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 you need, but most hospital clients want a combination of bookkeeping, payroll, annual accounts, management accounts and financial reporting. We can also help with budgeting, cash flow planning, Corporation Tax where it applies, VAT support and wider tax advice. Many hospitals start with a core package and add services as the organisation grows or its reporting requirements change.
We support private hospitals, independent hospitals, hospital operators, hospital groups and organisations running specialist or day-case facilities. What they tend to have in common is a need for accounting support that understands staff costs, medical equipment, premises, suppliers and multiple income streams. If you are unsure whether your organisation fits, it is worth a conversation — the structure and activities of the business usually matter more than its size.
We work on fixed, transparent fees that are agreed in advance, so you know what you are paying for and why. The fee reflects the scope of the work — for example whether you need payroll for a large team, monthly management accounts, consolidated reporting across a group, or support with VAT and Corporation Tax. There are no hidden extras, and if your requirements change we discuss any adjustment with you before it happens.
Yes, where they apply. Corporation Tax depends on how the hospital business is structured and how it is treated for tax purposes, while VAT treatment varies with the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances — it is not simply a case of everything being exempt or everything being taxable. We look at your particular situation and advise accordingly.
Significant purchases such as scanners, surgical equipment or facility upgrades usually need to be treated as capital expenditure rather than day-to-day costs, which affects both your accounts and your tax position. We help you record those purchases correctly, plan for them sensibly and understand how they will appear in your annual accounts and any management reporting. That is often closely tied to cash flow and funding decisions, so the sooner it is planned the better.
Yes. Hospitals often receive income from several sources on different timetables, while payroll, premises and supplier costs go out on a far more predictable schedule. Budgeting and cash flow forecasting help you see where gaps might appear and plan ahead for equipment purchases, recruitment or quieter periods. Regular management accounts mean you are working from current numbers rather than last year's.
Work is prepared in line with UK accounting standards and HMRC filing requirements, and we keep track of changes that affect hospital businesses. We can explain how your accounts, tax returns and payroll are put together, and show you the records behind them. If you already have arrangements with another accountant, we can work with the information you have.
It usually starts with a conversation about your hospital, how it is structured and what is currently causing friction — whether that is late filings, unclear management information, payroll admin or unresolved tax questions. From there we can handle the practical side of moving across from your existing accountant, including requesting records and checking what is still outstanding. We then agree the scope of support and set up a reporting rhythm that suits your organisation.
