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 covers the finance and compliance side of running a hospital business. In practical terms that usually means keeping bookkeeping accurate and up to date, preparing annual accounts, producing management accounts and financial reports, running payroll for clinical and non-clinical staff, helping with budgeting and cash flow planning, and dealing with Corporation Tax and VAT where those obligations apply. We also help make sense of the bigger financial picture, such as equipment purchases, premises costs, supplier payments and the performance of different income streams, so decisions are based on real numbers rather than assumptions.
We support private hospitals, independent hospitals, hospital operators, hospital groups and smaller hospital-based businesses such as day-case units, diagnostic facilities and specialist treatment centres. The accounting needs of each can be quite different. A single-site independent hospital may need straightforward bookkeeping, payroll and annual accounts, while a hospital group with multiple sites and several income streams may need consolidated management reporting, more detailed budgeting and closer cash flow oversight. We shape the service around your structure and activities rather than applying one fixed model.
Yes. Payroll is often one of the largest costs a hospital carries, and it is rarely simple, with shift patterns, overtime, variable hours, a mix of clinical and non-clinical roles, agency arrangements, pension contributions and the associated PAYE and National Insurance obligations. We handle the processing and the compliance that sits behind it, and we make sure staff cost information feeds properly into your management accounts and budgets so you can see how payroll is tracking against expectations across the year.
We do, and for many hospital businesses this is the most valuable part of the service. Management accounts give you a regular view of income, costs and profitability, broken down in a way that suits your operations, while financial reporting pulls the detail together into a clear picture for owners, directors or lenders. Because hospitals often have several income streams and large, irregular outgoings, having reliable reporting at sensible intervals makes it far easier to spot trends early, plan equipment spending and keep cash flow under control.
VAT is rarely a case of one rule fitting every situation. The treatment of a supply depends on the nature of what is being provided, the activities involved, the status of the organisation and the specific circumstances, so some income may be treated one way while other income is treated differently. We review how your hospital operates, identify where VAT questions arise and help you apply the correct treatment, keeping records and returns in order and flagging areas where professional judgement is needed.
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 level of pricing depends on the scope of work involved, which in turn reflects factors such as the size and structure of your hospital, the number of sites, the volume of transactions, how many staff are on payroll, the number of income streams and whether you need additional support with areas like VAT or management reporting. We agree the scope with you upfront and adjust it if your requirements change.
Yes. Medical equipment and other capital items can represent significant outlays, and how and when they are accounted for affects your reported position, your tax position and your cash flow. We help you plan for these purchases, consider the tax reliefs that may be available depending on the asset and the circumstances, and build them into your budgets and forecasts so that a major investment does not come as a surprise to your finances later in the year.
Switching is usually far less disruptive than people expect. We handle the handover with your existing accountant, obtain the information we need, review your current records and compliance position, and then set up a schedule that suits your hospital. Getting started normally begins with an initial conversation about your organisation, how it is structured, what you are currently doing in-house and where you would like more support, and from there we set out a clear scope of work and a straightforward route forward.
