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.
The work covers the financial side of running a hospital or hospital business. In practice that means maintaining accurate bookkeeping, preparing annual accounts, producing management accounts and financial reporting, running payroll for clinical and non-clinical staff, supporting budgeting and cash flow, and handling tax compliance such as Corporation Tax and VAT where those apply. Just as importantly, it means understanding the cost areas that are specific to hospitals — staff costs, medical equipment, premises and facilities, supplier payments and professional services — and reporting on them in a way that is useful to you.
This support is aimed at hospitals and hospital businesses in and around Nairn, including private hospitals, independent hospitals, hospital operators and hospital groups. It suits organisations that want their accounting and tax affairs handled by someone who takes the time to understand how a hospital operates, whether you are a single-site hospital or part of a larger group with several sites and income streams. If your business sits within the broader healthcare sector but is not a hospital, we can still discuss what you need, though our focus here is specifically on hospitals.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect and there are no hidden fees. The right package depends on factors such as the size and structure of your hospital business, the number of staff on payroll, the volume of transactions, how many income streams you have and the level of reporting you need. We will discuss your circumstances, agree the scope, and confirm the fee before any work begins.
Yes. Payroll is often one of the largest and most complex costs for a hospital, particularly where you have a mix of full-time, part-time, bank or shift-based staff, varying rates of pay and different working patterns. We can handle the payroll process, including calculations, payslips, statutory deductions and reporting obligations, and make sure the payroll figures feed properly into your accounts and management information. If you have pensions or other staff-related obligations, we can factor those into the way payroll is run.
It depends. VAT treatment for hospitals is not a single answer, because it turns on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt, others may fall outside the scope or be treated differently, and the position can vary between organisations doing outwardly similar work. Because of that, VAT needs to be looked at on a case-by-case basis rather than assumed, and we will review your particular activities before advising on how they should be treated.
Significant equipment purchases and other capital expenditure need to be recorded and accounted for correctly, and they can have a real impact on your cash position and your reported results. We can help you plan for these costs, look at how they affect your cash flow and budgeting, and make sure they are treated appropriately in your accounts, including any reliefs or allowances that may be available depending on the asset and your circumstances. Where funding or staged payments are involved, we can help you keep track of the commitment.
The most common ones are the sheer scale and variability of staff costs, the timing and size of expenditure on medical equipment and facilities, and the pressure that supplier payments place on cash flow. Hospitals also tend to have several income streams arriving at different times, which makes forecasting harder, and they need financial reporting that is accurate enough to support decisions about services, staffing and investment. Tax considerations, particularly around VAT and Corporation Tax where applicable, add another layer that benefits from being reviewed regularly rather than once a year.
It starts with a conversation about your hospital or hospital business — how it is structured, what it does, how income comes in and what you currently have in place. If you are already working with another accountant, we can handle the process of switching over and take on the relevant records and information. From there we will confirm what support you need, agree the scope and fee, and put arrangements in place so the transition is straightforward rather than disruptive.
