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.
Our work with hospitals and hospital businesses typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies and VAT support where relevant. In practice, the mix depends on your organisation — a hospital operator with several sites, for example, will usually need different reporting and payroll support to a single independent hospital. We agree the scope with you so the service matches how your hospital actually operates, rather than applying a fixed package that ignores your circumstances.
We work with hospitals and hospital organisations across Netley Abbey and the surrounding area, including private hospitals, independent hospitals, hospital operators and hospital groups. Their accounting needs vary widely depending on structure, activities, income streams, staffing levels, premises, equipment and supplier arrangements. If you are unsure whether your organisation fits, it is worth a conversation — we can talk through what you do and whether our hospital-focused approach is a sensible fit.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before work begins. The fee reflects the scope and complexity of what you need — the size of your payroll, the number of income streams, the level of reporting required, and how much bookkeeping support you want. There are no hidden extras, and if your requirements change over time we will discuss any adjustment with you openly rather than letting costs creep up quietly.
Yes. Hospital payroll tends to be one of the biggest cost lines and one of the most complex, with clinical and non-clinical staff, varied hours, different pay arrangements and frequent changes to rotas and headcount. We can manage the payroll process, help keep records accurate and make sure the associated reporting obligations are handled properly. That gives you a clearer view of staff costs across the organisation and reduces the risk of errors that are expensive to unpick later.
It depends heavily on the organisation. Corporation Tax may apply depending on how the hospital business is structured, so understanding your entity type and activities matters. VAT is rarely straightforward either — treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should never be assumed to be uniformly exempt or uniformly taxable. We look at your particular position rather than applying blanket assumptions, and help make sure your reporting reflects it correctly.
Medical equipment and capital expenditure are often among the largest financial commitments a hospital makes, and the timing of those payments can put real pressure on cash flow. We can help you plan for significant purchases, track how they affect your position, build cash flow forecasts around known commitments such as equipment, premises and supplier payments, and report on performance in a way that supports sensible decisions. It is about seeing pressure points early rather than after the fact.
Yes. Hospitals with multiple sites or several income streams usually need reporting that breaks performance down meaningfully rather than presenting one blended figure. We can prepare management accounts and financial reporting that give you visibility across different areas of the organisation, so you can see where margins are healthy and where costs are climbing. That level of detail tends to be far more useful for planning than a set of annual accounts viewed once a year.
It starts with a conversation about your hospital or hospital business — how it is structured, how it earns income, what accounting support you currently have and where you feel the gaps are. If you are switching accountants, we can talk through how that transition typically works and what we would need from you. From there, we agree the scope and level of support, then get on with the work, keeping things clear and practical throughout.
