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 depends on what your hospital needs, but most hospital clients come to us for a combination of bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support. Where they apply, we also handle Corporation Tax, wider tax advice and VAT matters. You can take on as much or as little as you want, since some hospital businesses simply want their records maintained and compliance handled, while others want regular management information and support with planning.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses providing related services. Their accounting requirements can vary a great deal depending on structure, activities, income streams, staffing, premises, equipment and operating costs, so we take the time to understand how each organisation actually works before recommending an approach.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The fee reflects the size and complexity of your hospital business, including the number of staff on payroll, the volume of transactions, the reporting you need and the level of tax and VAT support involved. We explain exactly what is included before anything is agreed.
We can talk you through the qualifications and professional memberships of the team looking after your hospital's affairs, along with how we keep pace with current UK accounting, tax and reporting requirements. We also make sure key deadlines are tracked properly so filings and payments are not missed.
Staff costs usually sit at the heart of it, alongside medical equipment and capital expenditure, premises and facilities, supplier payments and the mix of income streams a hospital generates. Those factors drive cash flow, profitability and reporting, and they also shape your tax position. Because hospital operations are both labour-intensive and capital-hungry, getting the treatment of costs, assets and income right really matters.
VAT for hospitals is not a simple yes-or-no question. Whether a supply is exempt, taxable, reduced-rated or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Private and independent hospitals can also be affected differently from one another, so we look at what you actually provide and how it is structured rather than applying a blanket rule.
Yes. Purchases of medical equipment and other capital spending affect your accounts, your cash position and, in some cases, your tax position, so it pays to plan them rather than react after the fact. We help hospital businesses budget for major outlays, understand how they will flow through the accounts and keep cash flow under control while those commitments are being met.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business and what you need, then review your current accounting and tax position. If you are moving from another accountant, we can handle the handover of information and records on your behalf so you are not left chasing paperwork, and from there we agree the scope of support and put it in place.
