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 areas a hospital needs to stay on top of its finances: bookkeeping and record keeping, payroll for staff and clinicians, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax and VAT where relevant. Because hospitals tend to have a mix of income streams and significant capital expenditure on medical equipment, we also help pull those strands together so the accounts reflect what is genuinely happening in the business rather than a series of disconnected transactions.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses connected to them. Their accounting needs differ depending on how they are structured, the activities they carry out, where their income comes from, how many people they employ, and the premises, equipment and suppliers they rely on. We look at those factors individually, because two hospitals with similar turnover can have very different reporting and tax positions.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the scope of what you need — for example whether payroll covers a small team or a large workforce, how complex your income streams are, how much bookkeeping is involved and what level of management reporting is useful to you. There are no hidden fees, and we will always be clear about what sits inside the package before you commit.
Our work is carried out in line with UK accounting standards and HMRC requirements, with clear records and a proper audit trail behind everything we produce. When appointing any accountant, it is sensible to check that the firm is properly qualified and regulated, and that they can explain the standards and processes they follow — we are happy to talk you through ours. What matters most is that the numbers are accurate, the filings are on time and the tax position is defensible.
Corporation Tax applies where the hospital operates through a limited company, and the treatment of costs such as medical equipment, premises improvements and professional fees can have a real impact on the taxable position. VAT is often the trickier area: treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to assume that all hospital services are exempt or that everything is taxable. We review your particular situation rather than applying a blanket rule.
Yes, and these areas often matter more to hospitals than to most businesses. Medical equipment purchases, replacements and maintenance can absorb substantial sums, so we help you plan for that expenditure, understand how it affects your accounts and profits, and see the cash flow implications before you commit. We also look at how supplier payments, payroll cycles and uneven income streams interact, so you can anticipate pressure points rather than discovering them after the event.
Hospital payroll tends to involve a varied workforce, multiple roles and pay arrangements, and sometimes overtime or variable hours, which makes accuracy and consistency essential. We manage the payroll process from start to finish, including payslips, PAYE, National Insurance and the related reporting obligations, and we keep the figures aligned with your bookkeeping and management accounts. That means your staff costs are reflected properly in your reporting instead of being reconciled in a scramble at year end.
It begins with a conversation about your hospital — how it is structured, how it earns income, what your current accounting arrangements look like and where you feel the gaps are. If you are already working with another accountant, we can handle the handover and request the information needed to take things forward smoothly. From there we agree a clear scope of work and a fixed package, then get on with the bookkeeping, payroll, reporting and tax support so you can focus on running the hospital.
