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 core accounting and tax work a hospital or hospital business needs. That typically includes bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow projections, financial reporting, and Corporation Tax and VAT support where those apply. Because hospital costs and income streams are often more complex than those of a standard trading company, we tailor the scope to your structure, services and reporting needs rather than working from a fixed checklist. You can take the full package or focus on the areas where you need the most support.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital-based businesses that have their own trading or property arrangements. What they tend to have in common is a hospital-focused operating model: multiple income streams, substantial staff costs, significant spending on medical equipment and premises, and reporting requirements that need to be accurate and timely. If you are unsure whether your organisation fits, a short conversation will usually make it clear.
We use fixed, transparent packages, so you know what you are paying for before any work begins, with no hidden fees or surprise invoices. The fee depends on the scope involved: how many staff are on payroll, how many transactions you process, which income streams need reporting, whether you need management accounts, and how much tax and VAT support is required. We will discuss your requirements first, then set out a clear scope and price in writing. If your needs change over time, we agree any adjustment with you rather than leaving it to chance.
All work follows current UK accounting and tax rules, HMRC deadlines and Making Tax Digital requirements, and we are happy to talk through the professional qualifications and memberships relevant to your engagement before you commit. Compliance work is prepared and reviewed against the relevant standards, with a clear record of the basis on which figures have been produced. If you already have an accountant, we can also look at how the work has been handled so far and flag anything that needs attention.
Yes — payroll is one of the most common areas where hospitals need support, given the mix of clinical, administrative, facilities and support roles, different contracts, overtime, shift enhancements and varying pay dates. We can handle payslips, PAYE and National Insurance, pension auto-enrolment, starters and leavers, and the reporting that goes with them. Everything is processed to HMRC deadlines and linked back into your bookkeeping and management accounts, so staff costs stay visible in the numbers rather than being treated as a separate exercise.
We can prepare and file Corporation Tax computations and returns where they apply to your hospital business, working from the accounts and making sure the figures are consistent and properly supported. VAT needs a closer look, because treatment depends on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances — it is not a case of everything being exempt or everything being taxable. We review what your hospital actually provides and how it is structured, then advise on how the rules apply and what needs to be reported.
Yes. Medical equipment, fit-outs and facilities spending often involve significant sums, and they raise questions about how costs are treated, how they are funded and what that means for tax relief and cash flow. We can help you record capital expenditure properly, plan for replacements and upgrades, and see the effect on your accounts, management reporting and budgets. Where equipment is being financed, we can also make sure the repayment profile is reflected in your cash flow projections.
Getting started is straightforward. We begin with an initial conversation about your hospital or hospital business, what you need help with and what is currently in place, then agree the scope and a fixed price. If you are moving from another accountant, we handle the professional clearance and the handover of records so the transition does not fall on you. From there we set up an ongoing bookkeeping, payroll and reporting rhythm that suits your operation, with a clear point of contact for questions.
