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.
It depends on what your hospital or hospital business needs, but the core usually covers bookkeeping, annual accounts, payroll, management accounts, budgeting and cash flow, financial reporting, and tax support including Corporation Tax and VAT where relevant. We look at your structure, income streams, staffing, premises, equipment and operating costs first, then build a package around that. Some hospitals want a full outsourced finance function, while others want specific areas handled alongside their existing in-house team.
Our hospital accounting support is aimed at hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. It suits organisations that need their books, payroll and reporting handled properly but also want someone who understands how hospital finances behave in practice. If your activities are structured differently or you are unsure whether we are the right fit, it is worth a conversation so we can be honest about whether we can help.
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 fee reflects the scope of the work, which in turn depends on factors such as the number of sites, the size of your payroll, how many income streams you have, transaction volumes and whether you need management accounts or budgeting support. We agree the scope with you upfront and review it as your hospital changes.
Yes. Payroll is one of the largest costs for most hospitals, so getting it right matters. We can manage payroll across clinical and non-clinical staff where your arrangements involve variable hours, shift patterns, overtime or a mix of pay structures. Alongside processing, we can help with the associated reporting obligations so that staff costs are recorded consistently and feed into your management accounts and budgets rather than sitting in a separate silo.
Corporation Tax is handled in line with your structure, profits and allowable costs, and we plan ahead so there are no surprises at the deadline. VAT is more nuanced: treatment depends on the nature of the supplies being made, the activities involved, your organisation's status and the specific circumstances, so we review this carefully rather than assuming a blanket position. Where VAT applies, we help keep records and returns accurate and consistent throughout the year.
Yes. Capital expenditure on medical equipment, along with premises costs and supplier commitments, can put real pressure on cash flow, particularly when income arrives unevenly across the year. We can build budgets and cash flow forecasts that reflect those patterns, so you can plan purchases and commitments with a clearer view of what is affordable and when. Management accounts then give you a running picture of how the plan is performing against reality.
Switching is usually simpler than people expect. We review your current accounting position and tax affairs, identify anything that needs tidying up and agree the scope of ongoing work with you. Once that is clear, we take over the relevant records and filings and act as your point of contact, so you are not left managing the handover yourself. As Accountants for Hospitals in Ilkeston, we are used to picking up hospital accounts mid-year and getting them into a consistent, workable shape.
Start with a conversation about your hospital or hospital business, how it is structured, the services you provide and what is currently causing you difficulty. From there we can outline what support would look like in practice and how the fee would be structured. There is no obligation at that stage, and if your requirements fall outside what we can properly deliver, we will say so rather than stretch to fit.
