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.
The service covers the accounting and tax work hospital businesses typically need, including bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting. We also support Corporation Tax where it applies and provide VAT guidance where the nature of a hospital's supplies, activities or organisational status affects how a transaction should be treated. The exact mix depends on your structure, your income streams and how much of the day-to-day finance work you handle in-house.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and similar hospital businesses, along with the management teams responsible for their finances. Their needs differ widely depending on whether they are a single-site facility or part of a larger group, what treatments and services they provide, and how their income is generated. We do not provide specialist accounting services for NHS Trusts, NHS Foundation Trusts or other public-sector organisations.
Pricing is based on the scope of work your hospital actually needs, which means we look at factors such as transaction volumes, payroll headcount, the number of income streams and the level of reporting required before agreeing anything. We work on fixed, transparent packages so you know what you are paying for, and there are no hidden fees or unexpected extras added on later. If your requirements change as the hospital grows, we revisit the scope with you rather than simply increasing the bill.
Yes. Payroll is typically one of the largest cost areas in a hospital, covering clinical staff, administrative teams, support roles and shift-based working patterns, so it needs to be processed accurately and on time. We can manage bookkeeping and payroll as part of the wider service, keeping the records clean and the payroll consistently reconciled with the accounts. That reduces the risk of errors, late payments and the reporting problems that follow.
Corporation Tax applies to many hospital businesses depending on how they are structured and how profits arise, so we look at your specific circumstances rather than applying a general assumption. VAT is more nuanced still, because the treatment of a supply depends on its nature, the activities involved, the organisation's status and the surrounding facts, which means not all hospital services fall neatly into one category. We review the position with you and explain the implications clearly so you can make informed decisions.
Hospitals often face substantial outgoings on medical equipment, premises, facilities and supplier payments, and those costs do not always align neatly with when income comes in. We use management accounts, budgeting and cash flow forecasting to give you a realistic view of what is coming and going, so equipment purchases and capital expenditure can be planned rather than reactive. That visibility makes it easier to manage commitments and avoid surprises.
Hospitals commonly generate income through several routes, and each one can bring its own recording, reporting and tax considerations. We help separate and track those streams properly so your accounts show where revenue is genuinely coming from and which parts of the business are performing well. That level of detail is difficult to achieve with a single undifferentiated income figure, and it is often what makes financial reporting useful rather than merely compliant.
Getting started is straightforward. We begin by understanding your hospital business, how it is structured and what you need from an accountant, then review your current accounting and tax position to see what is in place and what needs attention. From there we agree the scope of support and handle the transition in a practical, organised way, keeping disruption to your day-to-day operations to a minimum.
