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.
It typically covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, together with Corporation Tax where it applies and VAT support where relevant. Because hospital businesses vary so much, we build the arrangement around what your organisation actually needs — for example, handling complex payroll with a mix of clinical and non-clinical staff, tracking capital expenditure on medical equipment, or reporting on several income streams separately. The aim is a complete picture of your finances rather than a pile of historical paperwork.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital-based organisations with similar financial and reporting needs. What matters is that the business is a hospital or hospital organisation where the accounting work needs to reflect hospital operations, such as staffing, premises, equipment, suppliers and multiple income streams. If you are unsure whether your organisation fits, a short conversation is usually enough to work it out.
We work on fixed, transparent packages, so you know what is included and what it costs before you commit. The level of fee reflects the scale and complexity of your hospital business — the number of staff on payroll, the volume of transactions, whether you run multiple sites or income streams, and how much reporting and support you need. There are no hidden fees or surprise invoices, and we will explain clearly what sits inside your package and what would fall outside it.
Yes. Hospital payroll is rarely simple, with different roles, shift patterns, overtime, enhancements and varying contract terms all feeding into pay runs. We can manage the payroll process end to end, including calculations, payslips, statutory deductions and the associated reporting to HMRC, so employees are paid accurately and on time. We can also help you keep the payroll records consistent so they tie in properly with your management accounts and annual reporting.
Both need care, because the treatment depends on the facts. On VAT, it is not a question of all hospital services being exempt or all hospital-related supplies being taxable — it depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, and mixed supplies can create real complexity. On Corporation Tax, whether it applies and how it is calculated depends on how your organisation is structured and what it does. We review your position and advise on what applies to you rather than working from assumptions.
Medical equipment and other capital expenditure can be significant and irregular, which makes cash flow planning essential rather than optional. We look at the timing of income, supplier payments, payroll and planned purchases together, so you can see where pressure points are likely to appear and plan around them. We also help make sure equipment costs are treated and reported correctly in your accounts, including how they affect your overall financial position.
It depends on where things currently stand, but generally we will ask for access to your accounting records, bank and payment information, payroll data, details of income streams, supplier and equipment costs, and any existing accounts or tax filings. If your records are behind or held in a mix of places, that is not a problem — part of our job is getting everything into a clear, workable shape. We will tell you exactly what we need and in what order.
Yes, switching accountants is usually a straightforward process, and we can handle the handover with your existing adviser, including requesting the relevant records and information. The first step is a conversation about your hospital or hospital business, your current accounting and tax position, and what you want from the relationship going forward. From there we agree the scope of support and put a plan in place, so the transition happens without disruption to your reporting or deadlines.
