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.
Most hospital businesses we work with need a combination of annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow support, along with Corporation Tax where it applies and VAT support where it is relevant. Financial reporting sits at the centre of this, because hospitals generally need a clear picture of income, staff costs, equipment spend, premises and supplier commitments rather than just a set of year-end figures. We agree the scope with you up front so you know what is covered and when.
Our support is aimed at hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. That could be a single-site hospital with a focused service offering or a larger organisation running several sites with a more complex structure and several income streams. If you are unsure whether your organisation fits, the simplest approach is a conversation about how you operate and what you need from your accounts.
We work on fixed, transparent packages rather than open-ended hourly billing, so you can see what you are paying for and plan for it. The fee depends on the size and complexity of the hospital business, how many sites and staff are involved, the volume of transactions, and how much of the bookkeeping, payroll and reporting work you want us to handle. There are no hidden fees, and we will always explain what sits inside your package before you commit.
We prepare accounts in line with UK accounting standards and keep on top of filing deadlines with HMRC and Companies House so nothing is missed. Records are maintained through the year rather than being pieced together at the last minute, which makes the year-end process far less painful and reduces the risk of surprises. If you would like more detail about the professional qualifications and memberships held by the team who would look after your work, we are happy to confirm this directly before you appoint us.
Yes. Payroll is usually one of the largest and most complicated costs in a hospital, particularly where staff work shifts, rotas or variable hours, or where the organisation uses a mix of permanent, part-time and bank staff. We can handle the payroll process, deductions, pension contributions and the associated reporting so that staff are paid correctly and on time, and so that the numbers feeding into your accounts reflect what has actually been paid out.
VAT for hospitals is not a simple yes-or-no question. Treatment depends on the nature of the particular supply, the activities involved, the status of the organisation and the specific circumstances, so different income streams within the same hospital can be treated differently. We look at what you actually provide and how it is structured, then advise on how VAT should be applied and reported, keeping the position documented and reviewed as your services change.
Yes. Medical equipment and other capital expenditure can place significant demands on cash, and the timing of those costs rarely lines up neatly with income. We help you plan for major purchases through budgeting and cash flow forecasting, account for equipment and premises costs correctly in your records and reports, and make sure any tax reliefs or treatment that apply are properly considered. That gives you a clearer view of what you can afford and when.
Switching is usually more straightforward than people expect, and you do not need to wait until your year end to make the change. Once you decide to move, we can liaise with your existing accountant, request the handover of records and pick up the bookkeeping, payroll and reporting from an agreed point. From there we review your position, flag anything that needs attention and put an ongoing routine in place that suits how your hospital operates.
