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.
It generally covers the day-to-day financial administration and the reporting that sits on top of it. On the routine side, that means bookkeeping, payroll, supplier and expense records, bank reconciliations and VAT where it applies. On the reporting side, it includes annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax where the hospital operates through a limited company. The exact mix depends on how the hospital is set up, how many people it employs and how many income streams it has.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses operating in and around Linlithgow. Some are small single-site operations, while others run multiple sites or sit within a wider group structure. Each arrangement brings different accounting and reporting needs, particularly around consolidation, cost allocation and how income and expenditure is tracked across sites.
Pricing is based on the scope of work involved, which in turn reflects factors such as transaction volumes, the number of employees on payroll, the number of sites, whether VAT returns are required and how much reporting you need. We set out fixed, transparent packages rather than leaving fees open-ended, so there are no hidden costs or vague hourly surprises. The best starting point is a conversation about what your hospital actually needs, after which you can receive a clear picture of what the work involves and how it is priced.
Not automatically, and it is rarely a simple yes or no. VAT treatment depends on the nature of the specific supply, the activities involved, the organisation's status and the particular circumstances, so some supplies may be exempt while others are standard-rated, reduced-rated or outside the scope entirely. Private hospitals and other hospital businesses can also have different VAT positions depending on how they are structured and what they provide. Because of that, VAT should be reviewed against the actual services and transactions rather than assumptions.
Yes. Hospital payroll often involves clinical staff, administrative teams, support and facilities staff, and sometimes bank or locum arrangements, all of which can be paid on different patterns and rates. We can manage the payroll process, handle the associated reporting obligations and make sure staff costs are recorded accurately, since payroll is usually one of the largest single costs a hospital carries and needs to feed correctly into management accounts and budgeting.
Medical equipment and larger purchases need to be treated properly in the accounts rather than simply written off as day-to-day costs. We look at the nature of each purchase, how it is being funded and how it should be reflected in the financial statements, and we factor that into cash flow planning, since equipment spending can put significant pressure on cash even when the underlying business is performing well. This also helps give a clearer picture of profitability and asset position.
You should expect your accountant to be properly qualified and regulated, to work to recognised professional and ethical standards, and to hold the relevant insurance and compliance arrangements. It is sensible to ask directly about qualifications, professional body membership and how the firm handles confidentiality and anti-money laundering obligations. We are happy to talk through how we work and what that means in practice for a hospital business.
Getting started is straightforward. It usually begins with a conversation about your hospital, how it is structured and what you need help with, followed by a review of your current accounting position and existing records. If you are switching from another accountant, we can handle the handover process, including requesting the relevant records and information, so the transition is managed for you and your reporting stays on track rather than slipping behind.
