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 work with hospitals typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, together with Corporation Tax and VAT support where these are relevant to your organisation. Because hospitals carry costs such as staff payroll, medical equipment, premises and facilities, supplier payments and professional fees, we make sure those are recorded accurately and reported clearly. The exact mix depends on the size and structure of your hospital and how much you already handle in-house.
We support private hospitals, independent hospitals, hospital operators and hospital groups in and around Launceston, along with hospital businesses with a similar shape and set of pressures. Whether you run a single site or several, the focus stays on accounting and tax support that fits how a hospital really operates. If you are unsure whether your organisation is a good fit, a short conversation is usually the quickest way to find out.
Pricing is based on the work your hospital genuinely needs, so it reflects factors such as the number of sites, staff numbers, payroll complexity, income streams and the level of reporting required. We use fixed, transparent packages wherever possible, with no hidden fees and no surprise invoices. You will know what is included, and what is not, before any work begins.
Accounting and tax work in the UK is governed by professional standards, and we keep our knowledge current as rules and reporting requirements change. Rather than leaning on badges, the clearest way to judge an accountant is whether they understand your hospital, explain things plainly and keep your compliance in good order. That is the standard we hold ourselves to on every engagement.
VAT in the hospital sector is rarely a simple yes or no. The treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so it is not the case that all hospital services are exempt, nor that everything is taxable. We look at your particular income streams and activities, then advise on how VAT should be treated and reported in your situation.
Yes. Where Corporation Tax applies to your hospital business, we prepare the figures, work out the liability and handle the filing, while making sure the annual accounts give an accurate picture of the organisation. Medical equipment, premises, capital expenditure and staffing costs all feed into that work, so getting the detail right matters. We also explain the numbers in plain English, so you understand what is being reported and why.
Hospital payroll often involves a mix of roles, shift patterns, overtime and varying pay rates, which makes accuracy and timing especially important. We can run payroll end to end, handle the associated reporting and keep records tidy, so staff are paid correctly and your obligations are met. Because payroll is one of the largest costs a hospital carries, having reliable figures also makes cash flow forecasting and budgeting far more useful when planning ahead.
It usually begins with a conversation about your hospital, how it is structured and what you need from an accountant. If you are moving from another accountant, we can help coordinate the handover of information and records so the transition stays smooth and you are not left chasing paperwork. From there, we agree the scope of support and put everything in place.
