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 core of the service usually covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, together with financial reporting and tax support. Where they apply to your organisation, we also help with Corporation Tax and VAT matters. Because hospitals have such a distinctive cost base — payroll for clinical and non-clinical staff, medical equipment, premises and facilities, supplier contracts and various income streams — we build the service around what your hospital actually needs rather than applying a standard package.
It is aimed at private hospitals, independent hospitals, hospital operators and hospital groups, as well as businesses running hospital-based services and facilities. Whether you operate a single site or manage several locations, the accounting and tax work tends to be more involved than in many other sectors, and the support is structured accordingly. If you are unsure whether your organisation fits, it is worth a conversation to establish what you need.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. The fee reflects the scope of work — things such as the size of your payroll, the number of income streams, the volume of transactions and the level of reporting you require. We will talk through your circumstances first and set out what is included before anything begins, and the arrangement can be reviewed as your hospital business changes.
Yes — the work we carry out is prepared in line with UK accounting standards and HMRC requirements, and we keep up to date with changes that affect hospital businesses. If you would like to know more about the qualifications and professional memberships of the people handling your work, we are happy to talk that through as part of your initial conversation. Our priority is that your records, filings and reporting stand up to scrutiny.
Yes. Hospital payroll often involves a mix of full-time staff, part-time team members, bank or locum cover, variable hours and shift patterns, which makes accurate processing and reporting important. We handle PAYE, pension contributions, statutory payments and payslips, and we keep the figures consistent with your management accounts so staff costs are properly reflected in your reporting. That gives you a clearer picture of one of the largest cost areas in any hospital.
VAT treatment for hospitals is not a simple yes-or-no answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams within the same organisation can be treated differently. We review how your hospital operates and help you understand which supplies fall where, so you can charge, reclaim and report correctly. It is also worth remembering that NHS hospitals and private hospitals do not automatically receive identical treatment.
Yes. Purchases of medical equipment, fit-outs and other capital expenditure can have a significant effect on your accounts, your cash flow and, where relevant, your tax position. We help you keep proper asset records, account for depreciation sensibly, and consider any available capital allowances, while making sure major purchases are factored into your budgeting and cash flow planning rather than coming as a surprise.
Getting started usually begins with a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve. If you are moving from another accountant, we can talk you through the handover of records and the steps involved, and we will confirm what information we need from you. There is no need to feel locked in — the aim is to make the transition as smooth and straightforward as possible.
