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 work is shaped around your hospital and its structure, but typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where it applies and VAT support where the treatment of your supplies requires it. For a hospital, that often means tracking staff costs across clinical and non-clinical teams, monitoring medical equipment and capital expenditure, recording supplier and professional services costs, and reporting on several income streams in a way that makes sense to you. You are not tied into a rigid package — we agree the scope with you and build the support around what your organisation actually needs.
We support private hospitals, independent hospitals, hospital operators and hospital groups, including organisations running a single facility and those managing several sites. Accounting requirements tend to differ from one to the next depending on how the organisation is set up, the services it provides, how many people it employs, the premises and equipment it maintains, and the mix of income it generates. Because of that, we start by understanding your particular structure and activities rather than assuming every hospital faces the same set of issues.
Pricing is based on the scope of the work involved — the size of your operation, the number of sites, payroll volumes, the complexity of your income streams and the level of reporting and tax support you need. We set this out in a fixed, transparent package agreed in advance, so there are no hidden fees or unexpected invoices partway through the year, and if your requirements change we discuss any adjustment with you first. The practical benefit is that you know what your accounting support costs and can budget for it with confidence.
Yes — payroll is usually one of the largest and most time-consuming cost areas for a hospital, covering clinical and non-clinical staff, varied shift patterns, overtime, and different contract arrangements. We can handle the payroll processing and the related record keeping, and make sure staff costs are reflected properly in your management accounts and financial reporting so you can see how they are affecting margins. Because payroll feeds directly into budgeting and cash flow, keeping it accurate and up to date has a knock-on benefit across the rest of your accounts.
Hospitals often receive income from several sources, such as patient fees, insurer or third-party arrangements, contracted services and ancillary activities, and each stream needs to be recorded and reported separately so you can see what is performing. VAT treatment is not a one-size-fits-all question: it depends on the nature of the specific supply, the activities involved, the organisation's status and the wider circumstances, so some elements may be treated differently from others. We look at your arrangements in detail and help you apply the correct treatment rather than assuming everything is exempt or everything is taxable. Please note that the accounting and tax position of a private or independent hospital is not automatically identical to that of an NHS hospital.
Medical equipment and facilities investment can be significant, and the timing of those purchases often has a real effect on cash flow and on the figures reported in your accounts. We can help you plan capital expenditure around your cash position, reflect purchases and any related finance arrangements correctly in your records, and build management accounts and forecasts that show the impact before you commit. That makes it easier to plan equipment replacement, premises work and other major costs without putting unnecessary pressure on day-to-day liquidity.
Switching is usually far less disruptive than people expect — we handle the transfer of information from your existing accountant, review your current records and compliance position, and confirm what needs to be brought up to date. Once everything is in place, we agree the services you need, whether that is bookkeeping, payroll, management accounts, annual accounts, Corporation Tax or VAT support, and set out how and when the work will be done. If records are behind or incomplete, we work through it in a sensible order so you are not trying to fix everything at once.
Getting started begins with a conversation about your hospital or hospital group — how it is structured, how it earns income, who handles the bookkeeping and payroll at the moment, and what you would like to improve. From there we review your accounting and tax position and suggest a scope of support that fits your operation, with pricing agreed upfront. You do not need to have everything tidy before you speak to us; the review is exactly where much of the value comes from.
