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.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with related operations. The common thread is that these organisations have complex cost bases and multiple income streams, and they need accounting support that understands how a hospital actually runs rather than a generic service designed for a simpler business.
The core service typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting. Where applicable, we also support on Corporation Tax, wider tax matters and VAT. The exact mix depends on your structure and what you already handle in-house, so it is shaped around your hospital rather than taken off a fixed menu.
Fees are based on the scope and complexity of the work — the size of your operation, the number of employees on payroll, the volume of transactions and the level of reporting you need. We use fixed, transparent packages with no hidden fees, so you know what you are paying for and why, and the scope can be adjusted as your hospital business changes.
Yes. Payroll is usually one of the largest cost areas for a hospital, with varied roles, shift patterns, overtime and different contract types to account for. We can manage payroll processing and the associated reporting so that staff are paid accurately and on time, and so the figures feeding into your management accounts and year-end position are reliable.
VAT treatment in a hospital context is rarely black and white. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams can be treated differently. We review your position carefully and help you apply the rules correctly rather than assuming a blanket exemption or a blanket charge.
Yes, where Corporation Tax applies to your organisation we can prepare and support the relevant computations and returns, along with the annual accounts that sit behind them. We also look ahead at things like capital expenditure on medical equipment and how it affects your tax position, so there are no unpleasant surprises at year end.
Cash flow is a genuine pressure point for hospitals, given the weight of payroll, premises costs, equipment and supplier payments against varied income. We help build budgets and forecasts that reflect your actual cost structure, and provide management accounts that show how you are tracking against them, so decisions about staffing and capital spend are made with real numbers.
The first step is a conversation about your hospital or hospital business, what you need and what is currently in place. If you are moving from another accountant, we can manage the handover of records and information on your behalf to keep the transition smooth, and then agree an ongoing service that fits how you operate.
