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.
Most hospital clients need a combination of bookkeeping, payroll, management accounts, annual accounts, financial reporting and tax compliance, so we build the service around what the business actually requires. That can include maintaining accurate records, preparing and filing statutory accounts, producing management information for directors or owners, running payroll for clinical and non-clinical teams, handling VAT returns and supporting on Corporation Tax where it applies. We can also help with budgeting, cash flow forecasting and the accounting treatment of medical equipment purchases and other capital expenditure.
The service is designed for privately run and independently operated hospitals and hospital businesses, including single-site private hospitals, independent hospitals, day-case and specialist hospitals, hospital operators and hospital groups. If you run a hospital with employees, premises, equipment and multiple income streams, the accounting and tax requirements are usually more involved than those of a general business, and that is the area we focus on. Organisations with different structures or funding arrangements can discuss their circumstances with us so we can confirm whether we are the right fit.
We work on fixed, transparent packages agreed in advance, based on the scope of work your hospital needs rather than an open-ended hourly arrangement that keeps growing. Factors such as the number of sites, the size of the payroll, the volume of transactions, whether you need management accounts and how much VAT or Corporation Tax support is required will all shape the fee. You will know what is included before work begins, and there are no hidden extras added on later without your agreement.
Accounts are prepared in line with applicable UK accounting standards and tax legislation, and the work is carried out to recognised professional and ethical standards. We keep up to date with changes to UK accounting and tax rules that affect hospital businesses, including areas such as payroll, capital allowances and VAT. If you have specific requirements around who can sign off accounts or represent you in dealings with HMRC, let us know and we will confirm how we can support you.
A hospital's Corporation Tax position depends on its structure, its taxable profits and how its income and costs are treated. Common areas of focus include capital allowances on medical equipment and fit-out costs, the deductibility of premises, staffing and professional costs, and how different income streams are recognised and taxed. There is no single answer that fits every hospital, so we review the specific circumstances and make sure the position taken is properly supported.
Not always. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to assume that everything a hospital does is treated the same way. Income from clinical services, retail sales, catering, parking, room hire, equipment sales or consultancy can each be treated differently, and mixed supplies add further complexity. A review of your income streams and cost base is usually the sensible starting point, followed by ongoing support so returns are prepared correctly.
Medical equipment and facilities spending is often the largest discretionary outlay a hospital makes, so the accounting and tax treatment matters. We help with recording capital expenditure correctly, considering capital allowances and the timing of relief, and factoring major purchases into cash flow and budgeting so the decision is made with the full financial picture in view. Where equipment is financed, leased or replaced, we can look at how each option affects your reported position.
Getting started is usually simpler than people expect. We begin with a conversation about your hospital, what you need from an accountant and where the current pain points are, then review your existing records, reporting and compliance position. If you are moving from another accountant, we can handle the handover, request the necessary information and make sure nothing slips in the meantime. From there we agree a scope of work and put ongoing support in place.
