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 accounting and tax work most hospitals and hospital businesses need: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow support, Corporation Tax where applicable, wider tax guidance and VAT support where relevant. Because hospitals have particular cost structures and income streams, the mix of work is tailored to your organisation rather than applied in a standard package. We can take on the full finance function or focus on specific areas where you need additional support.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that support them. Their accounting needs vary depending on how the organisation is structured, the services it provides, its staffing arrangements, its premises and equipment, its suppliers and how its income is generated. We take the time to understand those details so the accounting support fits the organisation, rather than assuming every hospital operates in the same way.
Pricing is based on the scope of work involved — the size and structure of your hospital or hospital group, the volume of transactions, payroll numbers, reporting requirements and the level of tax support you need. We set out a fixed, transparent fee for the agreed work so you know what to expect, with no hidden extras. If your requirements change over time, we review the arrangement with you rather than leaving you with a fee that no longer reflects the work.
Yes. Our team works to professional accounting and tax standards, keeps up to date with UK reporting and compliance requirements, and handles your information with appropriate confidentiality. We prepare accounts and returns carefully, keep clear records of what has been submitted and explain the position in plain English so you understand what has been done and why. If something in your circumstances raises a compliance point, we will flag it to you rather than leaving it unaddressed.
The main ones tend to be staff payroll, medical equipment and capital expenditure, premises and facilities costs, supplier payments, multiple income streams and the cash flow pressure that comes with them. Corporation Tax applies to companies and needs to be planned for properly, and VAT needs careful consideration because treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — not on a simple blanket rule. Good reporting and budgeting are usually what make those issues manageable.
Yes. Multiple income streams combined with substantial fixed costs make cash flow and financial reporting more demanding, so we focus on getting the records right and turning them into reporting you can actually use. That typically means clear management accounts, realistic budgeting, cash flow forecasting and a proper view of where the money is going across staffing, equipment, premises and suppliers. The goal is to give you reliable information for decisions rather than figures that arrive too late to be useful.
Switching is usually simpler than people expect. We ask for some basic information about your hospital or hospital business, review the current position, and liaise with your existing accountant to obtain the records we need, including accounts, tax returns and bookkeeping data. We then check everything is in order, confirm what needs to be filed and when, and take over the ongoing work. You do not need to manage the handover yourself — we handle the practical side so the transition stays straightforward.
Get in touch and tell us about your hospital or hospital business — how it is structured, what support you are looking for and any deadlines or issues you are dealing with. We will talk through your accounting and tax requirements, explain how we would approach the work and set out a clear, fixed fee for the agreed scope. From there, we agree the next steps and get the onboarding under way, so you have proper accounting support in place without unnecessary delay.
