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.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses operating in Montpelier and the surrounding area. That can include single-site facilities and organisations running several locations under one structure. Because each hospital has its own ownership model, income streams and cost base, we look at your specific circumstances before recommending how the accounting support should be shaped.
The core work usually covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow planning and financial reporting, together with tax support such as Corporation Tax where it applies. Hospital finances involve staff costs, medical equipment, premises, suppliers and professional services, so the reporting needs to reflect those categories clearly. VAT support may also be relevant, although the treatment depends on the nature of the supplies, the activities involved and the status of the organisation, so it is always reviewed case by case rather than assumed.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. The right package depends on factors such as the size of the hospital, the number of staff on payroll, the volume of transactions, how many income streams there are and how much reporting you need. Once we understand your requirements, we can set out a scope that matches them rather than charging for work you do not need.
Our work is carried out in line with UK accounting and tax rules, and we keep client records and reporting standards under regular review as requirements change. If you would like detail on the specific qualifications and professional memberships relevant to your engagement, we are happy to talk that through directly so you have the information you need before deciding how to proceed.
Yes. Hospital payroll often involves a mix of permanent clinical and administrative staff, part-time employees, bank or locum arrangements and consultants engaged on different terms, which makes accurate processing and record-keeping particularly important. We can manage payroll alongside your broader accounting work so wage costs feed correctly into your management accounts and financial reporting, and so PAYE obligations are dealt with on time.
VAT treatment for hospitals is rarely straightforward, because it depends on the nature of the supply, the activities being carried out, the status of the organisation and the specific circumstances involved. Some supplies are treated differently from others, and mixing activities can affect how VAT is accounted for. We review your position in detail rather than applying blanket assumptions, and we help you keep records and returns consistent with the treatment that applies to you.
Yes. Purchases of medical equipment, refurbishments and other capital projects can have a significant effect on cash flow and on how your accounts and tax position are presented. We can help you plan for larger outlays, understand how they will be reflected in your financial statements and consider the tax reliefs that may be available, depending on the nature of the expenditure and your organisation's circumstances.
It usually begins with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position. If you are switching accountants, we can talk you through what information we need and how the handover typically works. From there we agree the scope of support and put arrangements in place, so the transition feels straightforward rather than disruptive.
