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, hospital groups and other hospital organisations, along with the businesses that sit alongside them. Some are single-site operations, others run across several locations or sit within a wider group structure. What they have in common is a need for accounting that reflects heavy staff costs, significant equipment and premises overheads, multiple income streams and the reporting requirements of lenders, investors or group management.
The core offer covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, alongside tax support including Corporation Tax where it applies and VAT support where relevant. Because hospital finances are so cost-heavy, we also help with areas that are often overlooked, such as tracking capital expenditure on medical equipment, monitoring supplier payment cycles, and reporting on income from different service lines so you can see which parts of the hospital are performing.
Pricing is based on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the size and complexity of the hospital business — the volume of transactions, number of staff on payroll, number of sites, whether groups or multiple entities are involved, and the level of reporting you need. We set that out clearly before any work begins and there are no hidden fees added later.
We work within the UK's professional and regulatory framework for accountants, and compliance runs through everything we do — filing deadlines, statutory accounts, payroll obligations and tax submissions. Where VAT is concerned, we don't assume a position applies to you because it applies to another hospital. Treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so we review your position properly and explain the reasoning behind the advice.
Hospital payroll is rarely simple. It typically involves a mix of permanent clinical and non-clinical staff, part-time and bank or agency workers, variable shift patterns and different pay rates, all of which affect PAYE, National Insurance and pension obligations. We manage the payroll process end to end, keep records accurate, issue payslips and handle the reporting to HMRC, so your team is paid correctly and on time and the associated costs are reflected properly in your management accounts.
VAT for hospitals is not a single answer. Some supplies may be exempt, others taxable or outside the scope, and the position depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Partial exemption, differing treatment across income streams and the VAT position on equipment, premises and professional services all need to be looked at carefully. We review your particular circumstances rather than applying a blanket rule, and we do not assume that every hospital, whatever its structure, is treated the same way.
Yes. Medical equipment and facility upgrades are major outlays for any hospital, and the accounting and tax treatment needs to be handled correctly from the outset. We help you plan for capital expenditure, account for depreciation sensibly, understand the tax position on purchases, and build the cost into budgets and cash flow forecasts so a large purchase does not put unexpected pressure on working capital.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your existing records and accounting arrangements to understand where things stand. If you are moving from another accountant, we handle the transition and the handover of records, and we agree a clear plan for ongoing support so there is no gap in your bookkeeping, payroll or compliance work.
