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 other hospital-based businesses. Requirements vary significantly depending on how an organisation is structured and what it does, so the first step is always understanding your specific setup rather than assuming a standard model applies to everyone.
Typical work includes annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, plus tax support such as Corporation Tax where it applies and VAT support where relevant. Because hospitals carry substantial staff, equipment, premises and supplier costs, reporting is usually tailored so those areas stay clearly visible rather than being buried in the numbers.
We work on fixed, transparent packages, with the scope agreed upfront so you know exactly what is covered and there are no hidden fees. The level of work needed depends on factors such as the size of your hospital, the number of staff on payroll, transaction volumes, your reporting requirements and how much support you want with tax and VAT. We will talk through your circumstances and confirm everything before any work begins.
Yes. Hospital payroll often involves a mix of full-time and part-time staff, variable hours, different roles and shift patterns, which makes accurate and timely processing particularly important. We can manage payroll on an ongoing basis, helping with payslips, deductions, pension contributions and the reporting that goes with them, so your staff are paid correctly and on time.
Corporation Tax depends on how the hospital business is structured and what its taxable profits look like, so the position needs to be reviewed rather than assumed. VAT is equally dependent on circumstances — treatment varies with the nature of the supply, the activities involved and the organisation's status, and it is not simply a case of everything being exempt or everything being taxable. We look at your specific activities and advise on that basis.
Medical equipment and other significant purchases usually need to be treated as capital expenditure, which affects how costs appear in your accounts and how they are written down over time. We help you record these items properly, plan for replacement and expansion, and understand the impact on both cash flow and reported profitability, so major purchases do not come as a shock later.
Yes — many hospitals generate income from a range of sources, and each can behave differently in terms of timing, margins and tax treatment. We can help you track them separately, report on performance across the hospital and build a clearer picture of overall cash flow and budgeting, which makes planning far more reliable.
Simply get in touch and tell us about your hospital, its structure and what you need help with. We will review your current position, explain how we would approach the work and confirm the scope and cost before anything begins. If you are switching accountants, we can talk through the handover process as well.
