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 service is built around what a hospital or hospital business needs. That typically covers bookkeeping and record-keeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where it applies to your entity and VAT support where relevant. Because hospitals have particular cost patterns, we also look closely at areas such as staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments and professional services. If you operate through more than one entity or site, we can help make sure the reporting still gives you a coherent picture of the whole operation.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and hospital businesses of different sizes, from single-site operations through to organisations running multiple sites or service lines. The accounting requirements differ depending on structure, activities, income streams, staffing, premises and equipment, so the support is tailored accordingly. We do not treat every hospital the same, and we do not assume that organisations in different parts of the sector share identical tax or accounting positions.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The right package depends on factors such as the size of your hospital business, the number of entities or sites, the volume of transactions, the complexity of payroll, whether you need management accounts and how much VAT or Corporation Tax work is involved. We will talk through your requirements first and then set out a clear scope and fee, with no hidden extras or unexpected charges.
Yes. Payroll is usually one of the largest cost areas for a hospital, and it often involves a mix of clinical and non-clinical staff, varied shift and rota patterns, overtime, bank or agency arrangements and different contract types. We can manage the payroll process so payments are made accurately and on time, and so the payroll data flows properly into your accounts. That also means your staff cost reporting in the management accounts is reliable, which matters when you are reviewing staffing levels, rota costs or capacity.
Both need to be looked at on a case-by-case basis rather than by assumption. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some elements of what a hospital does may be treated differently from others. Corporation Tax depends on how the entity is structured and what its taxable profits and allowable deductions look like, including capital expenditure on medical equipment and premises. We review your position and explain the treatment in plain English so you understand what applies to you and why.
Yes, and for hospitals this is often where accounting support adds the most practical value. High fixed costs, significant payroll, equipment purchases and premises commitments make cash flow planning important, particularly where income arrives unevenly or through several different streams. We can help build budgets and forecasts, model the impact of equipment purchases or facility investment, and provide management accounts that show how actual performance compares with plan, so you can make decisions with better information in front of you.
Hospitals combine several features that create complexity at the same time: large and fairly fixed cost bases, complex payroll, expensive medical equipment and capital expenditure, substantial premises and facilities costs, multiple suppliers and professional services, and often more than one income stream. That combination affects how the accounts should be structured, how cash flow should be monitored and how tax positions should be reviewed. Accounting support for a hospital therefore needs to reflect the operational reality of the organisation, not just process transactions.
It starts with a conversation about your hospital or hospital business, what you currently have in place and what you would like to improve. From there we review your existing accounts, bookkeeping, payroll and tax position, identify anything that needs attention, and confirm a scope and fixed fee. If you are switching accountants, we can manage the handover with your previous adviser so the transition is straightforward, and we will set out clearly what you need to provide and when.
