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 needs, but most engagements cover bookkeeping and record keeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Where relevant, we also handle Corporation Tax, VAT and general tax support. You may want a full outsourced finance function or just year-end accounts with periodic management reporting, and we will scope the work around that.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and smaller hospital businesses such as day-case or specialist treatment facilities. The common thread is that their finances are complex, usually involving large payroll commitments, substantial equipment and premises costs, and several different income streams. Because structures and activities differ so much from one hospital to the next, we look at each business individually rather than assuming one approach fits all.
Yes. Payroll is often one of the largest and most complicated areas for a hospital, particularly where you have a mix of full-time, part-time, bank or locum staff, variable shift patterns, overtime and additional payments. We can manage the payroll process, deal with the associated reporting obligations and help make sure staff costs are recorded correctly in your accounts so your management reporting and budgeting reflect reality.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The exact fee depends on the volume of transactions, the number of employees on payroll, the complexity of your income streams and how much reporting and advisory work you need. We will talk through your requirements first and set out the scope clearly, with no hidden fees or unexpected extras.
Yes, where those taxes apply to your organisation. Corporation Tax is relevant to many hospital businesses depending on how they are structured and whether they make taxable profits, and we can prepare computations and returns and help with planning. VAT is more nuanced: treatment depends on the nature of the supplies you make, the activities involved, the status of the organisation and the specific circumstances, so we look at your position rather than applying blanket assumptions. It is worth noting that NHS hospitals and private hospitals do not automatically have identical accounting or tax treatment.
Large equipment purchases and facility improvements need to be recorded properly, and the way they are treated in your accounts can affect your reported profit, your tax position and your cash flow planning. We help you distinguish between capital expenditure and routine operating costs, account for assets correctly, and plan for major purchases so they do not put unnecessary strain on working capital.
Yes. Cash flow is often the biggest pressure for hospitals because payroll, equipment, premises and supplier costs fall at predictable points while income may arrive on a different timetable. We can build budgets and forecasts that reflect your actual operating pattern, flag where cash gets tight, and support you in planning for equipment replacement, staffing changes or expansion without overstretching the business.
Switching is usually more straightforward than people expect. We will ask about your current setup, contact your existing accountant to obtain the necessary records and information on your behalf, and make sure everything transfers cleanly. Once we have your books and records, we review the position, flag anything that needs attention and agree how you want the ongoing service to run. If you are exploring Accountants for Hospitals in Knowle, the first step is simply a conversation about where you are now and what you need.
