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 a starting point, our Accountants for Hospitals service typically covers annual accounts and financial reporting, bookkeeping, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow planning, Corporation Tax where it applies, and VAT support where relevant. Beyond the core compliance work, it also means making sense of the numbers — how staff costs, medical equipment purchases, premises, supplier payments, professional services and different income streams are affecting the overall financial position. The exact mix depends on the size and structure of the hospital and on what your internal team already handles in-house.
It is built for private hospitals, independent hospitals, hospital operators and hospital groups, together with hospital businesses that need reliable accounting and tax support in Hambrook and the surrounding area. Requirements vary widely — a single-site independent hospital will have a very different set of needs from a multi-site hospital group with several income streams and a larger payroll. If you are unsure whether your organisation fits, a short conversation is usually enough to establish whether the support on offer matches what you need.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The price reflects the scope and complexity of the work — factors such as the number of sites, the size of the payroll, transaction volumes, the number of income streams and how much reporting you need. After an initial conversation about your hospital's circumstances, you receive a clear proposal setting out exactly what is included before any work begins.
Accounting work in the UK is carried out by qualified professionals, and firms operate under professional body oversight with continuing professional development requirements. We are happy to talk you through the qualifications, memberships and regulatory position of the team who would look after your hospital's work, along with how your financial information is handled and kept confidential. If you have specific compliance requirements — from a lender, an investor or a group structure, for example — let us know and we will confirm how those can be met.
A great deal of what makes hospital accounting different sits in the detail. Payroll across clinical and non-clinical staff, capital expenditure on medical equipment and the related depreciation, premises and facilities costs, supplier and professional services payments, and multiple income streams that each behave differently. We help keep all of that tracked accurately and reported clearly, and we look at how those elements interact — because a hospital's cash flow position is often shaped by the timing of costs and income rather than by headline totals alone.
VAT for hospitals does not have a single answer. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it needs to be considered case by case rather than assumed. Some supplies may be exempt while others are taxable or fall outside the scope, and NHS hospitals and private hospitals do not automatically receive identical treatment. We review the mix of activities and income streams and advise on the position that applies to your organisation.
Yes — equipment purchases and other capital expenditure are a significant part of hospital finances and need to be handled properly in the accounts. That includes how purchases are recorded, how they are treated for tax purposes, how they affect cash flow, and how the cost is reflected in management reporting so owners and directors can see the impact on the wider financial picture. It is an area where planning ahead tends to make a real difference to both tax outcomes and cash flow.
Switching is usually more straightforward than people expect. Once you decide to move, your new accountant manages the professional handover — requesting the relevant records and information from your existing accountant — while we review what is already in place and make sure nothing is missed. The timing is normally arranged around your year end and reporting deadlines to avoid disruption, and we will be clear about what information is needed from you at each stage.
