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 typically covers bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where applicable and VAT support where relevant. We also help with the practical side: keeping records organised, meeting filing deadlines and making sure the figures you rely on for decisions are accurate and up to date. The exact mix is agreed around your hospital's structure, size, income streams and internal finance capacity.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital businesses providing inpatient, day-case or outpatient services. Their needs vary widely depending on whether they operate a single site or several, how they are structured as a business, and whether their income comes from self-pay patients, insurer arrangements, service agreements or a combination. We focus on hospital businesses of that kind rather than assuming every organisation in the sector has the same accounting or tax position.
We use fixed, transparent packages, so you know what you are paying for and there are no hidden fees. The level of pricing depends on factors such as the number of sites, staffing numbers and payroll complexity, the range of income streams, the volume of transactions and how much of the bookkeeping and reporting you handle internally. Once we understand your requirements, we set out a clear scope and fee so there are no surprises later.
Yes. Hospital payroll often involves a mixed workforce with varying pay rates, shift and rota patterns, overtime, bank or locum arrangements, pension contributions and statutory payments, so accuracy matters. We can run payroll end to end or work alongside your existing team, and we handle the associated reporting to HMRC. If you have several sites or departments, we can structure payroll reporting so costs are visible where you need them.
VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be assumed across the board. Some hospital-related supplies may be exempt, while others can be standard-rated or treated differently, and mixed supplies or partial exemption can arise where a hospital has both business and non-business activities. We review your particular arrangements and advise on how they should be treated and reported.
Where your hospital operates through a company, Corporation Tax applies and we handle the computations, returns and planning around it. Larger purchases such as medical equipment, facilities upgrades and other capital expenditure often need careful treatment, including how and when costs are recognised and how that affects your tax position and cash flow. We look at the timing of significant spending alongside your income and reserves so decisions are not made in isolation.
Yes, and this is often where good accounting adds the most value. Hospitals may earn income from self-pay patients, insurer arrangements, contracts, service agreements or other sources, each with different margins and cash flow patterns. We can prepare management accounts that separate performance by service line, department or site, so you can see which areas are performing well and where costs or pricing may need attention.
Switching is usually straightforward. We handle the handover with your existing accountant, including professional clearance and the transfer of records, and you do not need to wait for a particular date in the year to make the change. To get started, we simply need a conversation about your hospital, its structure, income streams, staffing and current accounting arrangements, and we will take it from there.
