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 core financial work a hospital or hospital business needs, starting with bookkeeping and annual accounts, and extending to management accounts, payroll for clinical and administrative staff, budgeting, cash flow planning and financial reporting. Corporation Tax and VAT support can be included where they apply to the organisation, and the mix is adjusted to suit the hospital's structure, activities and reporting needs rather than being fixed in advance.
We support private hospitals, independent hospitals, hospital operators, hospital groups and the hospital businesses that support them. The accounting requirements of each can vary considerably depending on how the organisation is structured, the services it provides, how many staff it employs, whether it operates from owned or leased premises, and the mix of income streams it relies on. We do not provide accounting services to NHS Trusts, NHS Foundation Trusts or other public-sector bodies.
Pricing is based on the scope and complexity of the work rather than a one-size-fits-all figure, so a single-site independent hospital with a modest payroll will not be priced the same as a hospital group with multiple income streams and significant capital expenditure. We work on fixed, transparent packages agreed in advance, so there are no hidden fees and no unpleasant surprises later. Once we understand your operations and reporting requirements, we can set out a clear scope and cost.
Yes. Hospital payroll often involves a varied workforce, including clinical staff, administrative teams, support roles and sometimes temporary or locum workers, each with different pay arrangements, deductions and reporting requirements. We can manage payroll processing, payslips, pension contributions and the associated reporting so that staff are paid accurately and on time, and so the payroll figures feed cleanly into your management accounts and annual reporting.
Hospitals typically carry a substantial and fairly fixed cost base, including staff costs, medical equipment, premises and facilities, professional services and supplier payments, while income may come from several different sources on varying terms. That combination puts pressure on cash flow and makes budgeting and financial reporting more involved. Capital expenditure on equipment and facilities adds another dimension, since the timing and accounting treatment of larger purchases need to be planned for rather than dealt with after the event.
VAT treatment for hospitals is not something that can be assumed across the board. It depends on the nature of the particular supply, the activities involved, the organisation's status and the specific circumstances, which means different services and transactions within the same hospital can be treated differently. We review your activities and income streams individually so that VAT is handled correctly and any reliefs or exemptions that genuinely apply are identified, rather than applying blanket assumptions.
Where a hospital business operates through a limited company, Corporation Tax will generally be relevant, and getting it right means having accurate accounts, a clear understanding of allowable costs and sensible planning around capital expenditure and profits. Not every hospital organisation is structured the same way, so the position depends on the entity involved. We can confirm how Corporation Tax applies to your organisation and handle the calculations and filing where it does.
It usually starts with a conversation about how your hospital or hospital business is structured, what accounting and tax work is currently being done, and where you feel the gaps are. From there we review your existing records and reporting, agree the scope of support, and coordinate the handover with your current adviser where needed. The aim is to make the transition straightforward so your financial reporting continues without interruption.
