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 look after the accounting and tax requirements of hospitals and hospital businesses, from routine bookkeeping and payroll through to annual accounts, management accounts, financial reporting, budgeting and cash flow. In practice, that means your records stay accurate, your staff are paid correctly, your reporting is timely, and you have someone to turn to on questions such as Corporation Tax where it applies, VAT treatment and capital expenditure planning. The work is shaped around hospital operations rather than a generic small business template.
We support private hospitals, independent hospitals, hospital operators, hospital groups and similar organisations, as well as hospital-style clinics and treatment centres. They differ widely — some are single-site with a handful of specialties, others run multiple locations, theatres, diagnostics, outpatient services and ancillary income. Because of that, we do not assume two hospitals have the same accounting needs: structure, size, service mix and funding arrangements all influence how the numbers should be handled.
That can include bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, and tax and VAT support where relevant. We can also help with the accounting treatment of medical equipment purchases, lease or finance arrangements, premises costs, supplier contracts and professional fees, and with reporting on the different income streams a hospital may have. The mix depends on what you already handle in-house and what you would rather hand over.
Fees are based on the scope and complexity of the work — the size of the hospital, the number of staff on payroll, the volume of transactions, the number of income streams and the level of reporting and tax support required. We provide fixed, transparent packages wherever possible so you know what to expect, and we agree the scope up front rather than leaving things open-ended. There are no hidden fees, and if your requirements change, we review the arrangement with you.
VAT treatment in a hospital setting depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — there is no single blanket rule that covers every hospital or every service. Some supplies may be exempt, others may be taxable or fall outside the scope, and the position can differ between private hospitals and other providers with different structures and activities. We review your particular services and arrangements and explain how VAT applies to you, including any registration and reporting obligations.
Yes. Hospital payroll tends to be one of the largest cost lines and one of the most complicated, with clinical and non-clinical staff, varied shift patterns, overtime and enhancements, pensions, statutory payments and starters and leavers throughout the year. We can run payroll on your behalf or support the process you already have, and make sure the payroll figures feed properly into your management accounts and year-end reporting. That keeps your biggest cost centre accurate and on time.
Medical equipment and facilities are significant, long-term investments, so how they are recorded and funded matters for both your accounts and your tax position. We look at whether an item should be treated as capital or revenue, how purchases, leases or finance arrangements should be reflected, and how the resulting costs affect your cash flow and reported position. Where relevant, we also consider the tax reliefs that may be available and plan acquisitions around your expected cash cycle rather than treating each purchase in isolation.
It usually starts with an initial conversation about your hospital, your current accounting arrangements and what you want from an accountant. We then review your existing records and filings so we understand your position and can identify anything that needs attention. From there, we agree the scope, deal with the handover from your current adviser, and put the ongoing support in place — with a clear point of contact for questions along the way.
