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.
They provide accounting and tax support for hospitals and hospital businesses, including annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow, financial reporting, Corporation Tax where applicable and VAT support where relevant. The work is shaped around hospital operations such as staff costs, medical equipment, premises, suppliers and multiple income streams. The goal is to keep records accurate, reporting useful and tax compliance handled in line with your circumstances.
These services are for private hospitals, independent hospitals, hospital operators and hospital groups in and around Lockerbie, as well as other hospital businesses that need ongoing accounting support. Whether you run a single-site hospital or a small hospital group, your accounting needs can vary based on structure, activities, income streams, staffing and premises. If your organisation is a hospital or hospital-focused business, the support can be tailored to suit.
Pricing is usually based on the scope and complexity of your hospital's accounting needs, such as transaction volumes, payroll size, reporting requirements, tax matters and how much support you need. We aim to provide fixed, transparent packages with no hidden fees, so you know what to expect. The exact fee depends on your circumstances, and we will explain the basis clearly before any work begins.
We provide professional accounting and tax support, and we work within the relevant UK accounting, tax and compliance requirements. If you need confirmation of specific qualifications, memberships or regulatory details, we can provide the appropriate information when you get in touch. The focus is on accurate records, appropriate filings and advice that matches your hospital or hospital business.
Hospital businesses often need help with staff payroll, medical equipment costs, premises and facilities, supplier payments, capital expenditure, cash flow, budgeting, management accounts and annual financial reporting. Corporation Tax may apply depending on your structure and activities, and VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We look at how your hospital operates and help keep the accounting and tax position clear.
VAT for hospitals is not a one-size-fits-all area. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is important not to assume that all hospital services are exempt or that all hospital-related supplies are taxable. We can review your situation and help you understand the VAT considerations relevant to your hospital or hospital business.
Medical equipment and capital expenditure can have a significant effect on cash flow, budgeting, reporting and tax positions. We can help you keep those costs organised in your records, reflect them appropriately in management accounts and financial reporting, and consider the tax treatment that applies to your circumstances. This gives hospital operators a clearer view of both day-to-day costs and longer-term investment.
Getting started usually begins with a conversation about your hospital or hospital business, your current accounting arrangements and what you need help with. We review your requirements, explain how we can support you and agree a practical way forward. If you are switching accountants, we can discuss the transition so the move is handled as smoothly as possible.
