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 hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital-based organisations. Because hospitals differ so much in size, structure and services, the accounting support we provide is shaped around your particular setup rather than a standard package. If you are unsure whether your organisation fits, it is worth having a conversation with us about what you do and how you are structured.
Support typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, and VAT support where relevant. In practice, what we do depends on your hospital's needs, income streams and internal resources. Some hospitals want help with the routine financial administration, while others want deeper support with management reporting, budgeting and planning.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees or open-ended hourly surprises. The right package depends on the size and complexity of your hospital, the number of staff on payroll, the volume of transactions and the level of reporting and advisory support you need. We will talk through your circumstances first and then explain the options clearly before you commit to anything.
Yes. Hospital payroll often involves a mix of clinical and non-clinical staff, varying shift patterns, overtime, and different contractual arrangements, all of which need to be processed accurately and on time. We handle payroll processing, payslips, PAYE and related compliance so that your team is paid correctly and your obligations are met. We can also help you understand payroll costs as part of your wider budgeting and management reporting.
Medical equipment and other capital purchases can be significant outlays, and how they are treated in your accounts affects both your reported position and your tax position. We help you record and account for equipment purchases and related maintenance costs correctly, and we look at them alongside your cash flow and budgeting so you can plan larger purchases sensibly. Where relevant, we will also consider how different funding or ownership arrangements affect the accounting treatment.
VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be answered with a blanket rule. Some hospital-related supplies may fall outside the scope of VAT or be treated differently from others, and the position can be influenced by the mix of activities a hospital carries out. We review your individual situation, identify where VAT applies and where it does not, and make sure your reporting and returns reflect the reality of what you do.
Hospitals often receive income from several different sources, arriving on different timescales, while costs such as payroll, equipment, premises and suppliers continue regardless. We help you bring those income streams and costs together into clear management accounts, forecasts and budgets so you can see what is coming in, what is going out and where the pressure points are. That visibility makes it far easier to plan for quieter periods, larger purchases and unexpected costs.
The process is straightforward. We start by learning about your hospital or hospital business, how it is structured and what you need from your accounting support. If you are switching accountants, we can help coordinate the handover of information so it does not disrupt your operations. From there, we agree the scope and package that fits you, review your accounting and tax requirements, and move into ongoing support.
