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 areas hospital businesses typically need most: day-to-day bookkeeping, payroll for clinical and non-clinical teams, annual accounts, management accounts, budgeting and cash flow monitoring, financial reporting, and tax support including Corporation Tax where the structure requires it and VAT support where relevant. Because hospitals have a distinctive cost base, we build the service around your staffing, medical equipment, premises, supplier payments and income streams rather than applying a standard template. You can use as much or as little of that support as suits your operation, and it can be scaled up as your hospital grows or your reporting needs change.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need reliable accounting, tax and payroll support. That could be a single-site independent hospital, a multi-site group, or an operator running a mix of inpatient, outpatient and day-case services. Their accounting needs rarely look the same, because structure, funding arrangements, staffing models, equipment investment and income streams all differ. If your organisation sits within the hospital sector and you need accountants who understand that context, this service is built for you.
Pricing is based on the scope and complexity of your requirements — the number of sites, the size of your payroll, the volume of transactions, how many income streams you manage and how much reporting and advisory input you need. We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees or surprise invoices. Once we have reviewed your circumstances, we will set out clearly what is included, and the arrangement can be reviewed if your operation changes during the year.
Hospitals often have a mix of considerations to work through: Corporation Tax where the structure makes it relevant, how medical equipment and capital spending is treated within the rules, the tax position on different income streams, and how staffing costs and contractor arrangements are handled. We also look at how your accounting policies and reporting reflect the reality of your operation, so nothing gets missed at year end. We explain the position in plain terms and flag anything that needs a decision before a deadline arrives, rather than after.
VAT in the hospital sector is rarely a simple yes-or-no question. The treatment depends on the nature of each supply, the activities involved, the status of the organisation and the specific circumstances — so two hospitals providing apparently similar services may not be in the same position. We review how your income streams and cost base are structured, help you apply the correct treatment to what you actually do, and keep records that support the position taken. Where a point is unclear or evolving, we will tell you honestly rather than making assumptions.
Yes. Hospital payroll tends to be more involved than in many sectors, with a mix of full-time, part-time, bank and locum arrangements, varied shift patterns, overtime, enhancements and pension contributions to get right. We handle PAYE, deductions, pension administration and the reporting that goes with it, whether you have a small team or a larger workforce spread across departments and sites. Accurate payroll matters both for staff morale and for your management accounts, since staff costs are usually one of the largest figures in a hospital's budget.
Our work is carried out within current UK accounting, tax and payroll rules, and we keep pace with changes that affect hospitals and hospital businesses. Filings are prepared on the basis of accurate, well-maintained records, and we are happy to explain the standards and processes we follow before you decide to work with us. If you need clarity on a specific compliance point — how a particular supply should be treated or which rules apply to your structure — we will set out the position and the reasoning behind it in straightforward language.
Switching is usually far less disruptive than people expect. We ask for some basic information about your hospital or hospital business, contact your existing accountant to request the relevant records and handover details, and take it from there — you do not need to chase anything yourself. We will confirm what we need, work around your reporting timetable and make sure nothing is missed between the two arrangements. If you would prefer an informal conversation first to see whether we are the right fit, that is a perfectly good place to start.
