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 usually covers the essentials of keeping a hospital's finances accurate and compliant: bookkeeping, payroll for staff and clinicians, annual accounts, management accounts, budgeting and cash flow forecasting, and financial reporting. Alongside that, there is tax support — Corporation Tax where it applies to the organisation's structure, and VAT support where relevant. Because hospitals have sizeable cost bases covering staff, medical equipment, premises, suppliers and professional services, the reporting side tends to be as important as the compliance side.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with businesses closely connected to hospital operations. The right approach depends on how the organisation is set up, how many sites or services it runs, and how its income is generated. A single-site independent hospital and a multi-site hospital group will have quite different reporting, payroll and tax requirements, so we tailor the work rather than applying one fixed structure.
We work on fixed, transparent packages, with the scope agreed upfront so you know what is included before any work begins. The fee reflects the size and complexity of your hospital or hospital business — factors such as transaction volumes, number of staff on payroll, number of sites, reporting requirements and the level of tax and VAT support needed. There are no hidden fees, and if your requirements change we will discuss any adjustment with you rather than surprising you with an unexpected invoice.
Yes. Hospital payroll is rarely straightforward, with a combination of salaried staff, hourly and shift-based workers, overtime, enhancements, pension contributions and varying pay periods. We can manage payroll processing, payslips, PAYE and pension obligations so payments are accurate and deadlines are met. We also make sure the payroll figures feed cleanly into your management accounts, so staff costs remain visible as one of the largest elements of your cost base.
It depends on how the organisation is structured and what it does. Corporation Tax is relevant for many hospital companies, and the treatment of capital expenditure on medical equipment and premises improvements can have a real effect on the tax position, so it is worth planning rather than dealing with it after the fact. VAT is a separate question again: hospitals can have different VAT considerations depending on the nature of their supplies, the activities involved and their organisational status, so we look at the specific circumstances rather than assuming a blanket position either way.
Income streams can include treatment fees, consulting arrangements, diagnostic services, facility hire and retail or catering activity, and the VAT treatment of each can differ. It is not accurate to say all hospital services are VAT exempt, or that everything a hospital supplies is taxable — the answer depends on the nature of the supply, the activities involved and the organisation's status. We review how each stream is treated, help you keep the supporting records in order, and flag areas where the position should be confirmed with HMRC.
Yes, and this is often where the biggest value sits for hospital businesses. Medical equipment purchases, refurbishment and premises costs tend to be large and irregular, while income may arrive on different cycles depending on the payer. We build management accounts and forecasts that show how cash moves through the organisation, so you can plan significant expenditure with a clearer view of what the business can support — and avoid discovering a shortfall after a commitment has already been made.
Switching is usually more straightforward than people expect. We start by understanding your current position and what you need from an accountant, then handle the handover with your existing adviser directly, including requesting the records and information we need. Once everything is in place, we review your accounting and tax arrangements to make sure they are accurate and fit for the way your hospital operates, and agree an ongoing support plan that suits your reporting cycle.
