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, from smaller independent setups through to organisations running multiple sites. The accounting needs of these businesses vary widely, so we look at your structure, activities, income streams, staffing and cost base before suggesting how we can help. We do not assume that every hospital operates in the same way, and we do not apply the same approach to every client.
Our hospital accounting services typically include bookkeeping, payroll, management accounts, annual accounts, budgeting and cash flow planning, financial reporting, Corporation Tax support where applicable and VAT support where relevant. For hospitals, this often means handling complex payroll and staffing costs, tracking medical equipment and capital expenditure, monitoring premises and facilities costs, and managing supplier payments. We can work with you across all of these areas or focus on the specific parts where you need extra support.
We work on a fixed, transparent fee basis, so you know what you are paying for before any work begins. Pricing depends on the size and complexity of your hospital or hospital group, the volume of transactions, payroll numbers, the number of sites and the level of reporting you need. There are no hidden fees, and we will always explain what is included in your package rather than leaving you to guess.
VAT treatment for hospitals is not a simple yes-or-no matter. It depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances of the transaction. Some supplies may be treated differently from others, and a private hospital will not necessarily have the same VAT position as another type of hospital organisation. We review your arrangements in detail and explain the position that applies to you, rather than making blanket assumptions.
Yes. Payroll is often one of the largest and most complicated cost areas for a hospital, covering a wide range of roles, shift patterns and contract types. We can manage payroll processing and reporting alongside related obligations, and we can help you understand how staffing costs feed into your management accounts and cash flow planning. Good payroll records also make annual accounts and financial reporting far more straightforward.
Yes. Medical equipment and capital expenditure can have a significant effect on your accounts, cash flow and tax position, and the way these costs are treated matters. Hospitals also frequently have several income streams, which can make reporting and budgeting more involved. We help you keep those elements organised so your management accounts and annual accounts give a clear and accurate picture of performance.
Hospitals tend to have larger, more complex payrolls, substantial equipment and premises costs, significant supplier relationships and often more than one income stream. Regulatory and compliance expectations can also add to the reporting burden. Because of this, accounting support for hospitals needs to account for how the organisation actually operates, not just apply a standard small business template. That is the approach we take with every hospital client.
Getting started is straightforward. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, including your records, reporting requirements and any compliance deadlines. If you are switching from another accountant, we can help manage the handover of information so the transition stays smooth. From there we agree the support you need and put a practical plan in place to keep everything on track.
