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.
It covers the accounting and tax work a hospital or hospital business needs to stay compliant and well informed. In practice that often means bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable and VAT support where relevant. Because hospitals vary so much in size and structure, we look at your circumstances first and then agree which elements you actually need, rather than pushing a fixed bundle that does not fit.
We support private hospitals, independent hospitals, hospital operators, hospital groups and smaller hospital businesses such as specialist or day-case facilities. What they have in common is a need for accounting that understands staffing costs, medical equipment, premises, suppliers and multiple income streams. Their accounting and tax requirements are not identical, and we treat them individually rather than assuming every hospital operates the same way.
We use fixed, transparent packages so you know what you are paying for and there are no hidden fees or unexpected invoices. Pricing is based on the scope of work involved, which depends on factors such as the size of your hospital, the volume of transactions, payroll numbers, the number of income streams and whether you need management accounts or additional reporting. Once we understand your requirements, we will set out clearly what is included and what it costs before any work begins.
Yes, payroll is one of the most important areas for hospitals because it is typically the largest cost and one of the most complex to administer. We can manage payroll for clinical and non-clinical teams, including the practical complications that come with rotas, varying hours and different roles. Alongside the calculations themselves, we take care of the associated reporting and compliance requirements so your obligations are met accurately and on time.
Corporation Tax is relevant for many hospital businesses depending on how they are structured, and VAT is often the area that needs the closest attention. VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. We review your particular position and explain how it applies to your income streams and costs, so you can plan with confidence.
Yes. Medical equipment and capital expenditure can absorb significant funds and affect your cash flow and tax position for years, so they need proper planning rather than being dealt with after the fact. We help you factor major purchases into your budgets and forecasts and make sure the accounting and reporting treatment is handled correctly. That includes thinking about how equipment costs sit alongside premises, staffing and supplier commitments in your overall financial picture.
Switching is usually more straightforward than people expect. We handle the practical side of the handover, including obtaining the information we need from your current accountant, so you are not left chasing paperwork or managing the transition yourself. Once everything is in place, we review your existing records and reporting, highlight anything that needs attention and set up the ongoing support that suits your hospital.
The first step is simply a conversation about your hospital or hospital business, how it is structured and what you need from your accounting support. We will ask about your income streams, payroll, equipment, premises, suppliers and any existing compliance concerns. From there, we will explain how we can help, what the work would involve and how our fixed packages are priced, so you can decide with all the information in front of you.
