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.
In practice, we handle the financial work behind a hospital business. That includes maintaining your bookkeeping, preparing annual accounts, producing management accounts and financial reports, running payroll for your staff, helping with budgeting and cash flow forecasting, and supporting you on Corporation Tax and VAT where those apply. Because hospitals tend to have complex cost structures and several income streams, much of the value comes from keeping records accurate and giving you reporting that reflects what is really happening in the business.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the management and holding companies that often sit alongside them. Each of these can have a different structure, a different mix of services and income, and a different level of staffing, premises and equipment, so the accounting work is shaped around your circumstances rather than a fixed template.
Most hospital clients need a combination of bookkeeping, payroll, annual accounts, management accounts, budgeting support, cash flow planning, financial reporting and tax support, with Corporation Tax and VAT handled where they are relevant to the organisation. We can cover the full set or focus on the areas where you need the most help, such as staff costs, medical equipment and capital expenditure, premises overheads or supplier payments.
Pricing is based on the scope of work your hospital needs, taking into account factors such as the number of staff on payroll, the volume of transactions, the number of income streams and the level of reporting you require. We work on fixed, transparent packages so you know what you are paying for in advance, with no hidden fees and no surprise invoices. The best starting point is a conversation about your circumstances, after which we can set out a clear proposal.
Corporation Tax applies to companies in the usual way where a hospital operates through a limited company, though the detail depends on the organisation's structure and activity. VAT is more nuanced: the treatment of hospital services and related supplies depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so it is not something that can be assessed with a blanket rule. We review your individual position and advise on how your supplies and costs should be treated.
Yes. Payroll is often one of the largest costs in a hospital, so we help ensure staff are paid accurately and on time while keeping the related records in order. We also help you account properly for medical equipment purchases, finance arrangements and other capital expenditure, and for the premises, facilities and supplier costs that sit alongside them, so your accounts and cash flow picture stay realistic.
Switching is usually much less disruptive than people expect. We will review your current position, liaise with your existing accountant where needed, and take over the records and filings in an organised way so nothing is missed. If you are unsure whether a change makes sense, we are happy to talk it through first without any obligation.
It starts with a short conversation about your hospital, its structure and what you need from an accounting team. From there we will look at how your records are currently kept and where support would add the most value, then set out how we would work with you going forward.
