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 your hospital or hospital business needs, and commonly covers bookkeeping, payroll, management accounts, annual accounts, financial reporting, budgeting and cash flow forecasting, together with Corporation Tax support where applicable and VAT support where relevant. Because hospital organisations vary so much in size and structure, the mix is agreed with you rather than assumed, so you are not paying for work that adds no value to your operation.
We work with hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups that may run one or more sites. Some are relatively small and focused, while others have more complex structures, multiple income streams and significant staffing or equipment costs. If your organisation falls outside what we can support properly, we will tell you honestly rather than take on work that is not the right fit.
Pricing is based on the scope of work involved, so it reflects factors such as the number of sites, the size of your payroll, how many transactions you process, the level of reporting you need and whether VAT or Corporation Tax support is required. We work on fixed, transparent packages with no hidden fees, and the fee is agreed before any work begins so there are no surprises later. If your requirements change, the arrangement can be reviewed at the same time.
Yes, where applicable. Corporation Tax support typically covers preparing and filing computations and returns, along with planning around capital expenditure and the timing of taxable profits. VAT is more nuanced in a hospital setting: treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so some areas may be exempt, some standard-rated and others outside the scope. We look at your actual activities rather than applying a blanket assumption, and we never treat NHS hospitals and private hospitals as having identical tax treatment.
Yes. Hospital payroll tends to be one of the largest and most complex cost lines, particularly where you combine permanent employees, bank or agency staff, and a range of shift patterns and enhancements. We can manage payroll processing, handle the associated reporting obligations and help make sure staff costs are recorded in a way that gives you meaningful visibility, so you can see what is driving your wage bill rather than just the total.
Medical equipment and other capital purchases often involve significant outlay and long-term financial commitments, which can affect both your cash position and your tax position. We can help you plan for that expenditure, forecast how it will affect cash flow, and present it clearly in your management accounts and financial reporting so the impact on the wider business is visible. Where relevant, we can also look at how capital allowances may apply to equipment and premises improvements.
Yes. Many hospital businesses receive income from several sources with different timings and margins, and lumping it all together makes it hard to see what is actually profitable. We can structure your bookkeeping and management accounts so income streams are reported separately, giving you a clearer picture of performance by activity and helping you plan more confidently for quieter periods.
Getting started usually begins with a conversation about your hospital or hospital business, what you currently have in place and where you feel the gaps are. We then review your accounting and tax requirements, confirm the scope of work and pricing, and agree how the ongoing support will run. If you are switching accountants, we can talk you through what information is needed and what the handover typically involves so the transition stays straightforward.
