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.
Most hospital clients need a combination of bookkeeping, annual accounts, management accounts, payroll, financial reporting, budgeting and cash flow support, alongside Corporation Tax and VAT assistance where those apply. We agree the scope up front based on how your hospital operates, so you know which elements are included and how often you will receive them. Where a hospital group has several entities or income streams, reporting can be structured to give a clear view of each part as well as the whole.
We support private hospitals, independent hospitals, hospital operators and hospital groups. Their accounting requirements differ depending on whether they operate a single site or several, whether they are part of a group structure, and how their income streams are made up. Because of this, we take the time to understand the structure and activities of each hospital business before recommending how the accounting and reporting should work.
Pricing is based on the scope of work rather than a single flat figure, and we set it out clearly in advance so there are no surprises later. The main factors are the size and structure of the hospital business, the volume of transactions, the number of staff on payroll, the complexity of income streams, and how detailed your reporting needs to be. We work on fixed, transparent packages with no hidden fees, and you will always know what is included before anything begins.
Yes — hospital accounting has features you will not find in most other businesses. Staff costs are usually substantial and often involve complex shift and rota patterns, medical equipment purchases can be significant and need to be treated correctly, and premises, facilities and supplier costs tend to be ongoing and sizeable. Hospitals also often have several income streams with different timings, which affects cash flow and budgeting. Our approach is built around these realities rather than a standard small business template.
VAT for hospitals is not a simple one-rule situation. Treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so some elements may be treated differently from others. We review your position in detail and help you apply the correct treatment to your particular activities, keeping records and reporting consistent with that position.
Yes. Payroll support covers the practicalities that come with hospital staffing, including varying hours, shift patterns, multiple staff groups and the associated PAYE and pension obligations. We can manage payroll on a recurring basis and make sure the figures feed properly into your management accounts and annual reporting, so staff costs are reflected accurately rather than being reconciled as an afterthought.
Cash flow and budgeting are often among the biggest concerns for hospital businesses, particularly where equipment purchases, premises costs and supplier payments do not line up neatly with when income arrives. We help you plan around those commitments, forecast ahead with more confidence, and understand the financial impact of capital expenditure before you commit to it. Management accounts and reporting are structured to make those pressures visible early.
It starts with a conversation about your hospital or hospital business — its structure, activities, income streams and current accounting arrangements. We then review your existing records and tax position to see what needs attention, and agree the scope of ongoing support. If you are switching from another accountant, we can coordinate the handover of records and information so the transition is handled cleanly and your reporting continues without disruption.
