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 running one or more sites. The common thread is that they have clinical operations, staff, premises and equipment to account for, and they need financial information they can act on. Because structure, size and income streams vary so much between hospitals, we scope the work around your particular setup rather than applying a standard template.
The core of what we do covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with tax support such as Corporation Tax where applicable and VAT guidance where relevant. In practice, most hospitals want reliable records kept throughout the year, clear management information to support decisions, and confidence that deadlines and filings are handled properly. We can take on as much or as little of that as suits your internal team.
Pricing is based on the scope of work involved, which depends on factors like the size of your hospital, how many staff are on payroll, the number of income streams, how complex your structure is and how much of the bookkeeping you handle internally. We quote on a fixed, transparent basis for agreed work so you know where you stand, and we keep the arrangement clear with no hidden fees. If your requirements change, we review the scope with you before anything else happens.
Yes. Hospital payroll often involves clinical staff, support staff, bank or occasional workers and varying shift patterns, which makes accuracy and consistency genuinely important. We can manage the payroll process and the associated reporting so people are paid correctly and on time, and so the payroll costs flowing into your accounts and management information are reliable. If you have an existing payroll process, we can work alongside it or take it over, depending on what works best.
It depends on how your organisation is structured and what it actually does. If you operate through a company, Corporation Tax will generally be relevant, and there may be planning considerations around capital expenditure on medical equipment, premises costs and how income is recognised. VAT is more nuanced than it is sometimes made to sound — the treatment of a supply depends on the nature of that supply, the activities involved, the organisation's status and the specific circumstances, so it is worth reviewing your particular position rather than assuming a blanket rule applies.
Yes, and it is one of the areas where hospitals benefit most from planning ahead. Large equipment purchases, refurbishments and facilities upgrades can have a significant effect on cash flow, and they often carry tax and VAT implications that are worth understanding before you commit. We help you factor those costs into your budgets and forecasts, keep the accounting treatment consistent, and make sure the financial reporting gives a fair picture of what has been invested in the facility.
The key is having a bookkeeping and reporting structure that separates income sources clearly rather than lumping everything together, so you can see what each part of the hospital is actually contributing. We set up the records so income and the associated costs are tracked in a way that produces meaningful management accounts, and we review that structure as your services or contracts change. That makes it far easier to spot pressure points in cash flow and to plan with real numbers.
Getting started is usually simpler than hospitals expect. We begin by understanding your hospital business, reviewing your current accounting and tax position, and identifying anything that needs attention before we take over. From there we agree the scope of support and put it in place, and we can liaise with your existing accountant to handle the handover so there is no disruption to your records or deadlines. Once things are running, you have a clear picture of what we do, when, and how to reach us.
