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.
Support covers the core accounting and tax work hospital businesses typically need: day-to-day bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, wider tax support and VAT support where relevant. Because hospital finances involve substantial staff costs, medical equipment, premises, suppliers and multiple income streams, we also help keep those areas organised and reported clearly so the figures are genuinely useful for running the business.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital businesses that provide services such as diagnostics, outpatient care, rehabilitation or consultancy alongside their main activity. Accounting needs differ depending on how the organisation is structured, the services it delivers, how it generates income, and the scale of its workforce, equipment and premises, so the support is tailored to the organisation in front of us rather than delivered as a fixed package.
Pricing is based on the scope and complexity of the work, so it reflects factors such as the size of the hospital business, the number of staff on payroll, the volume of transactions, the number of income streams and any additional reporting requirements. We work on fixed, transparent packages with no hidden fees, agreed in advance so you know what to expect. A conversation about your circumstances is the quickest way to understand what the appropriate level of support would look like.
Yes. Payroll is one of the most significant and most detailed areas for hospitals, given the mix of clinical and non-clinical staff, varying hours, shift patterns, overtime and contractor arrangements. We can manage payroll processing, deductions and the associated reporting obligations so wages are handled accurately and deadlines are met, which also keeps the payroll figures feeding cleanly into your management accounts and annual accounts.
Corporation Tax applies where the hospital business operates through a company, and we help with calculations, reliefs, capital allowances on medical equipment and premises where relevant, and filing deadlines. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so we review your position properly rather than assuming a blanket rule. Different hospital businesses can have genuinely different VAT outcomes, and we help clarify which applies to yours.
Yes, and it is often one of the most valuable areas for hospitals. Large equipment purchases, premises costs and high fixed payroll commitments mean cash flow needs active management, particularly when income arrives on varying cycles. We can help build budgets and forecasts, plan for capital expenditure, monitor performance against expectations and produce management accounts that show where money is going and what the coming months are likely to look like.
Not usually. Changing accountants is a well-trodden process, and we can liaise with your existing adviser to obtain the records and information needed, then review the current position before taking over the ongoing work. If there are historic gaps, we will identify them early so they can be addressed without disrupting the day-to-day running of the hospital.
The first step is a conversation about your hospital or hospital business — how it is structured, what services it provides, how it earns income and where you feel accounting or tax support would help most. From there we review your existing accounting and tax position and set out how we would work with you going forward. It is a straightforward, practical process designed to give you a clear picture before any commitment is made.
