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 is built around what your hospital or hospital business actually needs, but it commonly includes bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, and tax and VAT support where relevant. We can take on the full finance function or work alongside an existing finance team, depending on the size and structure of your organisation.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the trading, property and service companies that often sit alongside them. If you are responsible for the finances of a hospital business — whether you are an owner, director, finance manager or part of a management team — our role is to make sure the accounting, payroll and tax side of things is accurate, timely and explained in plain English.
We use fixed, transparent packages so you know what you are paying for and when, with no hidden fees or unexpected invoices. The right package depends on factors such as the size of your hospital, the number of staff on payroll, the volume of transactions, how many income streams you have and whether you need management accounts or additional reporting. Once we understand your requirements, we will set out a clear scope and a fixed fee so you can budget with confidence.
We work within UK accounting, tax and reporting requirements, and we keep up to date with the rules that affect hospital businesses, including payroll obligations, Corporation Tax and VAT. Where a piece of work falls outside our own regulated scope, we will tell you clearly and point you towards appropriately qualified support rather than guessing. If you have specific compliance or regulatory questions about your hospital, we are happy to talk them through.
Hospitals can face quite different VAT positions depending on the nature of the supplies they make, the activities involved, the organisation's status and the specific circumstances — there is no single blanket rule that covers every hospital or every service. Corporation Tax treatment can also differ between entities, particularly where a hospital group includes several companies. We look at your circumstances in detail, flag the points that need attention and help you keep your position consistent and well documented.
Yes. Large purchases such as medical equipment, fit-outs and premises improvements can tie up significant amounts of cash, so it helps to plan for them properly. We can build those costs into your budgeting and cash flow forecasting, review how they affect your accounts and financial reporting, and help you think through the timing of major spending so it does not put avoidable pressure on the business.
Hospital payroll is rarely nine to five. We can handle weekly, fortnightly or monthly payroll covering clinical, nursing, administrative and facilities staff, including variable hours, overtime, shift enhancements and starters or leavers. Pension contributions, statutory payments and the real-time reporting that goes with them are managed as part of the process, so your team is paid accurately and on time.
Yes, switching can happen at any point in the year, and we handle the handover so you do not have to chase your previous accountant yourself. The first step is a conversation about your hospital or hospital business, your current accounting and tax arrangements, and what you want to improve. From there we will confirm what needs to be done, agree a clear scope and take things forward.
