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 core service usually covers bookkeeping, annual accounts, management accounts and financial reporting, with payroll, budgeting, cash flow forecasting, tax support and VAT support where relevant. Because hospitals vary so much in size, structure and activity, we shape the package around what your hospital actually needs rather than applying a fixed template. Some hospital businesses need comprehensive monthly support, while others need a lighter annual cycle with help at key points in the year.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital-based businesses with similar financial characteristics. Their accounting requirements differ depending on whether they operate as limited companies, partnerships, charities or another structure, and on the mix of services they provide. We take time to understand your structure, income streams and cost base before recommending how the accounting support should work.
We work on fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees. The fee depends on factors such as the size of your hospital business, the volume of transactions, how many staff are on payroll, whether you need management accounts and how much VAT and tax work is involved. We agree the scope and cost with you in advance, and you can adjust the package as your requirements change over time.
Yes. Payroll is usually one of the most significant cost areas for a hospital, with a mix of full-time, part-time, bank and shift-based staff, and it needs to be accurate and on time every period. We can handle payroll processing, payslips, PAYE and National Insurance calculations where applicable, and the related reporting obligations, with the figures feeding into your management accounts and annual accounts so they stay consistent across the year.
VAT treatment for hospitals is not a simple yes-or-no answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams within the same hospital can be treated differently. We review your activities carefully and advise on how VAT applies to what you actually do, rather than making broad assumptions about hospital services in general.
Corporation Tax applies to limited companies, so if your hospital operates through a company structure it will usually be relevant, along with the associated filing and reporting requirements. Other structures, such as partnerships or charitable organisations, are treated differently and have their own obligations. We can look at how your hospital is set up and explain what applies in your circumstances, including any reliefs or allowances that may be worth considering.
Yes. Medical equipment and larger capital projects are often among the biggest financial commitments a hospital makes, and how these costs are recorded and treated for tax purposes matters. We can help you keep capital expenditure properly accounted for, understand the tax treatment where applicable, and build the cost into budgeting and cash flow planning so that major purchases do not put unnecessary pressure on day-to-day finances.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, what you need and where the current pain points are, then review your existing accounts and tax position. If you would like to move across, we can handle the practical side of transferring from your current accountant, including requesting the relevant information on your behalf, so the change happens with minimal disruption to your operations.
