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.
As Accountants for Hospitals, we handle the day-to-day and year-end work that hospital businesses need: bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow planning and financial reporting. We also provide Corporation Tax support where it applies and VAT support where relevant. The mix is shaped around your hospital's structure, activities and income streams rather than a fixed package.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses in and around Halewood. That includes organisations at different stages, from those putting their financial processes in place to established operators with multiple sites and income streams. If your organisation provides hospital care or supports hospital operations, the accounting requirements tend to be similar in character, even where the detail differs.
Pricing is based on the scope and complexity of the work — the volume of transactions, the size of the payroll, the number of income streams, whether you need management accounts, and how much tax and VAT support is involved. We set out fixed, transparent packages so you know what to expect, with no hidden fees. Before anything is agreed, we talk through what your hospital actually needs and confirm the scope in writing.
Yes. Payroll is often one of the largest costs a hospital carries, covering clinical and non-clinical teams, varied shift patterns, and sometimes a mix of permanent, part-time and locum arrangements. We can manage payroll processing, payslips, pension contributions and the associated reporting, so staff are paid correctly and on time and the payroll figures feeding into your management accounts and annual accounts are accurate.
VAT for hospitals is rarely a simple yes or no. Treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so different income and cost streams may be treated differently. We review how your hospital operates, identify where VAT applies, consider where reliefs or exemptions may be relevant, and make sure records are kept in a way that supports the position taken.
Where a hospital operates through a company, Corporation Tax will generally be relevant, and getting it right depends on accurate accounts, a clear view of allowable costs and an understanding of how different income streams are treated. We prepare the figures, identify reliefs and allowances where they apply, and make sure filings and deadlines are handled properly. Structures vary, so the position is always reviewed against your specific circumstances.
Yes. Medical equipment, premises and facilities costs tend to be substantial and often uneven, which makes cash flow planning genuinely important for hospitals. We can build budgets and forecasts that reflect capital expenditure plans, supplier payment terms, staffing costs and expected income, so you can see pressure points before they arrive and plan investment with more confidence.
It starts with a conversation about your hospital or hospital business, your current accounting arrangements and what you need from us. If you are switching accountants, we can handle the handover with your existing adviser and pick up the records you already have, including making sure any outstanding filings are dealt with. From there, we agree the scope and get the ongoing work underway.
