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 the hospital businesses that manage or support them. The common thread is that each organisation has accounting and tax needs specific to running hospital services, whether that involves inpatient care, day-case procedures, diagnostic work or other clinical activities. If you are unsure whether your organisation fits, it is worth a conversation, as the right answer usually depends on your structure and how you operate.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax and VAT where those apply to your circumstances. In practice, that means keeping records accurate and up to date, producing reports you can actually use, and making sure deadlines and compliance obligations are met. The mix is adjusted to suit your hospital, because a small independent hospital with one site has very different needs from a group operating across several locations.
Fees are based on the scope and complexity of the work rather than a one-size-fits-all figure, because a hospital with substantial payroll, multiple income streams and significant equipment costs needs more support than a simpler operation. We work on fixed, transparent packages wherever possible, agreed in advance, so you know what you are committing to and there are no hidden fees. Once we understand your hospital properly, we can set out a clear scope and the fee that goes with it.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so different income streams within the same hospital can be treated differently. Rather than assume anything, we review how your services and other supplies are structured and advise on the position that applies to you.
Yes. Payroll is often one of the largest costs a hospital carries, covering clinical teams, nursing and support staff, administrative functions and management. We handle payroll processing, PAYE and related reporting, and can help you understand how staffing costs feed into budgeting, cash flow and your overall financial picture. Getting payroll right also keeps your management accounts meaningful, which matters when you are making decisions about rostering, recruitment or expansion.
Medical equipment and major capital spending are rarely straightforward, because large purchases affect cash flow, depreciation, financing and the timing of tax relief. We look at how these costs sit within your accounts and what that means for your reported results and tax position, and we help you plan for planned and unplanned expenditure. That way, a significant equipment purchase does not come as a surprise to your finances.
Switching is usually more straightforward than people expect. We ask for details of your current arrangements, handle the professional handover with your existing accountant where needed, and review your records so we understand your position before taking over the ongoing work. If you would prefer to start with a conversation about your hospital's accounts, tax and reporting requirements, that is a sensible first step.
Start by getting in touch and telling us about your hospital or hospital business, including how it is structured, your income streams, staffing and the main costs you deal with. From there we will review your accounting and tax requirements and set out how we can help, along with a clear scope for the work. There is no obligation at that stage, and it gives you a proper sense of whether our support fits your organisation.
