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 support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses running single or multiple sites. What these organisations have in common is a complex cost base and several income streams, which is why their accounting needs tend to be more involved than those of a typical small business. Support is shaped around your structure, activities and how you are set up, rather than applying a one-size-fits-all approach.
Most hospital businesses need a combination of accurate bookkeeping, payroll for clinical and non-clinical teams, annual accounts, management accounts, financial reporting, budgeting and cash flow planning. Depending on the organisation, that may also include Corporation Tax support where applicable and VAT support where relevant, particularly where income comes from several different sources. The right mix depends on your size, structure and how much of the finance work you handle internally.
We work on fixed, transparent packages, so you know what you are paying for and when. The fee reflects the scope of work involved, which in turn depends on factors such as transaction volumes, payroll headcount, the number of income streams and the level of reporting you need. There are no hidden fees, and we are happy to set out clearly what is included before anything begins.
Yes. Payroll is often one of the largest costs a hospital carries, and it usually involves a mix of roles, contract types and shift arrangements, which makes accuracy important. We can manage payroll processing, payslips and the associated reporting, while making sure the figures feed correctly into your management accounts and year-end position.
VAT for hospitals is rarely a simple picture. The treatment of a supply depends on its nature, the activities involved, the organisation's status and the specific circumstances, so some supplies may be treated differently from others. Rather than assuming a blanket position, it is worth reviewing your arrangements properly. We can help you look at how VAT applies to what your hospital actually does and where the risks or opportunities may sit.
Equipment, facilities and premises are significant commitments for most hospitals, and how they are treated in the accounts affects both your reported position and your tax outcome. We look at the nature and timing of the expenditure, how it should be recognised, and whether any relief is available, so your accounts reflect reality. This also feeds into cash flow and budgeting, since large purchases rarely sit comfortably in a single month's figures.
Yes, and it is often one of the most valuable areas of support. Hospitals typically have high fixed costs and unpredictable income timing, so seeing ahead is important. We help build budgeting and cash flow forecasts that reflect your actual cost structure, staffing commitments and income patterns, giving you time to plan rather than react.
It usually starts with a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to be different. We then review your existing records and tax position, and from there we agree the scope of support and handle the transition from your current adviser. The aim is to make the move straightforward and keep disruption to your finance function to a minimum.
