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.
It depends on the hospital and what it needs. In practice, our work with hospital businesses usually covers bookkeeping, payroll for clinical and non-clinical staff, management accounts, budgeting and cash flow, annual accounts, financial reporting, and Corporation Tax and VAT support where those apply. We also help with the areas that are particular to hospitals, such as tracking medical equipment costs, monitoring premises and supplier expenditure, and making sense of several different income streams. The goal is to give you reliable numbers you can act on, not just accounts that satisfy a filing requirement.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as other hospital-based businesses. Their accounting needs vary widely depending on structure, the services they provide, their staffing levels, their premises, their equipment and how their income is generated. Because of that, we do not apply a single template — the support is shaped around the organisation in front of us. If you are unsure whether your setup fits, it is worth having a conversation to clarify what you need.
We work on fixed, transparent fees agreed in advance, so you know what you are paying for and there are no hidden extras. The fee depends on the size and complexity of the hospital business, the volume of transactions, how many staff are on payroll, whether VAT and Corporation Tax work is needed, and how much reporting and advice you want. Once we understand your requirements, we will set out a clear scope and cost so you can decide with confidence. If your needs change, we will discuss any adjustment before the work is carried out.
We work in line with UK accounting and tax requirements and keep up to date with changes that affect hospital businesses, including payroll, VAT and Corporation Tax rules. Where a piece of work requires a particular registration or qualification, we will be clear about it and about how the engagement is structured. You are always welcome to ask about how we work, what we are responsible for and what you can expect from us before appointing us. Transparency at the outset makes for a much better working relationship.
Yes. Payroll is usually one of the largest cost lines in a hospital, covering clinical, administrative, support and shift-based staff, so accuracy and timing matter a great deal. We help keep payroll records organised, compliant with current requirements and reconciled with your overall accounts. On the capital side, medical equipment and premises work can involve significant outlays, and we help you record those costs appropriately, understand how they affect your results and cash flow, and plan for replacement or expansion in a way that fits your finances.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of each supply, the activities involved, the status of the organisation and the specific circumstances, which is why blanket assumptions tend to cause problems. Some hospital-related supplies may be treated differently from others, and a mix of activities can make record-keeping and reporting more involved. We help hospitals work through how VAT applies to what they actually do, keep the paperwork in order and reduce the risk of unexpected liabilities.
Yes. Hospitals often receive income in several different ways and on different timetables, which can make cash flow harder to predict than the headline figures suggest. We help bring those income streams together in your records, build budgets that reflect real costs such as payroll, equipment, premises and suppliers, and monitor cash flow so pressure points become visible early. That visibility is usually what allows hospital operators to plan staffing, equipment investment and expansion with more confidence.
Getting started is usually simpler than people expect. We begin with a conversation about your hospital business, your current accounting arrangements and what you want from an accountant. If you decide to move across, we can handle the handover with your existing accountant, including requesting professional clearance and the records we need. From there we agree the scope and fee, put a plan in place and get on with the work, keeping you informed along the way.
