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.
Our core work covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax where it applies and VAT support where it is relevant. In practice, what you need depends on the size and structure of your hospital business, so we shape the service around your circumstances rather than applying a one-size-fits-all package. A private hospital with a small management team may want more emphasis on management accounts and payroll, while a hospital group with several sites may need greater focus on consolidated reporting, budgeting and cash flow visibility.
Our hospital accounting support is aimed at hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups — along with the organisations that sit directly around them, such as specialist treatment facilities and hospital-based service providers. It suits businesses that need reliable records, accurate payroll, timely reporting and confident tax compliance. If you are unsure whether your organisation fits, the simplest approach is to talk through what you do and how you are structured, and we can tell you honestly whether we are the right fit.
We use fixed, transparent packages that are agreed in advance, so you know what you are paying for and there are no hidden fees appearing later. The level of pricing depends on factors such as the number of sites you operate, the volume of transactions, the size of your payroll, whether you need VAT and Corporation Tax support, and how much management reporting you want. Because we agree the scope up front, you can scale the service as your hospital grows or as your requirements change.
Regulation and compliance should always be part of the conversation when you appoint an accountant, whatever sector you work in. Before appointing anyone, it is worth asking which professional body they are a member of, whether they hold professional indemnity insurance, and how they handle anti-money laundering and client identification requirements. We are happy to answer those questions directly, along with any questions about our compliance arrangements and professional memberships, so you can make an informed decision rather than relying on assumptions.
VAT for hospitals is not a single, straightforward answer. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different services or income streams within the same organisation can be treated differently. We review what you actually provide and how it is charged, then help you apply the rules correctly and keep the supporting records in order. This is an area where careful review tends to save both time and money over the long run.
Yes — payroll is one of the most significant areas for most hospitals, given the mix of clinical and non-clinical staff, varied shift patterns, overtime, enhancements and, in many cases, pension contributions and other benefits. We can handle the payroll process and the associated reporting obligations, and we also help make sure payroll costs are reflected properly in your management accounts and budgeting. That combination gives you a clearer picture of your largest cost line rather than seeing it only once a year.
Medical equipment, fit-out costs and other capital expenditure need to be treated correctly, both for accounting purposes and for tax relief where it is available. We help identify what should be capitalised, how it should be depreciated or written down, and how those costs flow through your financial statements and management reporting. For hospital operators planning equipment purchases or facility upgrades, this also feeds into cash flow planning and budgeting, so investment decisions are based on real numbers rather than rough estimates.
Getting started is straightforward. We begin by understanding your hospital or hospital business and what you need from an accountant, then review your current records, reporting and compliance position. If you are moving from another accountant, we can deal with the handover and request the information we need on your behalf — you do not have to manage that process yourself. From there, we agree the scope and put the ongoing support in place so your accounting, payroll and tax obligations are looked after consistently.
