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.
The core of the service usually covers bookkeeping, annual accounts, payroll, management accounts, financial reporting and tax compliance, along with budgeting and cash flow support where that is useful. For hospital businesses we also look closely at areas such as medical equipment costs, premises and facilities, supplier payments, professional fees and the different income streams you generate. What is included in your particular package depends on the size and structure of your hospital and the level of day-to-day support you want. We will always explain clearly what is covered before anything begins.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the trading and property companies that often sit alongside a hospital business. The common thread is that these organisations have hospital-specific financial needs, such as significant staffing costs, equipment investment, multiple income streams and detailed reporting requirements. If you are unsure whether your organisation fits, it is worth a conversation, because the deciding factor is usually the nature of your operations rather than the label on your paperwork.
We work on fixed, transparent packages rather than hourly billing wherever possible, so you know what you are paying and when. The fee reflects the scope of work involved, which in turn depends on factors such as transaction volumes, payroll size, reporting requirements and the complexity of your structure. There are no hidden fees or unexpected invoices for routine work, and if your needs change we will discuss any adjustment with you before it takes effect.
Yes. Payroll is often one of the largest and most time-consuming cost areas for a hospital, particularly where you have a mix of full-time, part-time, bank, locum and contracted staff. We can handle payroll processing, payslips, deductions, pension contributions and the related reporting obligations, keeping everything consistent and on time. This also gives you reliable payroll figures to feed into your management accounts and budgeting, which makes workforce planning far easier to manage.
VAT treatment in the hospital sector is genuinely dependent on the circumstances rather than being a simple all-or-nothing position. It can vary according to the nature of the supply being made, the activities involved, the status and structure of the organisation, and the specific facts of each arrangement. Because of this, we look at your individual income streams and costs and advise on the treatment that applies to you, rather than applying a blanket rule. Where relevant, we can also help with VAT registration, returns and record-keeping.
Where Corporation Tax applies to your hospital business, we can prepare and submit the required returns and advise on the reliefs and allowances that may be available. Medical equipment and other capital expenditure are common areas of interest here, since the accounting and tax treatment can differ depending on what is purchased and how it is used. We also help you plan for larger equipment purchases by building them into your cash flow and budgeting rather than treating them as a one-off surprise.
We produce management accounts that give you a clear, regular view of income, costs and margins, covering areas such as payroll, consumables, equipment, premises and supplier commitments. Alongside that, we help with cash flow forecasting so you can see what is coming in and going out over the months ahead and plan accordingly. For hospitals, where costs can be substantial and income timing can vary, this kind of forward visibility is often one of the most valuable parts of the service.
Getting started is usually simpler than people expect. We begin with a short conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve. If you decide to proceed, we can contact your existing accountant on your behalf to request the relevant records and information. From there, we review what we have, confirm the scope of support and put a plan in place for ongoing bookkeeping, payroll, reporting and tax work.
