Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Godalming
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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 Godalming 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
Support typically covers bookkeeping, payroll for clinical and administrative teams, annual accounts, management accounts, financial reporting, budgeting and cash flow planning. We also handle Corporation Tax where applicable, wider tax compliance and VAT support where relevant to your activities. The exact combination is shaped around your hospital's structure, income streams and internal set-up, so you get the elements you genuinely need rather than a rigid package.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as day-case facilities, specialist treatment centres and consulting room operations. Each of these can have very different accounting needs depending on how the business is structured, how many staff it employs, what equipment and premises it maintains and how its income is generated. If you are unsure whether your organisation fits, it is worth a conversation.
We work on fixed, transparent packages agreed in advance, so you know what the service covers and what it costs before any work begins. There are no hidden fees, and the package is based on the scope you actually need — for example, whether payroll, management accounts, VAT support or budgeting work is included. Larger hospital groups with more complex reporting requirements will naturally need a different arrangement from a single-site hospital business.
All work is carried out in line with UK accounting standards and current tax rules, and we keep pace with changes that affect hospital businesses, including areas such as payroll, Corporation Tax where applicable and VAT treatment. Because those rules can shift, we review your position as part of ongoing support rather than treating compliance as a one-off exercise. If you would like to know more about the qualifications and professional memberships held by our team, we are happy to confirm this directly.
Yes. Hospital payroll often involves a mix of clinical staff, administrative teams, part-time and shift-based working, and varying pay arrangements, which makes accuracy and consistency especially important. We can take on payroll processing, handle the associated reporting obligations and make sure staff costs are reflected properly in your management accounts and financial reporting, so you can see what your workforce genuinely costs you.
VAT treatment for hospitals is not a single, uniform answer. It depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances, so some income and costs may be treated differently from others. We review your particular situation and explain how it applies to you, rather than assuming one rule covers everything.
Yes. Medical equipment is often one of the largest financial commitments a hospital makes, and the way it is accounted for affects your reported position, your cash flow and your tax position. We can help you plan for capital expenditure, understand the impact on your accounts, and keep budgeting and management reporting aligned with the reality of purchasing, replacing and maintaining equipment.
Switching is usually far less disruptive than people expect. We start by understanding your hospital or hospital business and reviewing the accounting and tax requirements already in place, including how records are kept and what reporting is produced. From there we agree an approach that works for you and put ongoing support in place, coordinating with your existing accountant where needed so the transition stays smooth.