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 smaller hospital businesses. That includes organisations running day-case facilities, specialist treatment centres and multi-site hospital operations. Because the accounting and tax position can differ depending on how a hospital is structured and what it does, we take the time to understand your setup before recommending how we can help.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax support where it applies and VAT support where it is relevant to your activities. For hospitals, that often means handling high-volume payroll, tracking medical equipment and capital expenditure, monitoring supplier and premises costs, and reporting clearly on multiple income streams so you can see how the organisation is performing.
We work on fixed, transparent packages rather than hourly billing, so you know what you are paying for and there are no hidden fees. The scope depends on factors such as the size of the hospital business, the number of staff on payroll, the volume of transactions and the level of reporting and tax support you need. We will discuss your requirements and set out the scope clearly before any work begins.
We work within current UK accounting and tax rules and keep up to date with changes that affect hospital businesses. If you would like to understand the professional standards and qualifications that apply to your engagement, we are happy to talk that through with you directly so you know exactly who is looking after your affairs.
It depends on how your organisation is structured and what it does. Corporation Tax may apply to some hospital businesses, and payroll taxes and pensions are relevant wherever you employ clinical and non-clinical staff. VAT is rarely a straightforward answer for hospitals: the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should be reviewed case by case rather than assumed either way.
Yes. Medical equipment, facilities improvements and other significant purchases can have a real impact on your cash position and on how your accounts and tax position are presented. We can help you plan for that expenditure, record it correctly, and understand how it affects your reporting, budgeting and future cash flow.
Hospitals often receive income through several different routes, each with its own timing and payment patterns, while costs such as payroll, suppliers and premises fall due on a more predictable schedule. We help by preparing regular management accounts and cash flow forecasts so you can see what is coming in, what is going out and where the pressure points are likely to be. That gives you a sound basis for budgeting and for decisions about staffing, equipment and expansion.
It starts with a conversation about your hospital or hospital business — what you do, how you are structured and what you need from an accountant. If you are switching accountants, we can talk you through the handover and what information we will need from you or your previous adviser. From there we agree the scope, put the support in place and get on with the work.
