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 typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting and tax support, including Corporation Tax and VAT where these apply to your organisation. Because hospitals have distinctive cost structures — clinical and non-clinical staff, medical equipment, premises, facilities and supplier contracts — the work is shaped around those areas rather than delivered as a generic package. We can also help with budgeting for capital expenditure and with reviewing how different income streams are recorded and reported.
The service is aimed at hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators, hospital groups and similar organisations such as day-case or specialist treatment centres. It suits established operations as well as newer hospital businesses that need proper records, reporting and compliance in place as they grow. If you are unsure whether your organisation fits, a conversation about your structure and activities will usually make it clear.
Pricing is based on the scope of work your hospital actually needs, so it reflects factors such as the size of your payroll, the number of income streams, the volume of transactions and the level of reporting and compliance support required. We work on fixed, transparent packages with no hidden fees, and the scope is agreed before any work begins. As your hospital grows or its requirements change, the arrangement can be reviewed so it continues to fit.
Yes. Payroll is often one of the largest and most complex areas for a hospital, particularly where staff work varying shifts, different pay rates or a mix of clinical and non-clinical roles. We can handle payroll processing, payslips, deductions and the associated reporting obligations, and align the payroll figures with your management accounts and annual accounts. That helps keep staff costs accurate in your records and reduces the risk of discrepancies building up over time.
VAT treatment for hospitals is not uniform. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some activities may be treated differently from others. We review how your hospital's income and costs sit within the VAT rules and help you apply the correct treatment, including any partial exemption considerations where relevant. Where a position is unclear, we set out what needs to be confirmed or documented.
It depends on how the hospital or hospital business is structured. Companies are generally within the scope of Corporation Tax, while other structures are taxed differently, and organisations with particular statuses may have different treatment again. We look at your specific legal structure and activities, explain which obligations apply and help you meet filing and payment deadlines. Where relevant, we also consider how capital expenditure on medical equipment and other assets interacts with your tax position.
Yes. Hospitals frequently face significant outlays on medical equipment, premises and facilities alongside ongoing supplier and payroll commitments, which makes cash flow planning important. We can prepare budgets and forecasts, track performance against them through management accounts, and help you plan for major purchases or capital projects. Clear reporting on where money is going and when it is coming in makes those decisions considerably easier.
Getting started is usually straightforward. We begin with a conversation about your hospital's structure, activities and current accounting arrangements, then confirm what support you need. If you are switching from another accountant, we can handle the handover of information and liaise on your behalf so the transition does not disrupt your reporting or deadlines. From there, ongoing support is put in place around your financial year and reporting cycle.
