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 in Normanton, our work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow support, along with financial reporting, Corporation Tax support and VAT support where it applies. For a hospital, that also means handling the areas that drive the numbers day to day, such as staff and rota costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments and professional fees. The exact scope depends on your structure, the services you provide and the volume of transactions involved, so we agree what is needed before any work begins.
We support private hospitals, independent hospitals, hospital operators, hospital groups and smaller hospital businesses, whether they are run as limited companies, part of a wider group or structured in another way. Their accounting needs vary widely depending on how they are set up, how many staff they employ, the facilities and equipment they operate, and where their income comes from. If you are unsure whether your organisation fits, a short conversation is usually the quickest way to find out.
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 level of pricing depends on the scope of the work, which is influenced by your structure, the number of staff on payroll, the number of income streams, the volume of transactions and whether you need additional support such as VAT or management reporting. We confirm the scope and the arrangement with you before anything starts, so there are no surprises later.
Yes. Hospital payroll often involves a mix of roles, varying pay rates, overtime, shift and rota patterns, pension contributions and frequent starters and leavers, all of which need to be handled accurately and on time. We can manage payroll processing, PAYE, real-time reporting and payslips, and we can also help make sure payroll costs are properly reflected in your management accounts and budgets so you can see how staffing decisions affect the wider picture.
VAT treatment for hospitals is not a single, blanket rule. Whether a particular supply is exempt, taxable or treated in another way depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. That means income streams need to be reviewed individually, records need to be clear, and any changes to services or activities should be considered before they take effect. We can help you understand how VAT applies to your organisation and keep the supporting records in good order.
Where a hospital business operates through a limited company, Corporation Tax applies to its taxable profits, and the way income and allowable expenses are treated has a direct effect on the final figure. Capital allowances may be available on qualifying equipment and fit-out costs, which is why keeping good records of medical equipment purchases and capital expenditure matters. If the organisation is structured differently, other rules may apply, so it is worth checking your position rather than assuming.
Yes. Medical equipment and facility upgrades are often significant outlays, and how they are timed and funded can have a real effect on cash flow and on your reported figures. We can help you plan for larger purchases, keep fixed asset records accurate, account for depreciation properly in your accounts, and consider whether capital allowances might be available on qualifying expenditure. That gives you a clearer view of affordability before you commit.
Getting started is usually simple. We begin by understanding your hospital or hospital business and reviewing your current bookkeeping, payroll, reporting and tax position. With your authorisation, we can liaise with your existing accountant to obtain the records and information needed for a smooth handover, then agree the scope of ongoing support and how it will be delivered. There is no obligation, and the first step is simply a conversation about what you need.
