Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Banstead
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Banstead 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 core accounting and tax work a hospital or hospital business needs, including bookkeeping, annual accounts, management accounts, payroll, financial reporting, budgeting and cash flow support, Corporation Tax where applicable, and VAT support where relevant. Because hospitals vary so much in size and structure, the exact mix is agreed around what you actually need rather than a fixed package applied to everyone. Some hospitals want a full outsourced finance function, while others only need help with year-end accounts, payroll or a specific tax question.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses whose finances are tied to running clinical facilities and services. Their accounting requirements can differ considerably depending on whether they are a single site or part of a larger group, how they are structured, what services they provide and where their income comes from. We look at each hospital's own circumstances rather than assuming every hospital should be treated the same way.
We use fixed, transparent packages wherever possible, so you know what you are paying for and when. The fee reflects the scope of work involved, such as the number of payroll employees, the volume of transactions, the reporting you need and the complexity of the structure. There are no hidden fees, and if the scope changes we discuss it with you first. The exact cost depends on your hospital's circumstances, so it is best to talk it through with us.
Yes. Payroll is one of the largest and most sensitive cost areas for most hospitals, covering clinical staff, administrative teams, support roles and sometimes bank or locum arrangements. We can manage the payroll process, handle the calculations and submissions, and keep the records organised so the numbers feed properly into your management accounts and annual accounts. Getting payroll right also helps with budgeting and cash flow planning, because staff costs are usually the biggest predictable outgoing a hospital has.
Both depend on your own situation rather than a single rule that applies to every hospital. VAT treatment can vary depending on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances, so it is worth reviewing carefully rather than assuming all hospital services are treated the same way. Corporation Tax applies where it applies to the entity in question, and NHS hospitals and private hospitals do not automatically share identical accounting or tax treatment. We can review your position and explain what it means for you.
Medical equipment and other capital purchases are usually significant commitments for a hospital, so they need to be accounted for correctly and planned for in cash flow terms. We look at how these purchases affect your accounts, your tax position and your budgeting, and we help you think through the timing of major expenditure alongside your income cycles. That way, equipment investment does not create an avoidable squeeze on working capital.
Switching is usually more straightforward than people expect. We review your current accounting position, identify anything that needs tidying up, and coordinate the handover of information from your existing accountant. Once we understand the hospital's structure, income streams and reporting needs, we put the ongoing support in place. You do not need to manage the technical side of the transition yourself, and we will tell you clearly what information we need from you and when.
It starts with a conversation about your hospital or hospital business, what you currently have in place and where you feel the pressure points are, whether that is bookkeeping, payroll, cash flow, tax deadlines or reporting. From there we can outline the support that would suit you and what it would involve, with no obligation to proceed. If you decide to go ahead, we agree the scope and get the records and reporting set up properly from the start.