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 typically covers the accounting and tax work a hospital or hospital business needs day to day and year to year. That includes bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, and Corporation Tax and VAT support where those apply to your organisation. The mix is tailored to your structure and activities, so a single-site independent hospital will not be treated the same as a hospital group with several locations.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that sit behind them. Requirements vary a great deal depending on size, ownership structure, the range of services offered and how income is generated. What matters is that your accounting support reflects how your hospital actually operates, including its staffing model, premises, equipment and supplier arrangements.
We use fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees or surprise invoices. The right package depends on factors such as your turnover, the number of staff on payroll, the complexity of your income streams and how much of the bookkeeping and reporting you want us to handle. We discuss that with you directly so the arrangement is clear before any work begins.
Yes. We work within UK accounting and tax rules and keep up to date with changes that affect hospitals and hospital businesses, including Corporation Tax and VAT developments. If you would like details of the specific qualifications and professional memberships held by the team, it is best to ask us directly so you get accurate, current information rather than assumptions.
VAT treatment in the hospital sector is not straightforward and it is not a case of everything being exempt or everything being taxable. The position depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, and different income streams can be treated differently. We look at what your hospital actually supplies and advises on how VAT should be applied, along with help preparing and filing returns where that is required.
Yes, and this is often where hospitals feel the most pressure. Fixed costs such as payroll, premises and facilities continue regardless of fluctuations in income, while equipment purchases and capital expenditure can create significant one-off demands on cash. We help build budgets and cash flow forecasts that account for those realities, so you can plan equipment investment and manage supplier payments without being caught short.
Switching is usually more straightforward than people expect. We handle the transition with you, obtain the information we need from your existing accountant, and make sure your records and deadlines are picked up without gaps. If you are unsure whether a change is worthwhile, a conversation about how your current reporting, payroll and tax work is going is often the quickest way to find out.
Get in touch and tell us about your hospital or hospital business, what you need help with and what is currently causing friction, whether that is bookkeeping, payroll, management accounts, cash flow or tax compliance. We will talk through your situation, explain how we would approach it, and set out a clear package and next steps. From there, support begins at a pace that suits you.
