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.
Our work as Accountants for Hospitals in Paignton is centred on the accounting and tax tasks a hospital business needs to stay accurate and compliant. In practice that usually covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, tax support and VAT support where it applies. Because hospitals tend to have complex cost structures, we also help make sense of medical equipment expenditure, premises and facilities costs, supplier payments and staff costs within the numbers. What you receive depends on the size and structure of your hospital, so the service is shaped around what is genuinely useful rather than a standard package.
We support private hospitals, independent hospitals, day-case and specialist treatment facilities, hospital operators and hospital groups, as well as the hospital businesses that support them operationally. Each of these can have quite different accounting requirements depending on whether they are a standalone site or part of a larger group, how many staff they employ, what equipment they run and how many income streams they generate. We are not a public-sector accounting provider, so our focus is on privately run and independent hospitals and hospital businesses rather than NHS Trusts or government bodies.
We work on fixed, transparent fees rather than open-ended hourly billing, so you know what you are paying for and what is included. Pricing reflects the scope and complexity of your hospital's affairs — the volume of transactions, payroll headcount, number of income streams, reporting requirements and whether VAT or Corporation Tax support is needed. Larger hospital groups with multiple sites and cost centres naturally need more work than a single-site independent hospital. We set this out clearly before any work begins, with no hidden fees along the way.
Accounting for hospitals involves real regulatory and reporting obligations, so you should always check that whoever handles your affairs is appropriately qualified and regulated. We are happy to be transparent about who will look after your work, what professional standards apply and how the relevant bodies oversee the services provided. If your hospital has particular reporting requirements — whether to lenders, investors, group parent companies or regulators — tell us early so we can confirm how those should be reflected in your accounts and filings.
Corporation Tax is usually the starting point for hospitals operating through a limited company, along with capital allowances on medical equipment and capital expenditure, and the tax treatment of different income streams. VAT is often more nuanced: hospitals can have a range of VAT considerations depending on the nature of their supplies, the activities involved, the organisation's status and the specific circumstances, so blanket assumptions rarely hold. It is not the case that all hospital services are exempt or that all hospital-related supplies are taxable — the correct treatment has to be worked out properly. We help identify where these issues arise and how they should be handled.
Yes, and for hospitals this is often where accounting support adds the most day-to-day value. Staff payroll, equipment purchases, premises costs and supplier payments rarely fall neatly into the same month, so cash flow forecasting and budgeting help you see pressure points before they become problems. Management accounts give you an accurate picture of how the hospital is performing against plan, and capital expenditure planning helps you assess what a major equipment or facilities investment means for your finances. The result is fewer surprises and better-informed decisions about where money goes.
Switching is usually far less disruptive than hospital owners expect. Once you decide to move, we can handle the practical steps, including contacting your existing accountant for the records and information needed to take over, and reviewing the current position so nothing is missed. If there are gaps in your bookkeeping or outstanding filings, we will identify them and agree how to bring everything up to date. The aim is a clean, orderly handover that keeps your financial reporting on track while your hospital keeps running as normal.
It starts with a conversation about your hospital or hospital business — how it is structured, how it earns income, who handles the finance function and what you would like to improve. From there we can outline the services that would genuinely help, how the work would be organised and how the fees would be structured. There is no obligation at that stage; it is simply a chance to establish whether we are a good fit for your hospital's needs before anything is formalised.
