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, specialist and day-case hospital facilities, hospital operators and hospital groups. That includes owner-managed hospitals, hospitals that form part of a wider group structure, and hospital businesses with multiple sites. The exact accounting and tax position depends on how the hospital is set up, the services it provides, its income streams and its cost base, so we begin by understanding those details before advising on anything.
Our work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax and VAT support where those are relevant. For hospitals specifically, this often means keeping a clear view of staff costs across clinical and non-clinical teams, tracking spending on medical equipment and capital items, monitoring premises and facilities costs, managing supplier payments and reporting on different income streams. We agree the scope with you so you know what is covered.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying and there are no hidden fees. The fee depends on the size and complexity of the hospital business, the number of sites, the volume of transactions, the payroll requirements and the level of reporting and advisory support you need. We will discuss your circumstances and agree the scope and cost before any work begins.
Yes. Payroll is one of the most significant and most sensitive areas for a hospital, covering clinical staff, administrative teams, support roles and often a mix of full-time, part-time and variable-hours arrangements. We can handle payroll processing, keep records accurate, and make sure the figures that flow into your accounts and management reporting reflect what the hospital is actually paying out.
VAT for hospitals is not a simple yes-or-no question. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so we do not treat all hospital services as exempt or all hospital-related supplies as taxable. Private hospitals, independent hospitals and hospital groups can each face different considerations depending on what they provide and how they are structured, and we look at the detail rather than applying a blanket rule.
Where Corporation Tax applies, we help make sure the hospital's taxable position is calculated correctly and that the relevant deadlines and obligations are met. That means keeping good records throughout the year, understanding which income and costs are relevant, and planning ahead so there are no unwelcome surprises. If the hospital operates through a different structure, the tax position will differ, and we will explain how that affects you.
Yes, and it is often one of the most valuable things we do. Hospitals tend to carry significant fixed costs such as payroll, premises and equipment, while income may arrive on different timescales from different streams. We help build realistic budgets and cash flow forecasts so you can plan for equipment purchases, capital expenditure, supplier payments and quieter periods with a clearer picture of what is coming in and going out.
It starts with a conversation about your hospital or hospital business, how it is structured, what it does and what you need from your accountant. We then review your current accounting and tax arrangements and set out how we can help going forward. If you are switching accountants, we can manage the transition and liaise with your existing adviser so the change is handled smoothly and your records stay in good order.
