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 scope is built around your organisation, but it typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax and VAT where they apply to your activities. We can also help with the accounting treatment of medical equipment, capital expenditure, premises costs and supplier arrangements. If you already have an in-house finance function, we can work alongside it rather than replace it.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and similar hospital businesses. Their accounting needs vary widely depending on structure, activities, income streams, staffing levels, premises and equipment, so the first step is always understanding how your organisation is set up. If you are unsure whether your circumstances fit, it is worth a conversation — most hospital businesses have more in common than they expect.
We use fixed, transparent packages based on the work your hospital actually needs, so you know what you are paying for and there are no hidden fees or surprise invoices. The right package depends on factors such as transaction volumes, payroll size, reporting requirements and compliance work. We will explain the scope clearly before anything begins, and we can adjust it as your operations change.
Yes. Hospital payroll often involves a mix of clinical and non-clinical staff, varied contract types, overtime, shift patterns and pension arrangements, which makes accuracy and consistency important. We manage the payroll process end to end, covering payslips, deductions and the associated reporting obligations, so staff are paid correctly and on time and your records stay in order.
VAT for hospitals is rarely a simple yes or no answer. Treatment depends on the nature of the supply, the activities involved and the organisation's status, so different income streams and services within the same organisation can be treated differently. We review your specific circumstances, identify where VAT applies and where it may not, and help you keep the supporting records in order. Nothing should be assumed in either direction without looking at the detail.
Corporation Tax is usually the starting point where it applies, and it depends on your structure and how profits are calculated. Beyond that, capital allowances on medical equipment and premises improvements, the treatment of different income streams, and VAT on relevant supplies all tend to feature. Getting these right requires a clear understanding of your operations as well as your accounts, which is why we look at both together.
Yes. Hospitals often face significant fixed costs and lumpy expenditure on equipment, facilities and staffing, so cash flow planning matters a great deal. We help you build budgets that reflect how your organisation really operates, forecast cash flow around known commitments and seasonal patterns, and plan for capital expenditure without losing sight of day-to-day obligations. The result is a clearer view of what is affordable and when.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, your current accounting arrangements and what you need from us. If you are switching accountants, we can manage the handover and request the information we need from your existing adviser on your behalf. Once everything is in place, we agree the scope and move forward with the ongoing support.
