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.
It depends on what your hospital or hospital business needs, but typically it covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting. Where relevant, it also includes Corporation Tax support, VAT support and wider tax advice. Because hospital businesses vary so much, we agree the scope with you up front so you know exactly what is being handled and what is expected of you.
It is designed for hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups — that want an accountant who understands their sector. If you run a hospital with substantial staff costs, medical equipment, premises and multiple income streams, the way your accounts are prepared and reported matters, and that is where we focus our work.
We use fixed, transparent packages agreed in advance, so you know the cost before the work begins. There are no hidden fees and no surprise invoices for routine work. The exact package depends on the size and complexity of your hospital business, which is why we review your circumstances first and then confirm the scope and fee clearly.
Yes. Our work is carried out by qualified accountants who follow the relevant professional and regulatory standards, and we keep up to date with UK accounting, tax and reporting requirements as they change. If you would like details of the qualifications and professional bodies behind the firm, we are happy to confirm these directly so you have accurate information rather than assumptions.
Common areas include large and varied payroll runs, medical equipment purchases and capital expenditure, premises and facilities costs, supplier payments, different income streams and the reporting that sits behind them. We also help with budgeting and cash flow, which matter a great deal when costs are largely fixed but income timing can fluctuate.
VAT treatment for hospital-related supplies is not a simple yes or no. It depends on the nature of the specific supply, the activities involved, the status of the organisation and theparticular circumstances, so different income streams can be treated differently. We review what you actually provide and how it is charged, then advise on the correct treatment and help you keep the supporting records in order.
Where your hospital business operates through a company, Corporation Tax will usually apply, and we can prepare and submit the relevant returns and computations as part of the service. The position can be more involved where you have capital expenditure on medical equipment, multiple income streams or group structures, so we look at your circumstances in detail rather than applying a one-size-fits-all approach.
It usually begins with a conversation about your hospital or hospital business, followed by a review of your current records, reporting and compliance position. If you are switching accountants, we can handle the handover from your existing firm. From there we agree the scope, the package and the timing, and put the ongoing support in place.
