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 work with hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups, along with the trading or property entities that often sit alongside them. The right level of support depends on how the organisation is structured, how many income streams it has, how many staff it employs and what its reporting obligations look like. If you are unsure whether your set-up fits, it is worth a conversation so we can talk through your circumstances.
Typically, this includes annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, and tax and VAT support where relevant. In practice, what matters most is linking those services to how a hospital actually runs, so that staff costs, medical equipment, premises, supplier payments, professional services and income streams are all recorded and reported accurately. Support can be scaled up or down as your requirements change.
Pricing is based on the scope of work, which reflects factors such as the size and structure of the hospital, transaction volumes, payroll numbers, reporting requirements and the level of ongoing support you need. We use fixed, transparent packages so you know what you are paying for, and we avoid hidden fees. Once we understand your circumstances, we will set out clearly what is covered so there are no surprises later.
You should expect your accountant to be regulated by a recognised professional body, to hold appropriate professional indemnity insurance, and to follow current UK accounting and tax standards. It also helps to confirm who will handle your work day to day and how they keep up to date with changes affecting hospital businesses. We are happy to explain how we work, what we are responsible for and how we keep your information secure.
It depends. VAT treatment is not uniform across hospital activities, because it turns on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams and services can be treated differently. Corporation Tax treatment can also vary according to how the hospital is structured and what it does. We review the position carefully rather than assuming a single answer applies.
Yes. Payroll is often one of the largest recurring costs in a hospital, particularly where shift patterns, overtime and varied contracts are involved, so it needs to be accurate and on time. We can also help you track and plan for medical equipment purchases and other capital expenditure, and build cash flow forecasts that reflect premises costs, supplier commitments and the timing of income. That combination tends to give a much clearer picture of financial health than accounts alone.
Switching is usually more straightforward than people expect. We can liaise with your existing accountant to obtain the records and information needed, review what has been done previously, and make sure the transition does not create gaps or missed deadlines. Most of the work happens behind the scenes, so disruption to your day-to-day operations is kept to a minimum.
It starts with a conversation about your hospital or hospital business, how it is structured and what you need from your accounting support. From there we review your current position, flag anything that needs attention, and set out how we can help going forward. You do not need to have everything perfectly organised beforehand, as part of the initial work is often tidying up records and getting things onto a clearer footing.
