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.
In practice, the work covers the accounting and tax functions a hospital or hospital business needs to keep running smoothly. That typically means maintaining accurate bookkeeping, preparing annual accounts, producing management accounts, running payroll, supporting budgeting and cash flow forecasting, and handling financial reporting. Where they apply, we also assist with Corporation Tax, wider tax matters and VAT support. The emphasis is on making sure the numbers reflect the reality of hospital operations, including staff costs, medical equipment, premises and supplier arrangements.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses of different sizes and structures. The right approach depends on whether the organisation is a single site or part of a larger group, how it is incorporated, how many people it employs and how its income is generated. Because of that, we look at each hospital's circumstances individually rather than applying a fixed service model.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees. The level of pricing reflects the scope of work involved, which naturally varies with factors such as the size of the hospital, the number of staff on payroll, the complexity of the income streams and whether additional reporting or tax support is needed. We set this out clearly in advance so there are no surprises later.
Yes. Payroll is often one of the largest and most intricate areas of hospital accounting, particularly where staff work shifts, rotas vary week to week and different pay rates or allowances apply. We can manage the payroll process, help ensure the correct treatment of pay elements and keep the associated records in order, which in turn feeds into your management accounts and year-end position more accurately.
It depends very much on the individual organisation. VAT treatment is not something that can be generalised, because it hinges on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances in play. Corporation Tax will be relevant where a hospital business operates through a company, and other tax matters can arise from equipment purchases, property and contracts. We review the position properly rather than assuming a one-size-fits-all answer, and note that NHS and private hospitals do not automatically share identical treatment.
Medical equipment and other capital items tend to involve significant outlay, and the accounting and tax treatment can have a real effect on your overall position. We help record these costs correctly, plan for them within your budgeting and cash flow forecasts, and make sure the reporting you receive shows the impact clearly. That gives hospital management a firmer basis for deciding when and how to invest.
Yes, and this is common. Many hospitals and hospital groups generate income from more than one source, which makes accurate recording, sensible reporting and clear visibility of margins that much more important. We help separate and track those streams properly so management accounts show what is actually performing, and so any tax or VAT questions arising from different activities can be considered in context.
The process is designed to be straightforward. We begin by understanding your hospital or hospital business, then review the current accounting and tax position to see what is already in place and what needs attention. From there we agree the level of ongoing support that suits you and put it in motion. If you are moving from another accountant, we can talk through the practical steps involved so the transition is handled cleanly.
