Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Farnham
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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 Hospitals Face
Why Hospitals in Farnham 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.
Practical 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
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running day-case, diagnostic or treatment facilities under a hospital structure. The accounting requirements of each can differ significantly depending on how the organisation is set up, how many sites it operates, how staff are employed and what equipment, premises and supplier arrangements are in place. Whether you run a single-site independent hospital or help manage a small group of hospital businesses, the support is shaped around your own structure and activities rather than a generic template.
In practice it covers the day-to-day and year-end work that keeps a hospital's finances in order: bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax and VAT support where those apply to your organisation. For hospitals specifically, that often means tracking staff costs and agency cover, recording medical equipment and capital expenditure properly, monitoring premises and facilities costs, and keeping on top of payments to a wide range of suppliers. Many hospital operators also find management accounts useful because they give a clearer picture of performance between year-end dates.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before work begins. The level of pricing depends on your circumstances, including the size and structure of the hospital business, the number of sites, how many staff are on payroll, whether you need management accounts as well as annual accounts, and how complex your VAT position is. There are no hidden fees, and if your requirements change as the hospital grows, the scope and pricing can be reviewed to match. The best starting point is a conversation about what you need, after which we can set out a clear proposal.
Accounts and tax returns are prepared in line with UK accounting standards and HMRC requirements, with filing deadlines tracked so nothing is missed. We keep records organised throughout the year rather than leaving everything to the last minute, which reduces the risk of errors and makes the year-end process far smoother. Where a particular transaction or income stream needs closer attention, we explain the position clearly and flag anything that needs to be handled differently, so decisions are made with the right information in front of you.
It depends on how the hospital or hospital business is structured. A hospital operating through a limited company will generally pay Corporation Tax on its taxable profits, while an unincorporated hospital business is usually taxed through Income Tax and self assessment instead. Different income streams can also be treated differently, and allowable deductions such as equipment, premises and staffing costs all feed into the final figure. Because the detail matters, it is worth reviewing your structure and income mix rather than assuming a particular treatment applies.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances of each case. Some hospital-related supplies may be exempt from VAT while others are taxable, and where a business has a mix of activities, partial exemption rules can come into play. On top of that, NHS and private hospital arrangements do not automatically receive identical treatment, so it is important to look at your own position rather than rely on general assumptions. We can review your activities and help you apply the right treatment.
Yes. Larger purchases such as medical equipment and other capital expenditure affect both your tax position and your cash flow, and it helps to plan for them rather than deal with the consequences afterwards. We can look at how expenditure is recorded, what relief may be available and how it fits into your wider financial picture, then build that into budgeting and cash flow forecasts. That way, planned investment in equipment or facilities does not come as a surprise to the rest of the business.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, what you currently have in place and what you would like to improve, then review your existing accounting and tax position. If you are switching, we can liaise with your current accountant to bring records across and make the transition as smooth as possible, and we will agree a clear scope of work with you before anything begins. From there, ongoing support is set up around your reporting cycle and filing deadlines.