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 such as day-case units, diagnostic centres and specialist treatment facilities. Every hospital we work with has its own structure, activities and income streams, so the accounting work is shaped around those rather than applied in a one-size-fits-all way. If you are unsure whether your organisation fits, it is worth a conversation to talk through how you operate and what you need.
Typically this covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax support where it applies and VAT support where relevant. For hospital businesses we pay particular attention to payroll for clinical and non-clinical staff, medical equipment and capital expenditure, premises and facilities costs, supplier payments and the different income streams you rely on. The exact mix depends on your circumstances, and we can adjust it as your needs change.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The fee reflects practical factors such as your hospital's structure, the number of employees on payroll, transaction volumes, how many income streams you have and the level of reporting or tax work involved. There are no hidden fees, and we will always explain what sits inside your package and what would fall outside it before you commit.
Our work follows UK accounting and tax requirements, including filing deadlines and reporting standards, and we are happy to talk through our professional and regulatory arrangements with you directly as part of your initial discussion. We keep on top of changes that affect hospital businesses, such as payroll obligations, VAT treatment and reporting requirements, so your compliance position stays in good order. If you have specific requirements around certifications or documentation, just ask and we will confirm what we can provide.
Corporation Tax treatment depends on how your hospital is structured and on the nature of its income and activities, so it is not something that can be answered with a blanket rule. Companies generally pay Corporation Tax on taxable profits, but the calculation can be affected by capital allowances on medical equipment, premises costs and how different income streams are treated. We review your position and explain clearly what applies to you.
VAT for hospitals is rarely straightforward, because treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may fall outside the scope of VAT or be exempt, while others may be taxable, and hospitals with a mix of income can face partial exemption considerations. We help you review how your supplies are treated and keep your VAT position properly supported.
Yes. Large equipment purchases and other capital expenditure can put real pressure on cash flow, particularly when income arrives at different times across the year. We help you plan ahead with budgeting and cash flow forecasting, and we look at how purchases, finance arrangements and depreciation affect your reported figures and tax position. That gives you a clearer view before you commit to significant spending.
It usually starts with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position. If you are moving from another accountant, we can liaise with them to handle the handover of records and information, and we will confirm what is needed from you along the way. The aim is to make the switch straightforward while keeping your filing deadlines and payroll running without disruption.
