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 typically covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow planning, financial reporting, and Corporation Tax and VAT support where these apply to your organisation. Because hospitals carry a wide mix of costs, including staff, medical equipment, premises, suppliers and professional services, the work usually involves keeping those costs categorised and reported clearly rather than lumping them together. We agree the scope with you at the start and adapt it as your hospital's needs change.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with their own specific structure and income streams. Whether you run a single site or operate across more than one location, the accounting requirements differ based on your legal structure, activities, staffing and how you generate income. If your organisation sits outside that description, it is still worth a conversation, as we can tell you honestly whether our hospital-focused support is the right fit.
Pricing is based on the scope of work your hospital needs, so we scope things properly before quoting rather than applying a flat rate that may not reflect your circumstances. We use fixed, transparent packages wherever possible, with no hidden fees and no surprise invoices for work that was not agreed. Once the scope is clear, you know what you are paying for and what is included.
VAT treatment in the hospital sector is not straightforward, and it depends on the nature of the supply, the activities involved and the organisation's status. Some supplies may be exempt, some may be taxable or outside the scope, and the position can vary between organisations doing broadly similar things. We look at your specific activities and income streams before advising, rather than assuming a blanket rule applies. Private hospitals and NHS hospitals do not automatically receive identical treatment, so the details matter.
Yes. Equipment purchases, financing arrangements and capital expenditure can have a significant effect on your accounts, your cash flow and your tax position, particularly where items are financed over several years. We help you account for these properly, plan the cash flow impact and understand how the timing of major purchases interacts with your overall financial position.
Hospitals often generate income from more than one source, and each stream can carry its own accounting and tax considerations. We help separate and track those streams so your management accounts show which areas are performing and which are putting pressure on cash flow. That gives you a clearer basis for decisions about pricing, service development and investment.
Switching is usually more straightforward than people expect. We ask for details of your current arrangements, handle the professional handover with your existing accountant and work through any outstanding records so nothing is left unresolved. You do not need to wait for a particular date in the year, and once the transition is complete your hospital has one point of contact for its accounting and tax questions.
The first step is simply a conversation about your hospital, how it is structured and what you need from an accountant. From there we review your accounting and tax position and suggest a practical way forward, whether that is a full service or support in specific areas such as payroll, management accounts or VAT. If you decide to proceed, we agree the scope and put the ongoing support in place.
