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.
Our work for hospitals typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax and VAT support where these apply. Because hospital businesses vary so much in size and structure, the exact mix is agreed with you based on your income streams, staffing, premises, equipment and reporting needs. You get a clear picture of your finances plus the compliance work handled properly behind the scenes.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses, whether they operate from a single site or across several locations and trading entities. Accounting requirements differ depending on how the organisation is set up, what services it provides, how it is funded and how many staff it employs. We tailor the support to those circumstances rather than applying a standard package.
Pricing is based on the scope of work involved, so it reflects factors such as the number of entities, transaction volumes, payroll headcount, reporting requirements and the level of support you need. We work on fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees. After an initial conversation, you receive a clear outline of what is included before anything begins.
Yes. Hospital payroll often involves a mix of full-time, part-time, bank and locum arrangements, variable hours, overtime and pension contributions, which makes accurate processing important. We can handle PAYE, pension auto-enrolment, payslips and the associated reporting, so staff are paid correctly and on time. We also make sure payroll costs are properly reflected in your management accounts and cash flow planning.
VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. Income streams, private patient activity, equipment purchases, property costs and supplier charges can each raise different questions. We review your particular position and help you apply the treatment that fits your organisation rather than relying on assumptions.
Yes. Major equipment purchases and refurbishment projects can put significant strain on cash flow, even for well-run hospital businesses. We help you plan for that expenditure in advance, consider the tax treatment that may apply, and build forecasts that show the impact on your finances over time. That way, investment decisions are made with a clear view of what the numbers can support.
We can support hospital groups operating across several sites, trading entities or subsidiaries, including the reporting and record-keeping that comes with that structure. This often involves consolidated management information, intercompany transactions and consistent treatment across the group. The aim is to give you a single, coherent view of performance rather than a collection of disconnected sets of figures.
It starts with a conversation about your hospital or hospital business, what you need help with and how you currently handle your accounting. We then review your existing records and compliance position, and where you are switching accountants, we can liaise with your current adviser to make the handover as smooth as possible. From there, we agree a scope of support and get things moving without disrupting your day-to-day operations.
