and the accounting and tax treatment depends on the type of asset, how it is used and how it is financed. We can help you record equipment and capital costs correctly, keep asset registers and depreciation in order, and consider the cash flow implications as part of your wider planning. That way major purchases are reflected properly in your accounts and forecasts rather than distorting the picture.
It usually starts with a conversation about your hospital or hospital business, followed by a review of your current accounting, payroll and tax position. From there we agree a scope of work and handle the practical side of moving records across, including liaising with your existing accountant where needed. Once everything is in place, we establish a rhythm for ongoing support so deadlines, reporting and communication stay predictable.
