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.
The scope depends on what your hospital or hospital business actually needs, but it commonly includes bookkeeping, preparation of annual accounts, management accounts, payroll for clinical and administrative staff, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies, general tax support and VAT support where relevant. Many hospital clients also ask for help with supplier payments, equipment and capital expenditure records, and reporting on different income streams. We agree the scope with you up front so you know exactly what is covered.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses running single or multiple sites. The right approach depends on your structure and activities, because a hospital with one site, a focused service range and a small team has very different accounting needs from a group operating several facilities with a larger workforce and heavier equipment investment. If you are unsure whether your organisation fits, it is worth a conversation — we will tell you honestly whether we are the right fit.
We work on fixed, transparent packages based on the scope of work you need, so there are no hidden fees and no surprise invoices part-way through the year. The fee reflects factors such as the number of sites, the size of your payroll, the volume of transactions, the complexity of your income streams and whether you need management accounts or VAT support. We will talk through your requirements first and then set out what the engagement covers before anything begins.
The work we carry out is handled by appropriately qualified professionals, and we are happy to be upfront about the qualifications and professional body memberships held by the people working on your account. We keep up to date with UK accounting standards, tax rules and reporting requirements, including Making Tax Digital, and we use established accounting software so your records are accurate, secure and easy to review. If you have specific compliance questions about your hospital's circumstances, we will answer them clearly.
VAT for hospitals is not a case of one rule fitting everything. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so some income may be treated differently from other income, and a hospital with a mix of activities may need to deal with partial exemption and detailed record-keeping. We review how your hospital operates and help you apply the correct treatment, keep suitable records and stay on top of returns and deadlines.
Yes. Large equipment purchases, facility upgrades and other capital expenditure can put significant strain on cash flow, particularly when the spending happens well before the related income arrives. We help you record and account for those costs properly, plan for them in advance, and build budgets and forecasts that show what the impact will be on your hospital's finances over the coming months. That gives you a clearer basis for deciding when to commit to major spending.
Yes, switching is usually a straightforward process. Once you decide to move, we handle the handover with your existing accountant, obtain the information we need and review your records so any outstanding issues are identified early. We will let you know what information is required, work around your reporting deadlines where possible and keep disruption to your hospital's day-to-day finance function to a minimum.
It starts with a conversation about your hospital or hospital business — how it is structured, how it earns income, how many staff you employ and what you need from an accountant. From there we review your current accounting and tax position and set out how we can help. If you are happy to proceed, we agree the scope and fees, confirm the handover arrangements if you are moving from another accountant, and put ongoing support in place.
