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.
Most hospital clients need a combination of bookkeeping, payroll, annual accounts, management accounts, financial reporting and cash flow support, along with Corporation Tax help where it applies and VAT support where relevant. What we include depends on the size and structure of your hospital business, whether you run a single site or several, and how much of the day-to-day finance work you want handled for you. We agree the scope up front so you know exactly what is covered.
It is aimed at private hospitals, independent hospitals, hospital operators and hospital groups, including the management and holding companies that support them. If you run a hospital business in or around Haslemere and need accounting and tax work handled properly, the service can be shaped around your circumstances. It is not limited to any single type of hospital, because the accounting priorities differ depending on structure, services offered and income streams.
We work on fixed, transparent packages rather than hourly billing that leaves you guessing. The price reflects the level of work involved, which depends on factors such as transaction volumes, payroll headcount, number of sites and the reporting you need. You get a clear picture of the fees before anything begins, with no hidden extras added later.
Yes. The work is carried out by qualified accountants who keep up with current UK accounting and tax rules, and the practice operates to the professional and regulatory standards expected of an accountancy firm. We will happily talk you through how we work, what we need from you and how your information is handled so you feel comfortable from the outset.
Hospitals often have a mix of income streams and activities, which can affect how Corporation Tax and VAT apply. VAT in particular depends on the nature of each supply, the activities involved and the organisation's own status and circumstances, so it is not something that can be assumed from a single label. NHS hospitals and private hospitals do not automatically share identical accounting or tax treatment, and we look at your actual position rather than applying generalisations.
Yes. Large equipment purchases, refurbishments and facility upgrades have a significant effect on cash flow, tax position and how your accounts should be presented. We help you plan the timing and funding of capital expenditure, reflect it correctly in your financial reporting, and understand how it interacts with your wider tax position. That way major spending decisions are made with proper visibility rather than on instinct.
Hospital payroll tends to involve a wide range of roles, pay rates, shift patterns and contracted hours, and it is usually one of the largest costs in the business. We manage payroll processing so staff are paid accurately and on time, with the associated reporting and compliance handled as part of the same service. This also feeds directly into your management accounts, so staffing costs are always visible in context.
Switching is usually more straightforward than people expect. We begin with an initial conversation about your hospital business, then review your existing accounts, tax position and systems to identify anything that needs attention. From there we agree the scope and take over the necessary records and filings, with support available throughout. If you are staying with your current accountant, we are equally happy to help with a specific project or an independent review.
