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.
An accountant for a hospital handles the financial side of the business, including bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, financial reporting, budgeting and cash flow. Depending on how the hospital is structured, that can also involve Corporation Tax support, VAT guidance and assistance with capital expenditure such as medical equipment, plus regular reporting that keeps owners, operators and stakeholders informed.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and smaller hospital businesses. The accounting needs of each can differ considerably depending on how the organisation is structured, the services it offers, how it is funded and how its premises, staff and suppliers are arranged. Because of that, the support is shaped around the specific hospital rather than applied as a standard package.
The page focus is on hospitals and hospital businesses as commercial organisations, including private and independent hospitals. Accounting and tax treatment is not automatically identical across different types of hospital, so it is always worked through based on the organisation's own structure, activities and circumstances rather than assumed.
Typical services include annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax support where applicable and VAT guidance where relevant. For hospitals specifically, this often means keeping close track of staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments, professional services and the various income streams the hospital relies on.
Pricing is based on the size and complexity of the hospital, the range of services required and the volume of work involved, such as payroll numbers, income streams and reporting frequency. We use fixed, transparent packages with no hidden fees, and the scope is agreed upfront so there are no surprises. The specifics are worked out after an initial conversation about what the hospital actually needs.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances of the business. Some supplies may be treated differently from others, so the position needs to be reviewed properly rather than assumed from the fact that the business is a hospital.
Yes. Medical equipment purchases, upgrades and maintenance can represent significant expenditure, and how those costs are recorded, reported and treated for tax purposes matters. We can help make sure equipment and other capital expenditure is accounted for properly within the hospital's overall financial reporting and cash flow planning.
Getting started begins with a conversation about the hospital, its structure, its current accounting arrangements and what you need from an accountant. From there we review the existing position, agree the scope of support and handle the transition, including liaising with your previous accountant where needed. The process is designed to be straightforward, so you are not left managing the changeover yourself.
