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.
It covers the core finance work hospital businesses need: bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable and VAT support where relevant. Because hospitals carry significant staff costs, medical equipment, premises overheads and several income streams, we also make sure the reporting behind those areas is accurate and easy to follow. The exact mix depends on your structure, how your hospital operates and how much of the day-to-day work you want to hand over.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses based in and around Linton. That includes organisations of different sizes and structures, from single-site operations to groups running more than one facility or location. If your organisation provides hospital services and needs reliable accounting, tax and reporting support, the service can be tailored to fit how you are set up.
We work on fixed, transparent fees agreed in advance, so you know what you are paying for before any work begins. The fee reflects the scope of the engagement — things like the number of staff on payroll, transaction volumes, the number of income streams and the level of reporting you need — rather than a flat rate that ignores complexity. There are no hidden fees, and if your requirements change over time we will discuss the scope with you before anything is adjusted.
We work within the UK accounting and tax framework and follow the professional standards and compliance requirements that apply to the work we carry out. Before you appoint us, we are happy to confirm the specific professional body memberships and registrations relevant to your engagement, along with how we handle confidentiality, data and engagement terms. If your hospital has particular compliance expectations or internal requirements, tell us and we will make sure they are properly addressed.
The main areas tend to be staff payroll across varied shift and contract patterns, medical equipment purchases and capital expenditure, premises and facilities costs, supplier payments and reconciling several income streams. Alongside that sits financial reporting that genuinely reflects performance, budgeting and cash flow planning, Corporation Tax where it applies and VAT considerations. We keep the records and reporting aligned with how your hospital actually operates, rather than forcing everything into a structure that does not match the business.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — it is not a case of everything being exempt or everything being taxable. Different income streams and activities can be treated differently, and NHS and private hospital arrangements do not automatically follow identical rules. We review your position, help make sure VAT is treated correctly and consistently, and flag areas where further detail or advice may be needed.
Yes. Larger purchases such as medical equipment need to be recorded and accounted for properly, with the right treatment applied and the impact on cash flow understood well before payment falls due. We help with budgeting and forecasting so planned expenditure does not catch you out, and we report on how those investments affect the wider financial position. That gives you a clearer, more confident basis for deciding what to invest in and when.
Get in touch and we will talk through your hospital, how it is structured, what is currently in place and what you would like to change. If you are moving from another accountant, we can handle the handover — requesting the relevant records and information and making sure nothing slips through the gap. From there we agree the scope, put the ongoing support in place and get on with the work.
