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.
The support we provide is built around hospital businesses and typically covers bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting, cash flow planning and financial reporting. Depending on your structure and activities, it can also include Corporation Tax work where it applies, wider tax support and VAT support where relevant. The exact mix is agreed with you, so nothing is included that you neither need nor use.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses such as day-case and outpatient facilities and other organisations providing hospital-based care. Because these organisations differ in structure, services, income streams and cost base, the accounting and tax support is tailored to each one rather than applied in the same way across the board.
We use fixed, transparent packages so you know what you are paying for and when, with no hidden fees or unexpected invoices. What a package costs depends on the size and complexity of your hospital, the number of staff on payroll, the volume of transactions, the number of income streams and the level of reporting and tax work required. We discuss this with you upfront and agree a scope before any work begins, and we can review it as your hospital grows.
Our work is carried out in line with UK accounting standards and current HMRC requirements, and we keep up to date with changes that affect hospital businesses, including reporting and tax developments. If you would like details of the specific professional body registrations and qualifications held by the people who will look after your file, we are happy to confirm these directly before you appoint us.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so different income streams and services can be treated differently. We review what your hospital actually does, identify where VAT applies and help you keep records and returns accurate, flagging anything that needs closer attention before it becomes a problem.
Yes. Where your hospital business operates through a company, we can help with Corporation Tax calculations and returns, along with related areas such as capital allowances on medical equipment and other qualifying expenditure. Tax treatment depends on your structure and circumstances, so we look at your position specifically rather than applying a general rule, and we keep an eye on deadlines so nothing is missed.
Yes, these are common pressure points for hospitals, particularly when large purchases have to be weighed against ongoing running costs. We help you plan for significant expenditure, understand the tax treatment where it applies, budget for repayments or depreciation and see how those commitments affect your day-to-day cash flow. The result is a clearer view of what you can afford and when, rather than decisions made on instinct.
It begins with a conversation about your hospital and what you need from an accountant. If you are moving from another firm, we can handle the handover, request the necessary records and make sure deadlines continue to be met during the transition. Once we understand your structure, income streams and reporting requirements, we agree the scope of support and get started.
