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 support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running inpatient, surgical, diagnostic or treatment facilities. The right approach depends on how the hospital is structured, whether it operates as a company, a group of companies or another arrangement, and how its income streams are made up. We do not treat every hospital the same, because a single-site independent hospital has very different accounting needs from a multi-site hospital operator with several trading entities.
Core support typically includes bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning and financial reporting, with Corporation Tax support where applicable and VAT support where relevant. For hospitals specifically, that means properly capturing staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier and professional services payments, and each of the income streams the business generates. We can take on as much or as little as you need, whether that is a full outsourced finance function or support alongside an existing in-house team.
Pricing is based on the size and complexity of the hospital or hospital group, the number of entities involved, transaction volumes, payroll numbers and the level of reporting you need. We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees or surprises on the invoice. If your requirements change, for example if you expand, take on more staff or add a new site, we review the arrangement openly rather than applying unexpected charges.
Yes. Payroll is often one of the largest cost areas for a hospital, covering clinical staff, nursing teams, administrative and support roles, and it can involve variable hours, overtime, shift patterns, enhancements and different contract types. We can handle payroll processing, payslips, pensions and the associated submissions and deadlines so payments are made accurately and on time. We can also make sure payroll costs are reflected properly in your management accounts so you can see how staffing is affecting margins and cash flow.
VAT for hospitals is not a case of applying a single rule, because treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some hospital-related supplies may be exempt, while others may be taxable, reduced-rated or zero-rated, and private hospitals and other providers do not automatically follow identical treatment. We look at what you actually supply, how it is charged and who it is supplied to, then help you apply the correct treatment and keep the supporting records in order.
Yes. Where a hospital trades through a limited company, Corporation Tax will usually apply, and we can help with computations, returns and the deadlines that come with them, along with the wider tax position for hospital groups with several entities. Capital expenditure on medical equipment, facilities and premises improvements often needs careful treatment, and getting it right affects both your reported results and your tax position. We also help you plan the cash flow impact of significant equipment purchases so a major investment does not create avoidable pressure.
Yes, and it is usually more straightforward than hospitals expect. We will ask for details of your current position, review your existing records and reporting, and liaise with your previous accountant to obtain the information we need, so the transition does not disrupt payroll, reporting deadlines or compliance. We also use the handover period to identify anything that needs tidying up, such as incomplete records, unclear cost categorisation or reporting that does not reflect the hospital's actual operations.
Getting started usually begins with a conversation about how your hospital or hospital business is structured, what services you provide and what you need from your accountant, whether that is day-to-day bookkeeping, payroll, management accounts or tax support. From there we outline the services that fit, explain how the arrangement is priced and agree a clear way forward. If you already have an accountant, we can manage the handover; if you are setting up or restructuring a hospital business, we can start from where you are.
