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 typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, Corporation Tax where it applies, and VAT support where relevant to your activities. Because hospital businesses differ so much in size and structure, we agree the scope with you upfront so you know exactly what is covered. If your needs change, whether you take on more staff, add a new service line or invest in equipment, the service can be adjusted to match.
It is designed for private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital-based businesses providing treatment, diagnostics, rehabilitation or day-care services. If your organisation deals with the accounting characteristics of a hospital, such as large payrolls, expensive medical equipment, substantial premises costs and several income streams, we can help. We do not provide accounting services to NHS Trusts or other public-sector organisations.
We use fixed, transparent packages based on the work you actually need, rather than charging by the hour for every call or email. The fee depends on factors such as the size of your hospital business, the number of staff on payroll, how complex your income streams are, and whether you need VAT or Corporation Tax support alongside your core accounts. There are no hidden fees, and we will always explain what is included before any work begins.
Our accounting work is carried out in line with current UK accounting and tax requirements, and we keep a close eye on changes that affect hospital businesses, from payroll rules to reporting obligations. Records are maintained carefully so that filings, accounts and returns are prepared accurately and on time, reducing the risk of penalties or unwelcome surprises. If something changes in the rules that affects your position, we will explain what it means for you in plain English.
Hospital businesses often receive income from a mix of sources, such as private patient fees, insurer and third-party arrangements, contracted services, consultancy, diagnostics or ancillary services, and each needs to be recorded clearly. On the cost side, we help you track staff payroll, medical equipment, consumables, premises and facilities, professional services and supplier payments. Good reporting across both sides makes it far easier to see which activities are profitable and where costs need attention.
VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of assuming that everything is exempt or that everything is taxable. Some hospital-related services may fall outside the scope of VAT or be exempt, while other supplies, such as certain goods or non-medical services, may be standard-rated. We review your particular position and help you apply the right treatment, keeping records that support it.
Yes. Large equipment purchases and other capital expenditure affect your accounts, your tax position and your cash flow, and they need to be planned for rather than absorbed as a surprise. We can help you think through the financial impact, keep the records in order, and reflect the costs correctly in your annual and management accounts. Where relevant, we will also consider how the timing of an investment interacts with your wider tax position.
Getting started is simple. We begin with a conversation about your hospital or hospital business, what you need help with and how your current arrangements are working. From there we review your existing records and accounting position, agree a suitable scope and fee, and handle the handover with your previous accountant where needed. You do not need to have everything perfectly organised in advance, as part of our job is helping you get things into shape.
