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 cover the accounting and tax areas hospital businesses typically need day to day: bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax and VAT where it applies. Because hospital finances involve clinical and non-clinical staff costs, medical equipment, premises, suppliers and multiple income streams, the work is shaped around how your organisation actually operates rather than a standard package applied to every client.
We support private hospitals, independent hospitals, specialist and day-case hospital providers, hospital operators and hospital groups, along with other hospital businesses that need accounting and tax support. The right approach depends on your structure, activities, income streams, staffing, premises, equipment and operating costs, so we start by understanding the organisation before recommending how the accounts, payroll and reporting should be handled.
Pricing is based on the scope and complexity of your requirements — the size and structure of the hospital business, the number of entities involved, payroll volumes, the level of bookkeeping needed, reporting requirements and how much support you want from us. We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. We would rather quote properly once we understand your circumstances than give a figure that later proves inaccurate.
All work is carried out in line with UK accounting standards and HMRC requirements, and we are happy to talk through the qualifications and professional memberships of the people who would be handling your work before you appoint us. If your hospital business needs accounts prepared for filing, VAT returns submitted or payroll run correctly under current rules, those obligations are met properly and on time.
Yes. Corporation Tax is relevant to many hospital businesses depending on how they are structured, and we can help with computations, returns and planning where it applies. VAT is more nuanced: treatment depends on the nature of the supplies you make, the activities involved, the organisation's status and your specific circumstances, so it should never be assumed that everything is exempt or everything is taxable. We review your position on the facts and advise accordingly.
Medical equipment, fit-out costs, facilities improvements and other capital items need to be recorded and reported appropriately, with the right treatment for purchases, depreciation or capital allowances and the effect on your cash flow and tax position. We look at these costs alongside your operating expenditure so your accounts and management information give a realistic picture of the hospital's financial position rather than a distorted one.
Yes. Switching is usually more straightforward than hospital businesses expect, because the mechanics are well established — we contact your existing accountant, obtain the information we need and take over the ongoing work without disrupting your operations. Where there are gaps in the records or outstanding filings, we can identify them early and help you bring everything up to date before moving forward.
It starts with a conversation about your hospital or hospital business — how it is structured, what you currently have in place and what you need from an accountant. From there we review your accounting and tax position, outline how we would work with you and agree a clear scope. If you decide to proceed, we handle the handover and set up your bookkeeping, payroll and reporting so everything runs smoothly from the outset.
