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 Lower Boddington, we can help with annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow, financial reporting, Corporation Tax where applicable and VAT support where relevant. The work is shaped around hospital finances, so we take into account staff costs, medical equipment, premises, suppliers, professional services, operating costs and different income streams. VAT treatment is not the same for every hospital supply or activity, so it is reviewed according to the nature of the supply, the activities involved, the organisation's status and the specific circumstances.
They are suitable for private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need reliable accounting and tax support. A single hospital site and a multi-site hospital group can have very different reporting, payroll, cash flow and compliance needs, so the scope is discussed before any work begins. If you are unsure whether your organisation fits, we can talk through your structure and requirements.
Pricing is usually based on the scope of work, the size and complexity of the hospital business, the number of transactions, payroll requirements, reporting needs and the level of tax or VAT support required. We prefer fixed, transparent packages where possible, with no hidden fees and a clear explanation of what is included. The exact cost is confirmed after we understand your circumstances, rather than being based on a generic estimate.
Accounting work for hospitals should be handled by professionals who understand UK accounting and tax rules, and you should always check the qualifications, professional memberships and compliance arrangements of any firm you appoint. We are happy to talk through how we work, what is included in the engagement and who will handle your hospital's accounting and tax matters. Our approach is to keep responsibilities, deadlines and reporting arrangements clear from the outset.
Common issues include managing staff payroll and rota-related costs, tracking medical equipment and capital expenditure, dealing with premises and facilities costs, keeping supplier payments under control and understanding multiple income streams. Cash flow and budgeting can become difficult when income and costs do not move in line with each other, and financial reporting needs to be clear enough for owners, directors or managers to make decisions. Corporation Tax may apply depending on the entity, and VAT treatment depends on the nature of the supplies, the activities involved and the organisation's status.
Yes, we can help review VAT considerations for hospital income streams and related activities. VAT is rarely a simple all-or-nothing area: some supplies may be treated differently from others, and the position can depend on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We can help you understand what records are needed, where VAT may apply and how to approach VAT reporting sensibly.
Yes. Budgeting, cash flow planning and capital expenditure tracking are often important for hospitals because equipment, premises, staffing and supplier costs can be significant and uneven. We can help turn the financial records into management information that shows what is happening, what is coming up and where pressure may build. That gives hospital businesses a clearer basis for planning, funding decisions and day-to-day financial control.
Getting started usually begins with a conversation about your hospital or hospital business, the services you need and any deadlines or issues you want to address. If you are switching accountants, we can discuss the information required to understand your current position and make the transition as smooth as possible. From there, we agree the scope, explain how the work will be handled and provide ongoing support that fits your hospital's requirements.
