Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Betchworth
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Hospitals and Hospital Organisations We Support
Private Hospitals & Day Surgery Units
Insurer and self-pay income reconciliation, consultant fee arrangements, statutory accounts and management reporting by department.
Care Homes & Nursing Homes
Occupancy and fee income tracking, local authority and private resident billing, agency staff cost control and CQC-ready records.
Specialist & Outpatient Clinics
VAT partial exemption on mixed medical and cosmetic work, capital allowances on theatre and imaging equipment, and payroll for clinical teams.
Multi-Site Healthcare Groups
Consolidated accounts, intercompany recharges, group VAT and site-by-site profitability reporting for expanding providers.
Our Accounting Services for Hospitals
Corporation Tax & Capital Allowances
Full expensing and Annual Investment Allowance claims on theatre, imaging and ward equipment, plus group relief and tax planning.
Bookkeeping & VAT Partial Exemption
Healthcare is largely VAT exempt, but cosmetic work, pharmacy sales, catering and room hire are not. We calculate partial exemption correctly.
Statutory & Management Accounts
Companies House and HMRC filings on time, plus monthly management accounts showing income and margin by department or site.
Payroll for Clinical & Agency Staff
Large-volume payroll including bank and agency shifts, unsocial hours, statutory pay and pension auto-enrolment, filed accurately every cycle.
NHS Pension & Consultant Payments
NHS Pension administration and support for consultants on Annual Allowance, plus correct treatment of self-employed consultant fees.
Key Accounting Challenges for Hospitals
Why Hospitals in Betchworth Choose CruseBurke
Healthcare Finance Expertise
We understand NHS funding, insurer income, consultant fee models and care home fee structures.
Reporting Built for Boards
Management accounts by department, site or service line, ready for the board pack each month.
VAT Partial Exemption Handled
We calculate and document the exempt and taxable split so recoverable input VAT is not lost.
Payroll at Scale
Bank shifts, agency cover, unsocial hours and auto-enrolment processed accurately every cycle.
Compliance Without the Stress
Accounts, returns and payroll filed on time, with records that stand up to funder and CQC scrutiny.
Fair, Fixed Fees
Clear pricing agreed up front, so you get full expert service with no hidden extras.
Our Simple 3-Step Process for Hospitals
1. Initial Consultation (It’s Free):
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.
2. Customised Plan:
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.
3. Ongoing Support & Updates:
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.
Accounting Support Built Around Hospitals
Technology Driven
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
Named Healthcare Accountant
A dedicated accountant who knows your sites, your income mix and your reporting deadlines.
Ongoing Support
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Experienced Team
Our team has over 100 years of combined accountancy experience.
Free - Email Reminders
Never Miss any deadline with our automated email reminders.
Yes, We Are Chartered!
We’re an ICAEW, ACCA & AAT accredited Firm.
How to Switch to CruseBurke
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:
Get in touch
Tell us about your hospital and current accounting requirements.
Letter of Engagement
We’ll send over a simple letter to formalise our partnership and get everything in motion.
Previous Accountants
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
We Do the Rest
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
FAQs About Accountants for Hospitals
It typically covers the full finance function a hospital or hospital business needs: bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting and tax support. Corporation Tax is included where it applies to your organisation, and VAT support is available where relevant — although the correct VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it always needs to be looked at case by case. The mix is tailored to your structure and how your income streams work.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and similar hospital businesses. Accounting requirements differ widely across these — sometimes significantly — depending on how the organisation is structured, the services it provides, the number of sites or facilities it runs, its staffing model and the way its income is generated. We take the time to understand those differences before recommending how the work should be handled.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The fee reflects the scope of the work — the size and complexity of the hospital business, the number of entities involved, the volume of transactions, the payroll requirements and how much management reporting you need. There are no hidden fees, and if your requirements change over time we will discuss any adjustment openly before it happens.
Yes. Payroll is one of the biggest and most complex cost areas for most hospitals, particularly where you have staff on varied shift patterns, rotas, overtime, bank or locum arrangements, or a mix of full-time, part-time and temporary workers. We can handle payroll processing, payslips, real-time reporting to HMRC, pension contributions and the associated record keeping, so wages are paid accurately and on time and the paperwork behind them stays in order.
We prepare and submit Corporation Tax computations and returns for incorporated hospital businesses and limited companies, and we plan ahead so there are no last-minute surprises. VAT is more varied than many people assume — hospitals can have quite different VAT positions depending on the nature of their supplies, their activities, their organisational status and the specific facts, and there is no blanket rule that applies to every hospital service. We assess your situation properly and advise on the treatment that fits it.
Yes, and it is often one of the most valuable things we do. Hospitals typically face significant outgoings on staff, medical equipment, premises, facilities, suppliers and professional services, while income may arrive from several different streams on differing timescales. We help you build realistic budgets, forecast cash flow, monitor actual performance against plan and identify pressure points early — so decisions about equipment purchases, staffing or expansion are made with proper financial visibility.
In most cases, yes, and switching is usually more straightforward than people expect. We will review your existing records, identify what needs attention, liaise with your previous accountant for the necessary information and put a clean process in place going forward. Many hospital businesses come to us because their reporting is late, unclear or simply not suited to how a hospital operates, and a fresh look often uncovers both quick wins and longer-term improvements.
The first step is a conversation about your hospital or hospital business — how it is structured, what you need help with and where the current pain points are. From there we will outline what the work would involve and how it would be priced on a fixed, transparent basis. If it looks like a good fit, we will agree the scope and timescales and handle the transition, so the handover is smooth and your compliance deadlines are never left exposed.