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 Oxted provide accounting, tax and compliance support for hospitals and hospital businesses. That can include bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow support, Corporation Tax where applicable, and VAT support where relevant. The work is shaped around hospital operations, including staff costs, medical equipment, premises, suppliers, professional services and different income streams.
We support private hospitals, independent hospitals, hospital operators and hospital groups that need help with their accounting and tax affairs. The right approach depends on the organisation's structure, activities, income streams, staffing, premises, equipment and operating costs. If you are unsure whether your hospital or hospital business fits, a short conversation can clarify what support would be most useful.
Hospitals often need a combination of bookkeeping, payroll, management accounts, annual accounts, financial reporting, budgeting and cash flow support. Payroll can be particularly important because staffing is usually a major cost, while management accounts and financial reporting help owners and directors see how the hospital is performing. Corporation Tax and VAT support may also be relevant depending on the hospital's structure and activities.
Pricing is usually based on the scope of work, the size and complexity of the hospital or hospital business, the number of staff, the volume of transactions and the level of reporting required. We prefer fixed, transparent packages where possible, so you know what is included and there are no hidden fees. The exact fee is confirmed after we understand your requirements.
When choosing accountants for hospitals, it is important to check that the firm has appropriate qualifications, professional body membership, regulatory status and insurance. We work within UK accounting and tax rules and can confirm our compliance details, confidentiality arrangements and data security practices. You should also feel comfortable asking how the team keeps its hospital accounting, payroll and tax knowledge current.
Corporation Tax may apply to hospitals operating through limited companies, depending on their profits and structure, while VAT treatment depends on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances. Hospitals can have a mix of taxable, exempt or non-business activities, so it is important not to assume a blanket position. We can review your situation and help you understand the records and reporting needed.
When switching accountants, it helps to have your key records, previous accounts, tax returns, payroll information and access to your accounting software or bookkeeping system ready. A well-managed handover can reduce disruption and help the new accountant understand your hospital's income streams, cost base and reporting needs quickly. It is also worth checking that the accountant can support the specific mix of payroll, management accounts, tax and VAT work your hospital needs.
Getting started usually begins with a conversation about your hospital or hospital business, including its structure, activities, staffing, income streams and current accounting arrangements. From there, we can outline the services that fit, explain how pricing works and agree a practical next step. If you already have an accountant, we can also discuss a smooth handover so your records and deadlines stay on track.
