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.
Support generally covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax and VAT guidance where relevant. For hospitals, we also make sure items such as medical equipment, premises costs, supplier payments and multiple income streams are properly recorded and reported. The exact mix depends on your structure, size and internal finance arrangements, and it can be adjusted as your hospital grows or changes.
This service is aimed at hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators, hospital groups, and commercially run treatment or diagnostic centres. It also suits hospital organisations with mixed income streams, multiple sites or a combination of employed and contracted clinical teams. If your organisation sits outside a standard hospital structure, it is still worth a conversation, as we can confirm whether the support fits what you do.
Pricing is based on the scope and complexity of the work rather than a fixed headline figure, so it reflects factors such as transaction volumes, payroll headcount, the number of income streams and the reporting you need. We work on fixed, transparent packages where the scope allows, so you know what you are paying for in advance, and we avoid hidden fees. Before any work starts, we set out what is included, what is not, and how the fee is structured.
We work to the professional and regulatory standards that apply to accountancy services in the UK, and we are happy to confirm the professional body memberships and registrations relevant to the work you need. Where a hospital requires specific compliance, such as payroll reporting obligations, company filings or tax registrations, we confirm the requirements up front. If you have an existing accountant, we can also handle the handover so the transition is orderly.
Common areas include large and sometimes variable payroll runs, medical equipment purchases and capital expenditure, premises and facilities costs, supplier and contractor payments, and income arriving from different streams at different times. These affect cash flow, budgeting and year-end reporting, so we make sure they are reflected properly rather than treated as routine transactions. We also help with management reporting that gives you a clearer view of margins, cost trends and financial position.
VAT for hospitals is rarely a single answer, because treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be treated differently from others, and private and NHS-facing arrangements do not automatically follow identical treatment. We review what you actually provide, how it is charged and who it is provided to, then explain the position and the records you should keep.
Yes. Larger equipment purchases and other capital expenditure affect your accounts, your cash flow and, depending on the structure of the business, your tax position. We help you plan for significant purchases, account for them correctly, and understand the effect on profit, reserves and available cash. Where finance or staged payments are involved, we make sure the commitments are visible in your reporting.
Getting started usually begins with a conversation about your hospital business, its structure, income streams and current accounting arrangements. We then review what you have in place, agree the scope of support, and manage the handover from your existing accountant where there is one. Once records and reporting are in order, ongoing support continues on an agreed basis, with the option to review the arrangement as your requirements change.
