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 private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them. Because hospitals differ widely in size, structure and the services they provide, we take the time to understand your organisation first, including your income streams, staffing model, premises and equipment commitments. That means the accounting support we put in place fits your circumstances rather than being based on assumptions about what a hospital needs.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting, cash flow forecasting, financial reporting and Corporation Tax support, along with VAT support where it is relevant to the supplies your organisation makes. Many hospital clients use us for a combination of compliance work and management information, so they have accurate records for filing purposes and useful figures for decision-making. The exact mix depends on the size of your hospital business, your internal finance capability and what you want to keep in-house.
We price our services using fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees appearing later. The fee reflects the scope of work involved, which depends on factors such as the number of staff on payroll, the complexity of your income streams, whether you need management accounts and how much bookkeeping support you require. We will talk through your requirements and confirm the scope before any work begins.
VAT treatment for hospitals is not straightforward and depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Different income streams and services can be treated differently, so it is unwise to assume that everything a hospital does is treated the same way, and NHS hospitals and private hospitals should not be assumed to have identical VAT positions. We review your activities and supplies carefully and, where a position is unclear, help you understand the options and the supporting records you should keep.
Yes. Payroll is often one of the largest and most complicated costs for a hospital, particularly where staff work varying shift patterns, receive enhancements or fall under different contractual arrangements. We can manage the payroll process end to end, including payslips, RTI submissions and the related record keeping, so the information flowing into your accounts and management reporting stays consistent. If you already run payroll in-house, we can review it or work alongside your team instead.
Medical equipment and capital expenditure need to be accounted for properly, with the right distinction between items that are capitalised and those treated as revenue costs, and with depreciation or amortisation reflected sensibly in your accounts. We look at what you have purchased, how it is used and how it is funded, then make sure it is recorded correctly and that the impact on your management accounts, cash flow forecasting and tax position is clear. This is particularly important for hospitals planning significant equipment investment or refurbishment.
Yes, switching accountants is usually a straightforward process, and we can handle the practical steps involved, including contacting your existing accountant for the information we need. We will review your current position, identify anything that needs attention and confirm what the ongoing service will look like before the handover is completed. Most hospital businesses find the transition less disruptive than they expect, particularly when the change is planned around a natural point in the accounting year.
The simplest starting point is a conversation about your hospital or hospital business, its structure, how it earns income and what you need from an accountant. From there we will review your current accounting and tax arrangements and set out how we can help, with a clear scope and transparent pricing. There is no obligation to proceed, and if your requirements change as your organisation grows, the support can be adjusted to match.
