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 clients need a combination of bookkeeping, payroll, annual accounts and management accounts, supported by financial reporting and cash flow information that helps with day-to-day decisions. Alongside that, we can look after Corporation Tax where it applies and provide VAT guidance where relevant, bearing in mind that VAT treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances. The exact scope is agreed with you at the outset, so you know what is covered rather than discovering gaps later.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, including day-case facilities, diagnostic and treatment centres and other hospital-based service providers. Some are limited companies, some operate through different structures, and many have a mix of income streams from self-pay patients, insurers, corporate arrangements and other sources. We do not provide specialist accounting services for NHS Trusts or other public-sector organisations, and the support we offer is designed around independent and private hospital businesses.
We use fixed, transparent packages wherever possible, so you know what you are paying and what is included before work begins. The fee reflects the scope and complexity of your hospital's accounting needs — factors such as the number of staff on payroll, the volume of transactions, the complexity of your income streams and whether you need management accounts or additional reporting. There are no hidden fees, and if your requirements change we will discuss any adjustment with you openly rather than surprising you with a bill.
Yes. Payroll is often one of the biggest and most complicated areas for hospitals, given the mix of clinical, nursing, administrative and support staff, variable hours, overtime and different contract types. We can manage payroll processing, PAYE, pension contributions and the associated reporting, helping to keep payments accurate and deadlines met. If your hospital uses agency or locum arrangements, we can factor those into the payroll picture as well.
VAT in a hospital setting is rarely a simple yes-or-no question. Treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, and different income streams can be treated differently. Rather than making broad assumptions, we look at what your hospital actually provides and how it is structured, then help you apply the rules correctly, keep appropriate records and stay on top of reporting obligations.
Absolutely. Medical equipment and other significant capital purchases can put real strain on cash flow, particularly when payments go out well before the related income arrives. We can help you plan for major expenditure, reflect equipment costs properly in your accounts, understand the tax position where relevant, and build cash flow forecasts that show what is affordable and when. That kind of forward visibility tends to make conversations with lenders, suppliers and investors considerably easier.
Statutory accounts are prepared in line with UK accounting standards, and filings for Companies House and HMRC are submitted within the relevant deadlines. PAYE, pension and VAT obligations are handled accurately, and we keep records organised so that information is available when it is needed. If professional body membership or specific qualifications matter to you, ask us directly and we will give you a clear answer rather than leaving you to guess.
Getting started is straightforward: we begin with a conversation about your hospital, its structure, its income streams and what you need from an accountant. If you are moving from another firm, we can liaise with them to obtain the information we need, including historical accounts, tax records and HMRC correspondence, so the transition is handled with minimal disruption. From there we agree the scope of support, put the right processes in place and take it from there.
