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 such as day-case and specialist treatment facilities. The common thread is that these organisations carry significant staffing, equipment, premises and supplier costs alongside multiple income streams, so the accounting work needs to accommodate that complexity. If you are unsure whether your organisation fits, it is worth a conversation about how you are structured and what you need from an accountant.
The core package typically covers bookkeeping, payroll, annual accounts, management accounts and financial reporting, with budgeting and cash flow forecasting where they are useful. Corporation Tax support is provided where applicable, and tax and VAT support is available where the hospital's activities and structure make it relevant. Because hospital businesses vary so much, the exact mix is agreed after we understand your operations, your income streams and where the main cost pressures sit.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what the engagement covers before you commit. The level of fees reflects the size and complexity of the hospital or hospital business, the number of staff on payroll, the volume of transactions and the reporting you need. There are no hidden fees, and if the scope changes we discuss it with you in advance rather than surprising you with a bill.
It is aimed at hospitals and hospital businesses in and around Polegate that want their accounting and tax affairs handled by someone who understands the sector's cost and income patterns. That includes owner-managed independent hospitals, hospital operators running more than one site, and hospital groups needing consolidated reporting. It is not restricted by size — the deciding factor is whether hospital-specific accounting support would genuinely help.
Accounting work needs to be carried out by professionals who follow recognised UK accounting and tax standards, with the appropriate regulatory and anti-money laundering obligations met. We can talk you through the basis on which your accounts and tax returns are prepared, how records are kept, and what compliance deadlines apply to your organisation. If you have existing obligations, such as filing accounts or returns, we can review where things stand before taking anything on.
VAT treatment for hospitals is not uniform. It depends on the nature of the specific supply, the activities involved, the status of the organisation and the particular circumstances in which the service is provided. Some supplies may fall outside the scope of VAT, others may be exempt, and others may be taxable or subject to different rules, so a blanket assumption in either direction is risky. We review the position against what your hospital actually does and how its income streams are made up.
Yes. Purchases and replacements of medical equipment often involve significant, irregular outlays, and how they are treated in the accounts and for tax purposes affects both your reported position and your cash flow. We look at the timing of planned expenditure against expected income so decisions are made with the numbers in front of you, and we make sure the accounting treatment is consistent and properly documented.
Switching is usually more straightforward than people expect. We would review your current position, agree the scope of what you need, and then liaise with your existing accountant to obtain the records and information required. You do not need to manage that handover yourself, and the aim is to keep continuity so nothing is missed on reporting, payroll or compliance deadlines during the changeover.
