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 typically covers the day-to-day and year-end work a hospital or hospital business needs: bookkeeping, annual accounts, management accounts, payroll, financial reporting, budgeting, cash flow planning, and tax support including Corporation Tax where it applies and VAT support where relevant. Because hospitals tend to have complex cost structures — staff, medical equipment, premises and suppliers — the exact mix of work is agreed with you rather than pulled off a shelf, and it can be adjusted as your organisation evolves.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses, whether they are established organisations or growing providers adding new services or sites. If your organisation deals with staffing rotas, medical equipment, facilities and multiple income streams, the accounting and reporting needs are usually quite different from those of a standard trading company, and that is where focused support makes the biggest difference.
We use fixed, transparent packages agreed in advance, so you know what the work involves and what it costs before anything begins. Pricing reflects the size and complexity of your hospital or hospital business — the number of staff on payroll, the volume of transactions, the number of income streams, whether you hold significant equipment or premises, and the level of reporting you need. There are no hidden fees, and if your requirements change we discuss the scope and cost with you first.
You should always check that the accountant you appoint holds recognised professional qualifications and is a member of a relevant UK accountancy or tax body, since that underpins the standards applied to your records, filings and advice. It is also worth asking how they handle confidentiality, data protection and anti-money laundering obligations, because hospitals deal with sensitive information across payroll, suppliers and contracts. We are happy to talk through the qualifications held and the compliance processes in place before you commit to anything.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances — so different income streams within the same hospital can be treated differently. We review how your organisation operates, identify where VAT applies and where reliefs or exemptions may be relevant, and make sure returns and records are prepared on that basis rather than on assumptions.
Yes. Hospital payroll often involves a mix of full-time, part-time and bank or sessional staff, variable hours, shift and unsocial hours patterns, and different pay rates across departments, which makes accurate processing and reporting important. We can handle payroll calculations, payslips, RTI submissions and the associated record keeping, and we make sure payroll costs feed into your management accounts and budgets so you can see the full picture of your staffing expenditure.
Yes. Significant purchases such as medical equipment and facility improvements need to be planned for well ahead, and they affect both your cash position and how your accounts are presented. We help you budget for capital expenditure, understand the impact on cash flow, and keep depreciation, financing and tax treatment consistent across your financial reporting so decisions about equipment and premises are made with clear numbers behind them.
Getting started is straightforward: we begin with a conversation about your hospital or hospital business, what you currently have in place and what you need from an accountant. If you are switching, we can liaise with your existing accountant, request the relevant records and handle the handover so there is no gap in your bookkeeping, payroll or filing deadlines. From there we agree the scope of support and put a schedule in place that fits around your operations.
