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.
It covers the areas most hospital businesses need support with, including bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, Corporation Tax where it applies and VAT support where relevant. We can take on as much or as little as suits you — some hospital businesses want their records maintained and payroll run each month, while others need help preparing year-end accounts, improving management information or getting on top of tax and VAT obligations. The scope is agreed with you up front so you know what is being handled and when.
We support private hospitals, independent hospitals, hospital operators and hospital groups. That includes businesses running a single site as well as organisations operating across more than one location or through a group structure. Accounting requirements differ depending on how a hospital is set up, the services it provides, how many staff it employs, the premises and equipment it runs, and the income streams it relies on, so we look at your circumstances rather than applying a one-size-fits-all approach.
We work on fixed, transparent packages so you know what you are paying for and there are no hidden fees or surprise invoices. The right package depends on the size and complexity of your hospital or hospital group, the volume of transactions, the number of staff on payroll, whether VAT and Corporation Tax work is needed, and how much reporting and support you want. We will talk through what you need and set out the scope and cost clearly before any work begins, so you can decide with full visibility.
It is sensible to ask any accountant you are considering about their professional body membership, professional indemnity insurance, and how they handle compliance work such as Companies House filings, HMRC correspondence and Making Tax Digital requirements. You should also ask who will actually look after your work day to day and how they keep up to date with changes affecting hospitals. We are happy to answer those questions directly and in plain English, so you can make an informed decision about who handles your hospital's finances.
VAT treatment for hospitals is not a simple yes-or-no answer. It depends on the nature of the particular supply, the activities involved, the status of the organisation and the specific circumstances surrounding the transaction. Some hospital-related income and costs are treated differently from others, and getting the detail wrong can be costly in either direction. We look at what your hospital actually does, review how income and expenditure are treated, and help you apply the rules accurately and keep appropriate records. Where a position is genuinely uncertain, we will explain the options and reasoning rather than guess.
Yes. Hospital payroll is often one of the largest and most complex costs a hospital carries, spanning clinical and non-clinical teams, varied contracts, overtime, shift patterns and pension contributions. We can run payroll on your behalf or support your existing arrangements, handling calculations, payslips, real-time reporting and the associated record keeping. Keeping payroll accurate and on time matters both for your team and for your management accounts, because staff costs drive so much of a hospital's overall financial position.
We do. Medical equipment, facility improvements and other capital expenditure are usually significant commitments, and they need to be planned for rather than absorbed as a surprise. We help you understand the cash flow impact of major purchases, how they affect your accounts and tax position, and how they fit alongside everyday operating costs such as premises, suppliers and professional services. That often means combining budgeting, management accounts and cash flow forecasting so you can see the picture before you commit, not afterwards.
Getting started is a simple conversation about your hospital or hospital business — how it is structured, how it earns income, what your current accounting arrangements look like and what you would like to improve. Switching accountants can usually be done at any point in the year, and we will explain what information we need from you and from your existing accountant to make the handover smooth. You do not need to have everything perfectly organised before you speak to us; part of the job is helping you get it into shape.
