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.
The service is built around what your hospital or hospital business actually needs. In practice that usually covers bookkeeping and record keeping, payroll for clinical and non-clinical staff, preparation of annual accounts, management accounts and financial reporting, budgeting and cash flow planning, and tax support — including Corporation Tax where it applies and VAT support where relevant. Because hospitals differ so much in structure and scale, we agree the scope with you first so the support matches your operations rather than a generic package.
We work with hospitals and hospital businesses across a range of structures, including private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital organisations that support them. Their accounting requirements vary depending on how they are set up, the services and facilities they provide, their income streams, and the size of their staffing, premises, medical equipment and supplier base. If you are unsure whether your organisation fits, it is worth a conversation — the important thing is whether you need accounting support designed around hospital operations.
We work on fixed, transparent packages, so you know what you are paying for and when, with no hidden fees or surprise invoices. The right package depends on factors such as your structure, the number of staff on payroll, the volume of transactions, the number of income streams and how much reporting you need. Rather than quoting a figure without context, we look at your circumstances first and then set out a clear scope and price so you can decide with confidence.
The work we carry out is done to professional accounting and tax standards, with compliance treated as a baseline rather than an extra. That means keeping your records in good order, meeting filing and reporting deadlines, and making sure the figures we prepare stand up to scrutiny. If you would like more detail on the specific qualifications and professional memberships held by the team handling your work, we are happy to talk that through before you commit to anything.
Hospitals tend to have a distinctive financial profile: substantial payroll across clinical and support teams, significant spend on medical equipment and maintenance, premises and facilities costs, and regular payments to a wide supplier base, all sitting alongside income that can come from several different sources. We help you keep track of all of that through accurate bookkeeping, meaningful management accounts and financial reporting, and we support budgeting and cash flow planning so larger capital expenditure does not catch you out. On the tax side, we advise on Corporation Tax where applicable and on the treatment of the specific activities and supplies your organisation is involved in.
VAT for hospitals is not a single, uniform answer. Treatment depends on the nature of the supply, the activities involved, the status and structure of the organisation and the specific circumstances — so what applies to one hospital's services, equipment purchases or property costs may not apply in the same way to another. We look at your actual activities and income streams in detail, explain how the rules apply to you, and help you keep VAT reporting accurate and properly supported.
Yes. Medical equipment and larger capital projects are often among the biggest financial commitments a hospital makes, and they need to be planned rather than absorbed when the invoice arrives. We can help you factor purchases and maintenance costs into your budgeting and cash flow forecasts, review how the spend affects your accounts and tax position, and make sure the timing works alongside your other commitments. Larger planned expenditure is far easier to manage when it is built into your financial reporting in advance.
Getting started is usually simpler than people expect. We begin with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position so we understand what is already in place. If you are moving from another accountant, we can handle the handover of records and correspondence on your behalf and coordinate with your existing adviser, so the transition stays straightforward. From there, we agree the scope of ongoing support and put it in place.
