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 typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning, financial reporting, Corporation Tax support where it applies and VAT guidance where relevant. Which of those you need depends on the size and structure of your hospital or hospital business — a single-site independent hospital will have a different set of priorities to a hospital group with several locations. We agree the scope with you up front so you know exactly what is covered and what sits outside it.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the associated businesses that sit around them, such as those managing premises, equipment or support services. What these organisations have in common is a complex cost base, several income streams and a need for reliable financial information. If you are unsure whether your organisation fits, it is worth a conversation — we can tell you quickly and honestly.
We work on fixed, transparent packages rather than open-ended hourly billing, so you get clarity on cost before work begins. The fee is based on the level of support you need, the volume of transactions, the number of staff on payroll, the accounting software you use and how much reporting you want. There are no hidden fees or surprise invoices, and if your requirements change we will discuss any adjustment with you first.
We work to UK accounting and tax standards and keep up to date with changes that affect hospitals and hospital businesses, including Corporation Tax, payroll obligations and VAT rules. Rather than making broad claims, we would rather explain exactly how we handle your compliance, what deadlines apply to your organisation and what information we need from you. If you have specific regulatory or reporting requirements, tell us about them and we will confirm how we can help.
It depends heavily on your structure and activities. Corporation Tax applies to many hospital businesses depending on how they are set up, while VAT treatment varies according to the nature of the supply, the activities involved, the organisation's status and the specific circumstances — it is not a case of everything being exempt or everything being taxable. Income streams, equipment purchases, premises and contracted services can all raise different questions, so we look at your situation in detail rather than applying a blanket rule.
Yes. Medical equipment purchases and other capital expenditure can have a significant effect on cash flow and on your tax position, so it helps to plan them rather than treat them as one-off events. We can help you budget for larger purchases, understand the financial impact over time and keep your management accounts and cash flow forecasts up to date so decisions are based on real numbers.
Hospitals often receive income from more than one source, whether through private treatment, contracted services, insurance arrangements or other activities. We set up your bookkeeping and reporting so those streams are recorded separately and clearly, which makes it much easier to see which areas are performing well and where costs are rising. The result is financial information you can actually use when planning, rather than a single figure at year end.
Getting started is simple. We begin with a conversation about your hospital or hospital business, then review your existing records and requirements. If you are switching accountants, we can liaise with your current firm and handle the handover of information, so you are not left chasing paperwork. Once everything is in place, we agree how often you want to hear from us and put the ongoing support in motion.
