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 hospitals and hospital organisations, including private hospitals, independent hospitals, hospital operators and hospital groups, as well as businesses providing services within a hospital setting. The common thread is a need for accounting, payroll, tax and reporting support that reflects the realities of running a hospital, such as significant staff costs, medical equipment, premises, supplier arrangements and multiple income streams. Every hospital is structured differently, so the starting point is always understanding how your organisation operates before recommending how the accounting should be handled.
The core services include bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax support where it applies and VAT support where relevant. For hospitals, this usually means keeping detailed records of staff costs and clinical payroll, tracking medical equipment and capital expenditure, monitoring supplier and premises costs, and reporting on the different income streams the hospital generates. You can take a full package or focus on the areas where you need the most support, and the scope can be adjusted as the hospital grows or its reporting needs change.
Pricing is based on the size and complexity of the hospital or hospital business, the volume of transactions, the number of staff on payroll and the level of reporting and tax support required. We work on fixed, transparent packages with no hidden fees, so you know what you are committing to before any work begins, and the scope is agreed in advance rather than being left open-ended. Once we understand how your hospital operates, we can outline the level of support that fits and how it will be structured.
Yes, payroll is a significant part of what hospitals need, because staff costs are typically the largest single expense and often involve a mix of full-time employees, part-time clinical staff, bank or locum arrangements and varying shift patterns. We can manage payroll processing, payslips, pension contributions and the associated reporting, keeping records organised and current. Accurate payroll also feeds directly into your management accounts and cash flow planning, which helps you see the true cost of running the hospital month to month.
VAT treatment for hospitals is rarely a simple, one-size-fits-all answer. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances, so different activities within the same hospital can be treated differently. We review how your hospital generates income, including any private, charitable or mixed elements, and help you apply the correct treatment with appropriate records and reporting. Where treatment is unclear, we explain the options and the supporting evidence needed so your position is properly documented.
Yes, and this is often where hospital finance teams get the most value. Management accounts give you a clear view of income and expenditure across departments, services and cost centres, while cash flow forecasting helps you plan for large outgoings such as medical equipment purchases, premises works or seasonal staffing pressures. Budgeting pulls those threads together so the hospital's financial position stays visible throughout the year rather than being reviewed only after the year end. The reporting format can be tailored to what your management team and any stakeholders actually need to see.
Yes, switching accountants is generally a straightforward process, and we handle much of the practical work involved. We can contact your existing accountant to obtain the information needed, review the handover records for anything outstanding or unclear, and make sure your bookkeeping, payroll and reporting continue without gaps. If there are overdue filings or unresolved tax matters, we identify them early and explain what needs to happen next, so the transition is handled calmly and without disruption to the running of the hospital.
Getting started begins with a conversation about your hospital or hospital business, how it is structured, what accounting and payroll arrangements are currently in place and what you need from a financial support perspective. From there, we review the existing records and tax position, highlight anything that needs attention and outline the support that fits your situation. There is no obligation to commit until you are comfortable with the proposed approach, and the initial discussion is simply about understanding your circumstances.
