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 covers the core accounting and tax work a hospital needs to stay compliant and well informed, including bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, budgeting, cash flow forecasting and financial reporting. Where relevant, we also handle Corporation Tax, VAT and wider tax matters, since the treatment depends on the nature of the supplies made, the activities involved and the organisation's status. Support can be provided as a full package or focused on the specific areas where your hospital needs the most help.
Our work is aimed at private hospitals, independent hospitals, hospital operators, hospital groups and the hospital businesses that sit around them. These organisations can be structured in very different ways, from a single-site independent hospital to a group operating across several locations, and each comes with its own mix of income streams, staffing arrangements, equipment commitments and premises costs. We focus on private and independent hospital organisations and hospital businesses rather than public-sector bodies such as NHS Trusts.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees appearing later. The fee reflects the scope of the work, the size and complexity of your hospital, the number of income streams and cost areas involved, and how much of the bookkeeping and payroll you want us to take on. If your requirements change, we will discuss that with you rather than simply adjusting the bill.
We work in line with current UK accounting and tax rules, and compliance sits behind everything we do, from how records are kept to how returns are prepared and submitted. If you would like clarity on the professional standards and regulatory framework that apply to the services you are considering, we are happy to talk that through before you commit, so you can make an informed decision rather than relying on assumptions.
VAT for hospitals is rarely a case of everything being exempt or everything being taxable. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, which means different income streams and services can be treated in different ways. We look at what your hospital actually does, review the relevant transactions and help you apply the correct treatment and keep the supporting records in order.
Yes. Hospitals often generate income from several sources, and each stream may need to be recorded and reported differently, so we set up your records to keep them clear and separate. On the cost side, medical equipment and other capital expenditure need proper planning rather than being absorbed into general running costs, so we help you think through the timing, the accounting treatment and the effect on cash flow and tax.
Taking over from an existing accountant is a normal part of what we do, and we can manage the handover so your records, deadlines and compliance position stay in good shape throughout. It usually begins with a short conversation about your hospital, what support you need and how you would like it delivered, and from there we will explain what happens next and what we need from you.
