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 core of the service usually covers bookkeeping, payroll, annual accounts, management accounts, financial reporting and Corporation Tax where it applies, along with VAT support where relevant. Around that, we can help with budgeting, cash flow forecasting, supplier payment planning and capital expenditure considerations such as medical equipment. What is included depends on your hospital's structure and the level of support you need, and we will set that out clearly before any work begins.
We support private hospitals, independent hospitals, hospital operators and hospital groups. The accounting needs of a single-site independent hospital are often quite different from those of a group running multiple facilities, so the approach is tailored to the organisation in front of us rather than applied from a fixed template. If your hospital operates in Peterhead or the surrounding area and you are unsure whether your situation fits, it is worth a conversation.
Pricing is based on the scope and complexity of the work rather than a one-size-fits-all figure. A hospital with multiple income streams, a large payroll and significant equipment costs will naturally need more support than a smaller independent hospital. We use fixed, transparent packages wherever possible, so you know what you are paying for in advance, and we avoid hidden fees. We will discuss the likely scope with you before committing to anything.
Yes. Hospital payroll tends to involve a mix of clinical and non-clinical employees, varied shift patterns, overtime and sometimes additional payments or benefits, all of which need to be processed accurately and on time. We can run payroll on your behalf and make sure the associated reporting and payments are handled correctly, so staff are paid when they expect to be and your records stay in order.
VAT treatment for hospitals is not something that can be reduced to a single rule. Whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances. Different activities within the same hospital can be treated differently. We look at your actual supplies and income streams and advise on the position that applies to you, rather than assuming one blanket treatment fits all.
Yes, and this is often one of the areas where hospitals feel the most pressure. Large equipment purchases, facility upgrades and other capital expenditure can put a strain on working capital, particularly when income does not arrive evenly. We can build budgets and cash flow forecasts that reflect planned investment alongside ongoing payroll, premises and supplier commitments, so you can see the effect of a decision before you make it.
Yes. Changing accountants is usually more straightforward than people expect, and we can handle much of the process on your behalf, including contacting your existing accountant for the information we need. It helps to plan the timing around your year end, but there is no obligation to wait if you would prefer to move sooner. We will talk you through what is involved before you decide.
The first step is simply a conversation about your hospital or hospital business — how it is structured, how it earns income and what you need from an accountant. From there we will review your current accounting and tax position and suggest a practical way forward. There is no pressure to commit on the first call, and no jargon to wade through.
