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, as well as hospital businesses running inpatient, day-case or specialist treatment facilities. Because these organisations differ in structure, activities and income streams, the accounting support tends to be tailored to each one rather than delivered as a standard package. If you are unsure whether your hospital business fits, it is worth a conversation to establish what you actually need.
Support typically covers bookkeeping, payroll for hospital staff, annual accounts, management accounts and financial reporting, along with budgeting, cash flow forecasting, Corporation Tax support where applicable and VAT support where relevant. We can also help with the record-keeping that sits behind medical equipment purchases, premises costs, supplier payments and professional services. The mix depends on the size and complexity of the hospital and what it already handles in-house.
They suit hospital owners, operators, directors and finance leads who want accurate records and clear reporting without adding to their internal workload. That includes established hospital groups needing consolidated oversight as well as smaller independent hospitals where the owner is closely involved in day-to-day decisions. What matters most is that the hospital has accounting and tax obligations that deserve proper attention.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees or surprise invoices. The scope is agreed upfront based on the size of the hospital, the services involved and the level of support required, and it can be adjusted as your circumstances change. A tailored arrangement is confirmed before any work begins.
Yes, payroll support is a core part of what hospitals need, given the range of clinical, administrative and support staff on the books, often across different shift patterns and contract types. We can run payroll, handle the associated reporting obligations and keep the underlying records tidy so staff costs are easy to track and reconcile. This also feeds directly into management accounts and budgeting.
VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it is not a simple case of everything being exempt or everything being taxable. Different income streams and services can be treated differently, and it matters whether supplies are made to patients, other businesses or insurers. We review your position and explain what applies to you rather than relying on broad assumptions.
Where a hospital business is run through a limited company, Corporation Tax is usually relevant, and we can prepare computations and submissions as part of the annual cycle. We also look at how capital expenditure on medical equipment, premises improvements and other significant costs interacts with the tax position. Where applicable, we factor this into tax planning alongside the wider accounting work.
Getting started usually begins with a conversation about your hospital, its structure, its income streams and any concerns you have about the current accounting arrangements. If you are moving from another accountant, we can handle the handover of records and correspondence and work through the practical steps with you. After that, we agree the scope and put the ongoing support in place.
