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 work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, alongside Corporation Tax where it applies and tax and VAT support where relevant. Because hospitals have distinctive cost structures, we make sure staff costs, medical equipment, premises, professional services and supplier payments are recorded and reported in a way that gives you a clear picture of performance rather than a set of figures that raises more questions than it answers.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running facilities such as day-case units, diagnostic centres or specialist treatment services. What these organisations share is a need for accounting that copes with significant payroll, expensive equipment and premises, multiple income streams and detailed reporting. If your organisation operates in the hospital sector, the support is shaped around that context rather than a general business template.
We use fixed, transparent packages agreed in advance, so you know what you are paying for before the work begins. The fee reflects the scope and complexity of what your hospital needs, such as the volume of transactions, the size of the payroll, the number of income streams and the level of reporting and tax support required. There are no hidden fees, and if your requirements change we will discuss any adjustment with you openly.
Compliance sits at the centre of what we do, from accurate record-keeping and timely filings to correct treatment of payroll, Corporation Tax and VAT matters. We work to recognised UK accounting and tax standards and keep up to date with changes that affect hospital businesses. If you would like details of our professional memberships and regulatory information, we are happy to confirm these directly when you get in touch.
Yes. Hospital payroll is rarely simple, with a mix of clinical and non-clinical staff, varying hours, overtime, shift patterns and associated employer costs to account for. We can run payroll on an ongoing basis, calculate deductions accurately, produce payslips and handle the reporting obligations that come with employing staff, so your team is paid correctly and your payroll records stay in order throughout the year.
VAT for hospitals is not a one-size-fits-all area. The treatment of a particular supply depends on the nature of that supply, the activities involved, the status of the organisation and the specific circumstances, which means different income streams can be treated differently. We review how your hospital operates and provide guidance on the VAT position that applies to your activities, helping you avoid assumptions that could lead to problems later.
Yes. Large equipment purchases and other capital expenditure need to be recorded, classified and reported correctly, and they often have a real effect on cash flow and on the accounts you present. We help you plan for significant purchases, reflect them properly in your financial records and understand how they interact with your tax position, so major investment decisions are made with a clear view of the financial consequences.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, how it is structured, what income it generates and what accounting, payroll and tax support you need. If you are switching from another accountant, we can talk you through the handover process and what information we will need. From there, we agree a clear scope of work and put the ongoing support in place.
