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 a range of hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups that run one or more sites. The right level of support depends on how your organisation is structured, the services you provide, how many staff you employ and the income streams you rely on. If you are unsure whether your hospital fits, it is worth a conversation — we can talk through your circumstances and explain how our accounting and tax support would apply to you.
Our work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow planning, financial reporting, Corporation Tax where it applies and VAT support where relevant. Because hospital finances involve staff costs, medical equipment, premises, supplier payments, professional services and multiple income streams, we shape the reporting around those areas so the figures are genuinely useful to you. You can take a full package or focus on the areas where you need the most help.
Fees depend on the size and complexity of your hospital business, the number of entities involved, the volume of transactions, payroll numbers and the services you need. Rather than quoting a standard figure that may not fit, we review your requirements first and then propose a fixed, transparent package with no hidden fees. That way you know what you are paying for before work begins, and the scope can be adjusted if your needs change.
Accounting and tax work in the UK is carried out within recognised professional and regulatory frameworks, and we prepare accounts and tax filings in line with current UK requirements. Where a particular service depends on your organisation's structure or status, we explain what is required and what information we need from you. If you would like details about how we handle compliance for your specific circumstances, we are happy to talk it through before you commit.
Hospitals tend to have high fixed costs, including staff payroll, medical equipment and capital expenditure, premises and facilities and regular supplier payments, all of which affect cash flow and budgeting. Multiple income streams, financial reporting obligations, capital allowances on equipment and Corporation Tax where it applies are also common considerations. VAT is another area where treatment depends on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances, so it is worth reviewing rather than assuming a single rule applies to everything.
Yes. Payroll is often one of the biggest administrative tasks for a hospital, especially where rotas, varied shift patterns, overtime and different staff groups are involved. We can manage payroll processing and reporting, and prepare management accounts that show how staffing costs, operating expenses and income are tracking against your expectations. That combination gives you a clearer view of performance during the year rather than only at year end.
No. The accounting and tax position depends on the organisation's status, structure and activities, so NHS hospitals and private hospitals should not be assumed to have identical treatment. Income streams, funding arrangements and VAT considerations can all differ depending on the specific circumstances. We focus on understanding your particular organisation and explaining how the rules apply to it, rather than making broad assumptions.
Getting started is simple: we begin with an initial conversation about your hospital or hospital business, what you need help with and any deadlines you are working towards. If you are switching accountants, we can talk through how the handover typically works and what information we would need from you. From there, we confirm the scope and fees, agree the services you want, and put the ongoing support in place.
