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 that provide inpatient, outpatient or day-case services. The right approach depends on how the organisation is structured and how it operates, because a single-site independent hospital faces quite different accounting demands from a multi-site hospital group. We look at your ownership structure, income streams, staffing model, premises, equipment and suppliers before recommending how your accounting and tax work should be handled.
Our work typically covers annual accounts preparation, day-to-day bookkeeping, management accounts, payroll, budgeting and cash flow support, financial reporting, Corporation Tax compliance where applicable, and VAT support where relevant. For hospitals, we pay particular attention to areas such as staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and the different income streams a hospital may have. The exact mix is shaped around your organisation, so you get the support you actually need rather than a fixed bundle that does not quite fit.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect. The fee reflects the size and complexity of your hospital business, including the number of sites, the volume of transactions, payroll headcount, reporting requirements and the level of tax and VAT support needed. There are no hidden fees, and we will talk you through what is included before anything begins. If your requirements change, we review the arrangement with you rather than letting costs drift.
Yes. Hospital payroll is often one of the largest and most complex cost areas, covering clinical staff, administrative teams, bank or variable-hours workers and a range of different pay arrangements. We can manage payroll processing, payslips, deductions, pension contributions and the associated reporting obligations. Getting payroll right matters both for compliance and for the accuracy of your management accounts, since staff costs have such a significant impact on overall financial performance.
VAT treatment for hospitals is not a simple yes-or-no question. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, which means different income streams and different services can be treated in different ways. Some supplies may be exempt, some may be outside the scope of VAT and others may be taxable, so it is important to look at what is actually being provided rather than applying a blanket rule. We review your particular situation and help you apply the treatment that fits your organisation.
Where Corporation Tax applies to your organisation, we can handle the compliance work and help you plan ahead, including making sure capital expenditure on medical equipment and facilities is treated correctly. We also prepare financial reporting that gives a clear picture of performance across different income streams and cost centres, which is particularly useful for hospital operators and groups making decisions about investment, expansion or service changes. Everything is based on accurate, well-maintained records.
The most common ones relate to cost control and cash flow. Payroll is substantial, medical equipment and facilities require significant capital outlay, and supplier payments can be unpredictable. When these pressures combine with income arriving through several streams on different cycles, cash flow can become difficult to manage without proper visibility. Alongside that, hospital businesses need reporting that stands up to scrutiny and tax treatment that is correct for their circumstances, which is where consistent, hospital-aware accounting support makes a real difference.
It starts with a conversation about your hospital or hospital business, your structure, your income streams and where you feel the pressure points are. If you are switching accountants, we can handle the transition and liaise with your existing adviser so the changeover is smooth and nothing gets missed. From there, we confirm the scope of support and the fixed fee, then put a simple process in place to keep your bookkeeping, payroll, reporting and tax obligations on track.
