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 depends on what your hospital or hospital business needs, but the core work usually covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, Corporation Tax where it applies, and VAT support where relevant. We look at how your hospital is structured and what its income streams and cost base look like, then build the service around that. Some hospital businesses want a full outsourced finance function, while others simply want their compliance work handled properly and their reporting made clearer.
We work with hospitals and hospital organisations — private hospitals, independent hospitals, hospital operators and hospital groups — across Handcross and the surrounding area. If you run a hospital business with employees, premises, medical equipment, suppliers and a mix of income streams, the accounting issues tend to be more involved than those of a straightforward trading company. Our support is designed to suit that level of complexity, whether you are a single-site hospital or part of a larger group structure.
We work on fixed, transparent fees agreed in advance, so you know what you are paying for and there are no hidden extras added on later. The fee reflects the scope of the work — things like transaction volumes, the number of employees on payroll, the complexity of your income streams and whether you need management reporting as well as compliance work. We will talk through your requirements and confirm the arrangement before anything begins, and you can adjust the scope as your hospital business changes.
We take compliance and professional standards seriously, and the work we carry out for hospital clients is handled in line with the relevant rules and regulations that apply to accountants in the UK. If you would like details of the specific qualifications, registrations and professional bodies relevant to your circumstances, just ask and we will confirm them directly rather than leaving you to guess.
Yes. Payroll is often one of the biggest and most time-consuming areas for a hospital, particularly where staff work shifts, overtime, varying hours or multiple roles. We can manage the payroll process end to end, including the calculations, payslips, RTI submissions and the related reporting, and tie the figures back into your accounts so staffing costs are properly reflected in your management information. That makes it far easier to see what your workforce is really costing you month to month.
VAT for hospitals is rarely a simple yes-or-no answer. The treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so a blanket assumption that everything is exempt or everything is taxable can lead to problems. Some supplies may be exempt while others are standard-rated, and partially exempt positions bring their own recovery considerations. We can review your particular situation and help you apply the right treatment.
Large purchases such as medical equipment, fit-outs and premises improvements need to be treated correctly in your accounts, including how they are recognised, depreciated and reflected in your financial reporting. We can help you record capital expenditure properly, plan for the cash flow impact of significant purchases, and factor those commitments into your budgeting and forecasts. Getting this right means your reported position is accurate and your planning is based on realistic numbers.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, what you currently have in place and where you feel the gaps are. If you are moving from another accountant, we can liaise with them and handle the handover of information on your behalf, and once everything is in place we agree how the ongoing support will work. From there, you have a clear picture of what is being managed, when, and by whom.
