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.
The core of the work is usually annual accounts, bookkeeping, payroll and management accounts, supported by financial reporting, budgeting and cash flow forecasting. We can also help with Corporation Tax where it applies to your organisation, VAT support where relevant, and the day-to-day record keeping around staff costs, medical equipment, premises, suppliers and different income streams. What is included depends on the size and structure of your hospital business, so the scope is agreed with you rather than applied as a fixed package.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with a narrower clinical or surgical focus. Their accounting needs vary widely depending on how they are structured, how many sites they run, how they generate income and who they employ. If you are unsure whether your organisation is a good fit, it is worth a conversation, and we will be honest about whether we are the right people for the work.
Fees reflect the size and complexity of your hospital business, including the number of staff on payroll, the number of income streams, how much bookkeeping is involved and the level of reporting you need. We use fixed, transparent packages where possible so you know what you are paying for, with no hidden fees and no surprise invoices. Once we understand your requirements, the scope and the fee are set out clearly before any work begins.
Our work follows current UK accounting standards and tax rules, and your information is handled with the confidentiality you would expect from a professional accountancy practice. Financial records for a hospital can include sensitive commercial and operational detail, so access is kept to the people who need it and records are maintained properly. If there are specific compliance or governance requirements around your organisation, we can take those into account when agreeing how the work is carried out.
Yes. Hospital payroll often involves a mix of clinical and non-clinical staff, varied shift patterns, overtime, enhancements and, in some cases, agency workers or locums, which makes accurate processing and reporting more involved than in many other sectors. We can manage payroll end to end, including payslips, PAYE and pension obligations, and make sure the payroll figures feed properly into your management accounts and annual accounts.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances of each arrangement, so some income may be exempt, some may not be, and mixed income streams often need careful analysis. We can help review how your income and costs are treated, keep records in a way that supports the position taken, and flag areas worth checking before they become a problem.
Where Corporation Tax applies to your hospital business, we can prepare and submit the relevant returns and make sure reliefs and allowances are considered properly. Capital expenditure on medical equipment and facility improvements is an area where the timing and treatment of costs really matter, so we help you plan purchases and record them correctly. We also look at how those costs affect your cash flow and your reported financial position.
Getting started usually begins with a conversation about your hospital or hospital business, your current setup and what you need help with, followed by a review of your existing records and accounting arrangements. If you are moving from another accountant, we can talk you through the information typically needed to make the transition as smooth as possible. From there we agree the scope and put the ongoing support in place.
