Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Oxshott
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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 Oxshott 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 covers the core accounting and tax work a hospital or hospital business needs in order to stay organised and compliant. That typically includes bookkeeping, annual accounts, management accounts, payroll for your staff, budgeting and cash flow planning, financial reporting, and Corporation Tax and VAT support where those apply. We can also help with areas such as medical equipment costs, capital expenditure and supplier payments, depending on how your hospital operates and what you need from us.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller specialist and day-case hospital businesses. Each has its own structure, income streams, staffing arrangements and cost base, so the accounting support is shaped around the organisation rather than applied in the same way across the board. If you are unsure whether your hospital fits, a short conversation is usually the quickest way to find out.
We work on fixed, transparent packages, so you know what you are paying for before any work begins. The fee reflects the scope and complexity of what you need, including the size of your hospital, the volume of transactions, payroll numbers, reporting requirements and the level of tax support involved. There are no hidden fees or vague hourly surprises, and we will always be clear about what is included.
Our work is carried out by experienced accounting professionals who follow UK accounting and tax rules and keep pace with HMRC requirements. We are happy to talk through our professional memberships and qualifications directly, and to explain how we handle confidentiality, record-keeping and compliance for hospital businesses. If you have specific requirements or internal policies, we can factor those into the way we work with you.
It depends on how your hospital is structured and what it does. Corporation Tax is generally relevant where a hospital trades through a limited company, while VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Not all hospital-related services are treated the same way, and blanket assumptions can be costly, so we review your position and help you apply the rules correctly.
Yes. Hospitals often face significant outgoings for medical equipment, premises, facilities and staff, and those costs need to be planned for rather than absorbed as they arise. We can help you build budgets, forecast cash flow, plan for capital expenditure and understand how major purchases affect your financial position and your tax position over time.
Yes, and it is usually a straightforward process. We will agree what needs to be transferred, liaise with your existing accountant to obtain the information and records we need, and make sure nothing slips through the net during the handover. Once everything is in place, we set up your ongoing support so your reporting and compliance deadlines continue without disruption.
It starts with a conversation about your hospital, how it is structured, how it operates and what you need from an accountant. From there, we review your accounting and tax requirements, confirm the scope of support and explain how our fixed packages work. You will then have a clear picture of what we will do, what it costs and who will be looking after your affairs.