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.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need accounting and tax support suited to how they operate. That includes single-site hospitals as well as organisations running several locations or service lines. Accounting requirements vary quite a lot between them, depending on structure, size, income streams, staffing models, premises arrangements and the equipment they rely on, so we always start by understanding the specific hospital in front of us rather than assuming every hospital looks the same.
Our hospital accounting work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting. Where they apply, we also handle Corporation Tax matters and VAT support. Because hospitals have large payrolls, significant equipment and premises costs, ongoing supplier commitments and often several income streams, we look at each of these areas in the context of your operations so the numbers are both accurate and genuinely useful for decision-making.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The scope of the work naturally affects the fee — a single-site hospital with a straightforward structure will differ from a hospital group with multiple locations, complex payroll and several income streams. Once we understand your requirements, we set out what is included, and the arrangement can be adjusted as your hospital grows or its needs change.
Yes. Payroll is one of the largest and most time-sensitive areas in hospital accounting, covering clinical staff, administrative teams and the various shift and rota arrangements that come with running a hospital. We manage payroll processing, the associated submissions and the reporting that flows from it, so wages are paid accurately and on time, and the payroll costs feed correctly into your management accounts and year-end figures.
Corporation Tax applies to companies, so whether it is relevant depends on how your hospital or hospital business is structured, and we handle it where it does. 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 review your position and advise accordingly, and we do not assume that different types of hospital automatically receive identical tax treatment.
Yes. Medical equipment, facilities improvements and other capital expenditure tend to be large, irregular costs that are difficult to absorb without planning, and they can have a meaningful effect on both cash flow and your reported position. We help you budget for them, forecast the cash impact and account for them correctly, so major purchases and lease arrangements are reflected properly in your management accounts and financial statements rather than creating surprises further down the line.
Switching is usually far less disruptive than hospitals expect. Once you decide to move, we handle the handover with your existing accountant, obtain the relevant records and information, and bring your bookkeeping, payroll and reporting up to date. From there we review your accounting and tax position, flag anything that needs attention and set up ongoing support that fits your hospital's operations. You do not need to have your records in perfect order before getting in touch.
The simplest way is to get in touch and tell us about your hospital or hospital business, including its structure, how it earns income and what you need help with. We will then talk through your accounting and tax requirements, explain how we would approach the work and set out the scope clearly. From there, we agree the arrangement and begin the onboarding process, so support is in place without unnecessary delay.
