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, as well as hospital businesses running specialist facilities or multi-site services. The accounting needs of each can differ significantly depending on structure, services offered, staffing models and how income is generated, so we tailor our approach to your organisation rather than applying a standard package.
Support can include bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, and tax and VAT guidance where relevant to your circumstances. Many hospital clients combine several of these — for example payroll plus management accounts — while others need a fuller service covering year-end accounts and compliance. We agree the scope with you upfront so you know what is covered.
Pricing is based on the work involved, which depends on factors such as transaction volumes, the number of staff on payroll, how many income streams you have, whether you operate from one site or several, and how much reporting you need. We use fixed, transparent packages where possible, with no hidden fees, and we explain the basis of the fee before any work begins.
Yes. Payroll is often one of the largest costs a hospital carries, and it frequently involves a mix of full-time, part-time, bank and locum arrangements. We can manage payroll processing, payslips, statutory deductions and the associated reporting, helping to keep staff costs accurate and properly recorded in your accounts.
VAT for hospitals is not straightforward, because treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt while others are standard-rated or outside the scope, and the position can differ between organisations. We can review your activities and income streams and advise on how VAT is likely to apply to you.
Whether Corporation Tax applies depends on how your hospital or hospital business is structured — for example whether it operates through a limited company. Where it does apply, we can help with preparing and filing the relevant returns, reviewing allowable costs such as equipment, premises and professional fees, and planning ahead so there are no surprises when liabilities fall due.
Yes. Hospitals often face steady, high operating costs alongside income that arrives at different times, which makes cash flow planning especially valuable. We can prepare budgets and forecasts, monitor actual performance against them, and help you plan for significant costs such as medical equipment or facility work without losing sight of day-to-day commitments.
Getting started is straightforward. We begin with a conversation about your hospital, its structure and what you need from an accountant, then review your current position and records. If you are moving from another accountant, we can usually handle the handover on your behalf, and we will confirm the scope of support and fees before anything is finalised.
