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 work covers the financial side of running a hospital business, starting with accurate bookkeeping and annual accounts and extending into management accounts, payroll for clinical and non-clinical staff, budgeting, cash flow planning, financial reporting and tax compliance. Because hospitals deal with staffing rotas, medical equipment, premises, suppliers and several income streams at once, the reporting needs to reflect those realities clearly. We also handle Corporation Tax where it applies and provide VAT support where it is relevant to your activities, so nothing falls between the cracks.
They are built for private hospitals, independent hospitals, hospital operators and hospital groups, including providers running more than one site or offering a blend of services. It does not matter whether you are a smaller independent facility or a growing hospital organisation, because the same underlying need applies: accurate records, reliable reporting and tax handled properly. If your structure or activities change, the support can be adjusted alongside them.
Pricing is based on the work your hospital genuinely needs, so it reflects factors such as transaction volumes, the number of staff on payroll, the complexity of your income streams, your structure and whether you need ongoing management reporting or mainly compliance work. We use fixed, transparent packages with no hidden fees, so you know what you are paying for and why. Once we understand your setup, you get a clear scope before any work begins.
Yes. Hospital payroll is rarely straightforward, with clinical and non-clinical teams, variable hours, shift enhancements, overtime and starters or leavers moving in and out throughout the month. We handle the payroll process, the associated submissions and the reporting that sits behind it, so staff are paid correctly and the numbers feed cleanly into your accounts. This also makes budgeting for staff costs far more reliable over time.
VAT in a hospital setting is rarely a simple yes or no. The treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances surrounding each transaction, so two apparently similar items can be treated differently. We review what your hospital provides, look at how income streams are structured and advise on the most appropriate treatment, then make sure returns are prepared accurately and on time.
We do. Where your hospital operates through a limited company, Corporation Tax applies to taxable profits, and we prepare the computations and returns alongside your annual accounts. Financial reporting is handled so the figures are consistent, well supported and suitable for lenders, investors, boards or other stakeholders who need to understand the position. Where different income streams or major equipment purchases affect the tax position, those are factored in rather than treated as an afterthought.
Cash flow is usually the big one. Staff payroll, premises, facilities, medical equipment and supplier payments all arrive on their own timetables, while income from different services may come in at a very different pace. Capital expenditure on equipment and facilities adds longer-term considerations around depreciation, financing and budgeting. On top of that, multiple income streams, reporting expectations, Corporation Tax where applicable and VAT considerations all need to be managed together, which is why consistent, well-structured accounting support makes such a difference.
It starts with a conversation about your hospital or hospital business, how it is structured and what you need from an accountant. We then review your current accounting and tax position and, if you are moving from another accountant, we handle the handover, including requesting the information we need from your existing adviser. From there we agree the scope of support and put the arrangements in place, so the transition is orderly rather than disruptive.
