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, along with other hospital-based businesses that need reliable accounting and tax support. This can include single-site hospitals, hospitals with multiple departments or locations, and hospital organisations with several income streams. The common thread is that the business operates as a hospital, so the way its costs, payroll, income and reporting are structured needs to reflect that rather than being treated like a generic company.
The core work usually covers bookkeeping and record-keeping, payroll for clinical and non-clinical staff, management accounts, budgeting and cash flow forecasting, annual accounts, and financial reporting. Depending on the hospital's structure and activities, we can also assist with Corporation Tax where it applies, VAT support where relevant, and help managing areas such as medical equipment costs, premises and facilities expenses, supplier payments and professional services. Because hospitals vary so much, we agree the scope with you so it reflects your actual requirements rather than a fixed one-size-fits-all list.
We work on fixed, transparent packages, so you know what you are paying for and when. Pricing is based on the scope of work involved — factors such as the size of your hospital, the volume of transactions, the number of staff on payroll, the number of income streams and any tax filings required. There are no hidden fees or surprise invoices, and if your requirements change over time, we will review the arrangement with you rather than letting costs creep up quietly.
Yes, VAT treatment in a hospital setting is rarely as simple as a single rule. Whether a particular supply is exempt, standard-rated, reduced-rated or outside the scope depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances in which it is made. Hospitals can also have mixed supplies where only part of their activity is treated one way, which affects record-keeping, invoicing and partial exemption calculations. We look at each hospital's own position and how its supplies are structured before advising.
Yes. Payroll is often one of the biggest administrative and financial tasks for a hospital, given the number of staff, varied roles, shift patterns and rotas involved. We can manage the payroll process, including the deductions and pension contributions that apply, and handle the associated reporting obligations so deadlines are met. This takes pressure off internal teams and helps make sure staff costs are recorded accurately, which matters when payroll forms such a large part of overall hospital expenditure.
Medical equipment and other significant purchases usually need to be treated differently from everyday operating costs, and how they are recorded affects your accounts and your tax position. We help you keep capital expenditure properly recorded, understand how it flows through your financial statements, and plan for major purchases without putting unnecessary strain on cash flow. We can also build equipment and facilities costs into budgeting and forecasting so you have a clearer picture of what is affordable and when.
Yes, we support hospitals and hospital businesses that are moving from another accountant or bringing their accounting in-house work to an external adviser for the first time. We start by understanding your current position, reviewing the records and filings you already have, and identifying anything that needs to be brought up to date. The aim is to make the changeover as smooth as possible, with continuity of payroll, reporting and compliance so nothing falls through the gap during the transition.
It starts with a conversation about your hospital — how it is structured, how it generates income, what the main cost pressures are and what you need from an accountant. From there we look at your existing accounting and tax arrangements, agree a scope of work and put a fixed, transparent package in place. If you have deadlines coming up, such as payroll, VAT returns or year-end accounts, tell us early so we can plan the onboarding around them.
