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 similar hospital businesses, including organisations running single sites and those operating across multiple locations. What they have in common is a need for accounting that copes with substantial staffing costs, medical equipment, premises, supplier arrangements and several different income streams. If you are unsure whether your organisation fits, an initial conversation is usually enough to establish it.
The core work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax support where it applies and VAT support where relevant. Because hospitals operate differently from most businesses, we focus on how those services map onto your treatment fees, contracted income, consulting arrangements, staff costs, equipment purchases, premises and supplier payments. You can take the full package or the specific elements you need.
Pricing is based on the scope of the work, so it reflects factors such as how the hospital or hospital group is structured, the number of entities or sites involved, payroll volume and complexity, transaction levels, and how much ongoing support you want. We provide fixed, transparent packages with no hidden fees, and the fee is agreed before work begins so there are no surprises later. If your requirements change, we review the arrangement with you.
Yes, payroll is often one of the largest and most demanding areas for hospitals, particularly where there are varied contracts, shift patterns, overtime, enhancements, additional payments and pension auto-enrolment to administer. We can handle the payroll process, including real-time reporting to HMRC and payslip production, so the numbers feeding into your management accounts and annual accounts stay consistent. Payroll volume and the number of pay frequencies involved are among the factors we look at when agreeing the scope.
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 can be treated differently, and supplies such as certain equipment, facilities arrangements or non-clinical services may fall outside the usual position. NHS hospitals and private hospitals do not automatically share identical accounting or tax treatment, so we look at your particular situation rather than applying a blanket rule.
Yes. Hospital groups often involve more than one trading entity, site or cost centre, which makes consolidated reporting and clear internal visibility important. We can help keep each entity's records accurate, support management accounts that show performance across the group, and make sure Corporation Tax and reporting obligations for each company are met. This is particularly useful where costs and income are shared or recharged between related companies.
Corporation Tax applies to companies and is calculated on taxable profits after allowable deductions, and the treatment of medical equipment and other capital expenditure depends on the nature of the asset, how it is used and the reliefs available in the relevant period. Getting the timing and classification right can make a real difference to the tax position, so we review purchases as part of the wider accounting picture. Where different entities or income streams are involved, we make sure the tax position is consistent across the business.
Getting started usually begins with a conversation about your hospital or hospital business, what you need help with and any deadlines approaching. From there we can review your current records and obligations, and where a change of accountant is involved we can liaise with your existing adviser to handle the handover properly. There is no need to have everything perfectly organised beforehand, as part of the process is identifying what needs attention.
