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, as well as hospital businesses running more than one site or service line. Their accounting and tax needs vary significantly depending on their structure, the services they deliver, their income streams and how their operations are set up, so the support is tailored to each organisation rather than delivered in a fixed format.
The core work covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, and tax and VAT support where relevant. We can also help with the practical side of running hospital finances, such as tracking equipment and capital expenditure, premises costs, supplier payments and the professional services that hospitals routinely rely on. What you need depends on the size and structure of your hospital business, so we agree the scope together.
We work on fixed, transparent packages so you know what you are paying for before work begins, with no hidden fees or surprise invoices. The fee reflects the shape of your hospital or hospital business — the number of sites, staffing levels, payroll volumes, income streams, transaction volumes and the level of reporting and tax support you require. We will explain the basis clearly during an initial conversation.
Yes. Payroll is often the largest cost line in a hospital, covering clinical teams, support staff, administrators and sometimes bank or locum arrangements, and it needs to be accurate and on time every period. We manage payroll processing, statutory deductions and the associated reporting, and we can align payroll data with your management accounts so staff costs are visible in the numbers rather than sitting in a separate spreadsheet.
It depends on how the hospital is structured and what it does. Where a hospital business operates through a limited company, Corporation Tax will generally apply to its taxable profits, and there are reliefs and allowances that may be relevant to capital spending on medical equipment and premises improvements. VAT is more nuanced: the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so blanket assumptions are best avoided. We review your position and advise on what applies to you.
Hospitals typically face substantial fixed costs — payroll, premises, facilities, equipment finance and supplier commitments — while income may arrive from several streams on different cycles. We build budgets and cash flow forecasts around your actual operating patterns, so you can see upcoming pressure points in advance and plan for equipment purchases, seasonal variation in activity or changes in staffing. Good forecasting also makes conversations with lenders, suppliers and investors far easier.
Yes, and this is one of the areas where clear accounting makes the biggest difference. Income from different services, contracts and locations needs to be recorded and reported in a way that shows which parts of the hospital are performing and which are not. We set up bookkeeping and management reporting that separates income streams and, where relevant, sites, so decisions are based on real figures rather than guesswork.
Start with a conversation about your hospital or hospital business — how it is structured, what your current accounting arrangements look like, and where you feel the gaps are. From there we review your position, confirm what support you need and explain how our fixed packages work. If you are switching accountants, we can manage the handover with your existing adviser and make sure your records and deadlines carry over smoothly.
