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 core work usually covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax and VAT support where these apply to your organisation. Because hospitals carry a distinctive cost base, we also look closely at staff costs, medical equipment, premises, supplier payments, professional services and the different income streams feeding into the business. The exact mix is shaped around your structure, activities and internal finance arrangements, so the support fits the hospital rather than the other way around.
We support private hospitals, independent hospitals, hospital operators and hospital groups, including organisations running a single site and those managing several facilities or service lines. Accounting requirements vary considerably between them: a smaller independent hospital may need straightforward bookkeeping, payroll and annual accounts, while a hospital group may need consolidated reporting, more detailed management information and structured budgeting across sites. If your organisation operates hospital facilities or hospital-based services, we can discuss how your finances are currently handled and where support would be most useful.
Pricing is based on the scope and complexity of the work rather than a one-size-fits-all figure. Factors such as the number of sites, the size of the payroll, the volume of transactions, the income streams involved and whether you need management accounts or VAT support all influence the level of work required. We provide fixed, transparent packages with no hidden fees, and we explain what is included before any work begins, so you know what you are paying for and why.
VAT treatment in a hospital setting is rarely a simple yes-or-no question. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, which means different income streams and services can be treated differently. Rather than assuming a blanket position, we look at what your hospital actually provides and how it is structured, then help you apply the correct treatment and keep the supporting records in order.
Yes. Payroll is one of the largest and most sensitive cost areas for any hospital, covering clinical teams, administrative staff, support functions and often a mix of full-time, part-time, bank and shift-based arrangements. We can manage payroll processing, paye and national insurance calculations, pension contributions and the associated reporting obligations, helping to keep payments accurate and on time. Reliable payroll also feeds directly into your management accounts, so you get a clearer picture of staffing costs as they change.
Medical equipment and other capital purchases need to be recorded and treated correctly, with the right distinction drawn between capital spend and day-to-day operating costs. We help you keep track of significant purchases, understand how they affect your accounts and tax position over time, and plan for future equipment investment without putting unnecessary strain on cash flow. Where borrowing or staged payments are involved, budgeting and cash flow planning become especially important, and we can support both.
Switching is usually more straightforward than hospitals expect. We begin by understanding your current position, reviewing the records and information already in place, and identifying anything that needs tidying up or clarifying before we move forward. From there, we agree the scope of ongoing support and put a clear process in place for bookkeeping, payroll, reporting and tax deadlines. The aim is a smooth transition with no disruption to your day-to-day financial operations.
Getting started begins with a conversation about your hospital or hospital business, including how it is structured, how income is generated and what your current accounting arrangements look like. From there, we can outline the areas where support would help most, whether that is bookkeeping, payroll, management accounts, financial reporting, Corporation Tax or VAT considerations. Once the scope is clear, we set up the ongoing support and agree how and when we will communicate with your team.
