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.
Our work for hospitals typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, and VAT support where relevant. The exact mix depends on your hospital's size, structure and internal finance setup, since some hospital businesses want a full outsourced finance function while others need help with specific areas such as payroll or year-end reporting. We agree the scope with you before any work begins.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses such as day-case and specialist treatment facilities. Requirements vary considerably depending on structure, activities, income streams, staffing, premises, equipment, suppliers and operating costs, so the service is shaped accordingly. If your organisation is a hospital or a hospital-run business, there is a good chance we can help, and if we are not the right fit we will say so.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know where you stand and there are no hidden fees. The fee reflects factors such as the size and structure of your hospital business, the number of staff on payroll, the volume of transactions, the number of sites and the level of reporting you need. We discuss your circumstances, agree the scope and confirm the fee before any work starts.
Yes. Payroll is often one of the largest costs a hospital carries, spanning clinical and non-clinical staff, varying shift patterns, overtime and different contractual arrangements. We can manage payroll processing, payslips, RTI submissions to HMRC, pension auto-enrolment and the associated record-keeping, so your team is paid accurately and on time and your reporting stays in order.
Where a hospital operates through a limited company, Corporation Tax will normally apply, and we can help with computations, returns, allowances and planning around capital expenditure such as medical equipment. VAT is more nuanced: the treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it needs to be considered case by case rather than assumed. We can review your position and help you apply the rules correctly.
Hospitals commonly generate income from several sources, such as treatment fees, insurer and third-party arrangements, diagnostics, consultancy and other services, and each stream can carry its own accounting and tax implications. Medical equipment and capital expenditure add another layer, from how costs are recorded and written down to how they affect your tax position and cash flow. We help you keep those strands clear and properly reflected in your management accounts and year-end reporting.
Yes. Hospital groups and multi-site operators often need consolidated reporting alongside site-level figures, which means consistent bookkeeping across locations, a clear allocation of costs and income, and management accounts that show how each site is performing. We can structure the work so you get both the detail and the overall picture.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, review your current accounting and tax position, and then confirm the scope and fee. If you are switching from another accountant, we can help with the handover, including requesting your records and professional clearance, so the transition is managed smoothly and your compliance deadlines are not disrupted.
