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.
Accountants for Hospitals in Orrell look after the financial side of running a hospital or hospital business — bookkeeping and record keeping, payroll for hospital staff, management accounts, annual accounts, financial reporting, budgeting and cash flow, along with tax and VAT support where relevant. The difference is context: your numbers are read against hospital operations, so staff costs, medical equipment, premises, supplier payments and different income streams all form part of the picture rather than being treated as generic business expenses.
Support is aimed at hospitals and hospital organisations — private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses — rather than healthcare providers in general. The accounting needs of each can differ depending on legal structure, the services offered, how income is generated, staffing arrangements, premises and the equipment involved. If your organisation sits within that hospital-focused spectrum, the support can be shaped around it.
Most engagements cover the day-to-day and the year-end together: bookkeeping, VAT support where applicable, payroll, management accounts, budgeting and cash flow forecasting, annual accounts and statutory financial reporting, plus Corporation Tax and tax support where relevant. Many hospital businesses also want help interpreting management information — understanding what staff costs, equipment spend, premises and supplier payments are doing to margins across different income streams. What is included is agreed in advance, so there are no surprises later.
Pricing reflects the scope and complexity of the work — the size and structure of the hospital business, the number of people on payroll, transaction volumes, the number of income streams, and whether you need management accounts, tax support, VAT assistance or all of it. Fixed, transparent packages are used wherever the scope is clear, so you know what you are paying for, with no hidden fees. A fee proposal is provided after an initial conversation about what you genuinely need.
Yes — payroll is usually one of the largest and most sensitive cost areas for a hospital, covering a mix of full-time, part-time and variable-hours staff, overtime, shift patterns, and the associated pension and employer obligations. Handling it accurately and on time keeps people paid correctly and reduces the risk of HMRC issues, penalties and time-consuming corrections. Payslips, PAYE reporting and year-end payroll obligations can all sit within the same service.
VAT for hospitals is not a case of one rule applying to everything. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so some supplies may be exempt, some standard-rated, some zero-rated and some outside the scope, and mixed-income hospital businesses can face partial exemption considerations. NHS hospitals and private hospitals do not automatically receive identical treatment, and the position should be reviewed rather than assumed. Getting VAT right for your particular activities matters, because errors can be costly to unpick.
Yes. Medical equipment and other capital expenditure often represent significant outlays for hospitals, and how they are treated for accounting and tax purposes affects both your reported position and your tax liability. Corporation Tax and capital allowances can be considered where they apply, alongside budgeting and cash flow planning so that large purchases do not put unnecessary pressure on working capital. The aim is to make sure major spending decisions are made with the financial consequences clearly in view.
Switching is usually straightforward and can be arranged without disrupting your operations. Once you decide to move, the process typically involves letting your existing accountant know, arranging the transfer of records and outstanding information, and confirming where things stand on filings, deadlines and any ongoing work. Getting up to speed early means nothing important is missed, and the handover is handled professionally on your behalf.
