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.
Our support for hospitals typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow reporting and general financial reporting, along with tax support such as Corporation Tax where applicable and VAT guidance where relevant. We can also help with the accounting treatment of medical equipment, capital expenditure and the range of operating costs a hospital carries, and assist with correspondence from HMRC where that is needed. The exact mix is agreed with you, so it matches the size and structure of your hospital rather than a fixed template.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses operating in and around Gwynedd. That includes organisations running a single site as well as those managing several locations or trading through more than one company or entity. If your business provides hospital services or facilities and needs reliable accounting, tax and payroll support, the service is designed with your sector in mind.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for each month or year. The fee is based on factors such as the scope of work, the number of staff on payroll, the number of sites, the volume of transactions and the accounting software already in use. We discuss everything upfront, with no hidden fees and no surprise invoices, and you can adjust the level of support as your hospital grows or changes.
Our work is prepared in line with UK accounting standards and HMRC requirements, and we keep up to date with the rules that affect hospital businesses, including changes to reporting, payroll and tax obligations. Compliance also means getting the details right, from accurate records and timely submissions to correctly classifying income and expenditure. If you have questions about professional memberships or regulatory matters before appointing us, we are happy to talk them through as part of your initial conversation.
Corporation Tax will be relevant where your hospital operates through a company, and it applies to taxable profits after allowable expenses and reliefs rather than to turnover. VAT is more nuanced: the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should never be assumed that everything is exempt or that everything is taxable. Payroll taxes, capital allowances on medical equipment and the tax treatment of capital expenditure are other areas worth planning carefully, and it is worth noting that NHS hospitals and private hospitals do not automatically have identical accounting or tax treatment.
Yes, these are core parts of the support we provide. Payroll for hospitals often involves a mix of clinical, administrative and support staff on different contracts and pay arrangements, so accuracy and consistency matter. Bookkeeping keeps your records clean and up to date, while management accounts give you a regular view of income, costs, margins and cash position so you can make decisions during the year rather than only at year end.
Medical equipment and other significant purchases usually need careful treatment, covering how costs are recorded, how they are written down over time and whether any tax relief is available. We help you plan for larger purchases so the cash flow impact is understood before you commit, and we look at how funding choices affect your reported position. Equipment is often one of the largest cost areas for a hospital, so it is worth getting the accounting and tax treatment right from the outset.
It usually begins with a conversation about your hospital, your current setup and what you want from an accountant, followed by a review of your records and requirements. If you decide to proceed, we agree the scope of support and handle the handover with your existing accountant so the transition is as smooth as possible, and we make sure any outstanding filings and deadlines are identified early. From there, support continues on an ongoing basis, with reporting and advice tailored to how your hospital operates.
