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 and record keeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, and VAT support where relevant. Because hospital businesses vary so much, we scope the work around your structure, income streams and the areas where you need the most support — whether that is getting the books up to date, improving reporting, or handling compliance so you can focus on running the hospital.
We work with hospital businesses of different sizes and structures, including private hospitals, independent hospitals, day-case and specialist hospital operators, and hospital groups running multiple sites or service lines. Accounting requirements differ depending on how the organisation is set up, the services it provides, its staffing, premises, equipment and supplier arrangements. We take the time to understand those details first, because they directly affect how accounts, tax and reporting should be handled.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. The fee reflects the size and complexity of your hospital business — for example the number of sites, staff numbers for payroll, the volume of transactions, and whether you need additional reporting or tax support. Before anything is agreed, we talk through what is involved and confirm the scope clearly, and you can adjust it as your requirements change.
Yes. Payroll is often one of the largest costs a hospital carries, and it needs to be accurate and on time. We can manage payroll for clinical and non-clinical employees, including the associated PAYE and reporting obligations, and make sure the figures flow correctly into your management accounts and annual accounts. If your staffing mix changes — for example with additional shift patterns or new roles — we can adapt the payroll process to match.
VAT for hospitals is not a simple yes-or-no answer. The treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances in which goods or services are provided. Some supplies may be treated differently from others, and mixed income streams can make this more complex. We review your position and help you apply the correct treatment, rather than assuming a blanket rule applies to everything you do.
Where a hospital business operates through a limited company, Corporation Tax generally applies to its taxable profits, and the timing of payments and reliefs can have a real effect on cash flow. Capital expenditure on medical equipment and premises improvements may have its own tax treatment, and there can be other obligations depending on how the business is structured. We help you understand what applies to you, keep deadlines on track, and plan ahead so tax does not become a surprise.
Yes. Hospitals often face uneven cash flow because income and costs do not arrive neatly in step, and large items such as medical equipment or premises works can strain finances even when trade is healthy. We can prepare cash flow forecasts and budgets that reflect your real income streams and cost base, and produce management accounts that show how you are performing against plan. That gives you something concrete to base decisions on, whether you are expanding, investing or tightening costs.
It usually starts with a conversation about your hospital or hospital business — how it is structured, what you need help with and where the current pain points are. From there, we review your existing accounting and tax arrangements, agree a clear scope and fixed fee, and handle the transition from your current accountant if you are switching. Once things are set up, you have a single point of contact for the accounts, payroll, reporting and tax work you need.
