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 service is built around what your hospital or hospital business needs, and typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting, plus Corporation Tax support where it applies and VAT support where relevant. We also help with the practical side of hospital accounting, such as tracking medical equipment costs, premises overheads, supplier payments and the different income streams your organisation may have. If you only need part of that, we can work on that basis rather than insisting on a full package.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses, ranging from single-site facilities to organisations running more than one location or service line. Their accounting needs can differ a lot depending on structure, activities, staffing, premises and how income is generated, so we take the time to understand your organisation before recommending how we can help. If you are unsure whether your setup fits, it is worth a conversation.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees or unexpected invoices. The scope depends on factors such as the number of sites, the size of your payroll, the volume of transactions, the complexity of your income streams and how much reporting you need. Rather than quoting blindly, we discuss your circumstances first and then set out a clear scope and fee.
Yes. Payroll is one of the largest and most sensitive cost areas for any hospital, and we can manage it on an ongoing basis, from routine processing through to the reporting that supports your wider accounts. This matters particularly where you have shift patterns, varying hours, different pay bands or a mix of clinical and non-clinical staff. Getting payroll right keeps your financial reporting accurate and reduces the risk of errors that are costly to unpick later.
Corporation Tax will be relevant to many hospital businesses depending on how they are structured and how they operate, and we can handle the compliance side and help you plan sensibly around it. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of all hospital services being exempt or all hospital-related supplies being taxable. We look at your actual position rather than applying a general assumption, and note that different hospital organisations may not share identical accounting or tax treatment.
Hospitals typically carry significant ongoing costs, from staffing and medical consumables through to equipment, premises and supplier payments, and income does not always arrive on a convenient timescale. We use management accounts and cash flow forecasting to give you an early view of pressure points, so decisions about recruitment, equipment investment or service expansion can be made with better information. Budgeting also helps you compare what you planned against what actually happened, which is useful for both planning and lender or investor conversations.
Switching is usually much less disruptive than people expect, and we can manage the handover with your existing accountant on your behalf, including requesting the information we need to pick things up cleanly. We will review your current position so nothing is missed and so we understand how your hospital's accounts have been prepared to date. From there we agree a scope and move into a normal ongoing routine.
The first step is a conversation about your hospital or hospital business, covering how it is structured, how it operates, what accounting support you currently have and what is not working well. From there we will outline what we would recommend, the scope of work and how the fees would be structured, so you can decide with everything in front of you. There is no obligation to proceed after that initial discussion.
