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.
Our work for hospitals typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax and VAT where these apply to your organisation. Because hospital finances involve a mix of income streams, staff costs, medical equipment, premises and supplier payments, we tailor the service to the areas that matter most to you, rather than applying a fixed package to every hospital business.
We support hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. That might be a single-site hospital or a group running several facilities. The common thread is a need for accounting, payroll, reporting and tax support that takes account of how a hospital actually operates, and the structures and income streams involved, rather than treating it like any other business.
Pricing is based on the scope of what you need, so it reflects factors such as the size of your hospital business, the number of staff on payroll, the volume of transactions and the level of reporting and tax support required. We use fixed, transparent packages so you know what you are paying for, with no hidden fees or unexpected extras. The best starting point is a conversation about your circumstances, after which we can explain the options that fit.
Yes. Your accounts, tax returns and payroll work are handled by qualified accounting professionals who work within the applicable UK accounting, tax and payroll rules and professional standards. If you would like specific detail about qualifications, professional body memberships or how compliance is managed, just ask and we will talk you through it clearly before you commit to anything.
Hospital payroll often involves a wide range of roles, contracts, shift patterns and pay rates, which is why we set up a process that fits the way your teams are actually paid. We can take on the calculations, payslips, submissions and record-keeping, including the pension and reporting responsibilities that come with employing staff, so payroll is completed accurately and on time while your management team focuses on running the hospital.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. Different income streams and services can be treated differently, and private hospitals and NHS hospitals are not automatically treated the same way. We look at your individual position and help you apply the right treatment, keep suitable records and meet your VAT obligations where they apply.
Yes. Large purchases such as medical equipment and other capital expenditure affect both your cash position and how your accounts are presented, so it helps to plan them properly. We can support you with budgeting, cash flow forecasting and management accounts that show the impact of major spending, helping you judge what is affordable and when, and how it fits alongside premises costs, supplier payments and your other operating expenses.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your current accounting and tax position to understand what you need. If you are moving from another accountant, we can manage the handover, including requesting the information we need and dealing with the transition, so the change is handled smoothly and your reporting continues without disruption.
