Accountants for Private Hospitals, Clinics & Care Homes

Accountants for Hospitals in Tadworth

Practical accounting, tax and compliance support built around the day-to-day financial realities of running a hospital or hospital business in Tadworth.

4.9/5.0

Google Reviews

accountants for hospitals

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Jamie Fletcher profile picture
Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman profile picture
Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Muna Mohamoud profile picture
Muna Mohamoud
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I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail. Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable. I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
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Sergey M profile picture
Sergey M
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I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
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Ebba Qureshi profile picture
Ebba Qureshi
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Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
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Mael Leboucher profile picture
Mael Leboucher
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We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did. Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly. Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible. Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow. I would 100% recommend them.
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3rd Hub profile picture
3rd Hub
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Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
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Martin Tyrrell profile picture
Martin Tyrrell
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I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free. A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently. I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
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Matthew Lyon profile picture
Matthew Lyon
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Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
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Hospitals and Hospital Organisations We Support

We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the wider hospital businesses that sit around them, such as day-case and diagnostic facilities and specialist treatment centres. Their accounting needs vary enormously depending on how the organisation is structured, the range of services it provides, the income streams it relies on, and the scale of its staffing, premises, medical equipment, supplier arrangements and day-to-day operating costs. Because of that, we take the time to understand the shape of each hospital business before recommending how its accounts, payroll and tax affairs should be handled.

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

As Accountants for Hospitals, we cover the core financial work that keeps a hospital business running smoothly, including annual accounts, day-to-day bookkeeping, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax and VAT support where those apply. Everything is shaped around hospital operations rather than a generic template, so staff costs, medical equipment, premises and facilities, supplier payments, professional fees and different income streams are all reflected properly in the numbers. The aim is straightforward: clear, timely information that helps hospital operators make confident decisions about cost, capacity and growth.

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.

accounting services for hospitals

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

Hospitals rarely have simple finances. Staff costs and rota patterns sit alongside significant spending on medical equipment, premises, facilities and specialist suppliers, while income may arrive through several different routes with their own timing and terms. That combination can put real pressure on cash flow and make accurate financial reporting harder than it needs to be, particularly where capital expenditure and longer-term commitments are involved. Corporation Tax and VAT need careful attention too, since VAT treatment depends on the nature of the supplies being made, the activities involved, the organisation’s status and the specific circumstances rather than a single blanket rule. Working with accountants who understand those operational and financial requirements helps hospitals keep control of the detail.
Chartered accountants for hospitals

Why Hospitals in Tadworth Choose CruseBurke

CruseBurke provides accounting support designed around hospital businesses, from keeping financial records accurate through to payroll, management accounts, cash flow planning, tax compliance and clear financial reporting. We understand that costs such as medical equipment, premises and supplier contracts need to be tracked carefully, and that hospital operators want figures they can rely on when they are planning ahead. Our approach is tailored to each hospital or hospital group, so the support you receive reflects how your organisation actually operates rather than a one-size-fits-all package.

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

We start by getting to know your hospital or hospital business properly, including how it is structured, how it earns income and where the main costs sit. From there, we review your existing accounting and tax position to identify what needs attention and what can be improved. The final step is putting the right ongoing support in place, so your bookkeeping, payroll, reporting and tax obligations are handled consistently and you always know where your finances stand.

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.

Chartered accountants

Practical Accounting Support Built Around Hospitals

Our work with hospitals is practical rather than theoretical. That means keeping bookkeeping up to date, running payroll accurately for a workforce that often includes a mix of clinical and support staff, preparing annual accounts and management accounts, and producing financial reporting that makes sense of your income streams and cost base. We also help with cash flow planning, tax support and the ongoing tracking of spending on medical equipment, premises, suppliers and operating costs, so the financial picture you see is genuinely useful for running the hospital.

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, hospital groups and other hospital businesses such as day-case, diagnostic and specialist treatment facilities. The right approach depends on your structure, the services you provide and how your income is generated, so we take time to understand your organisation before advising. If your hospital operates as a company, a partnership or another structure, the accounting and tax requirements will differ accordingly, and we tailor our support to match.

Our hospital accounting services typically cover bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning and financial reporting, along with Corporation Tax and VAT support where those apply to your circumstances. We also help you keep track of significant cost areas such as staff wages, medical equipment, premises and facilities, supplier payments and professional services. Because hospital finances are rarely straightforward, we focus on producing information that is accurate, timely and genuinely useful for decision-making.

We work on fixed, transparent packages agreed in advance, so you know what you are paying for before any work begins. The fee reflects the scope and complexity of your hospital's requirements, such as the volume of transactions, the size of your payroll, the number of income streams and whether you need support with areas like VAT or capital expenditure tracking. There are no hidden fees, and we are happy to talk through what is included so you can compare options with confidence.

Yes. Payroll is often one of the largest and most complicated cost areas for a hospital, particularly where you have a mix of full-time, part-time, bank or locum staff working varied shift patterns. We can manage payroll processing, deductions, payslips and the associated reporting so your team is paid accurately and on time. Getting payroll right also feeds directly into your management accounts and cash flow planning, which makes it easier to see how staffing costs affect your overall position.

Tax treatment for hospitals is not a one-size-fits-all matter. VAT depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so some income may be treated differently from other income. Corporation Tax applies where a hospital operates through a limited company and makes taxable profits, with allowances and reliefs potentially available on qualifying expenditure such as medical equipment or premises improvements. We review your position individually and explain what applies to you rather than relying on assumptions.

Yes. Purchases of medical equipment, facilities upgrades and other significant capital items can have a major effect on both your cash flow and your tax position. We help you plan for that spending sensibly, track it accurately in your records, and consider how it interacts with your accounts, budgeting and any available tax reliefs. This keeps major investments visible in your financial reporting rather than being a surprise at year end.

Switching is usually far less disruptive than hospital operators expect. Once you decide to move, we can liaise with your existing accountant to obtain the records and information needed, then review your current bookkeeping and reporting so nothing is missed. From there we agree a practical timetable for ongoing work such as payroll, management accounts and tax filings. If you would rather phase the transition, that can often be arranged to suit your operational priorities.

Getting started begins with a conversation about your hospital or hospital business, including how it is structured, how it earns income and what financial support you currently have in place. We then review your accounting and tax position and outline how we would help, along with a clear fixed-fee package. You are under no obligation to proceed until you are comfortable with the scope and the approach, and we will guide you through each stage of the process.

Speak to an Expert

Need Accountants for Hospitals in Tadworth Who Understand Your Business? We Make Hospital Finances Clearer, Calmer and Easier to Manage.

Hospitals often struggle with complex payroll, heavy equipment and premises costs, and financial reporting that arrives too late to be useful. CruseBurke helps hospital businesses take control with reliable bookkeeping, management accounts, payroll and cash flow planning, plus Corporation Tax and VAT support where they apply. With clear figures and an understanding of how hospitals actually operate, you can plan ahead with confidence and focus on delivering care.