Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Camberley
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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 Camberley 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
The core of the service covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies, general tax support and VAT support where relevant. In practice, what we do for your hospital depends on its structure and needs — a hospital operator with a large staff payroll and significant equipment costs will have a different focus from a smaller independent hospital with a narrower range of services. We set out clearly what is covered so there are no surprises, and we can adjust the scope as your requirements change.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses operating in the sector. We do not provide specialist accounting services for NHS Trusts, NHS Foundation Trusts or other public-sector bodies. What matters most is that you want accounting support that understands hospital operations — staff costs, clinical and non-clinical payroll, medical equipment, premises and facilities, supplier relationships and a range of income streams.
Pricing is based on the scope and complexity of the work rather than a flat figure applied to every hospital business. A smaller independent hospital with straightforward bookkeeping and payroll needs will generally sit at a different level from a hospital group with multiple cost centres, extensive equipment expenditure and more involved reporting requirements. We work on fixed, transparent packages where possible, explain what is included up front, and avoid hidden fees — so you know what you are paying for and why.
Yes. Payroll is often one of the largest and most sensitive areas of a hospital's accounts, covering a mix of full-time, part-time and shift-based staff across clinical and non-clinical roles. We can handle payroll processing, payslips, PAYE and associated reporting, and make sure the payroll figures feed properly into your management accounts and annual accounts. Getting this right matters both for staff confidence and for keeping your cost reporting accurate month to month.
Corporation Tax applies where it applies, based on the entity structure and the profits being reported, and we handle the calculations and filings as part of your annual compliance work. VAT is more nuanced for hospitals: the treatment of a supply depends on the nature of that supply, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be assumed either way. We look at what your hospital actually does and treats each income stream and cost appropriately, rather than applying blanket assumptions.
Yes, and it is often one of the most valuable parts of the relationship. Hospitals carry substantial fixed costs and equipment purchases or facility upgrades can put real pressure on working capital, so we help you build budgets and cash flow forecasts that reflect the timing of major outflows. That gives you a clearer view of what is affordable and when, and helps you plan supplier payments, payroll and investment decisions with more confidence.
Switching is usually more straightforward than people expect. We agree a suitable handover point, liaise with your existing accountant to obtain the records we need, and bring the bookkeeping and compliance work across in an organised way so nothing falls behind. If there are gaps in the records or outstanding filings, we can help identify them and work through them rather than leaving you to unpick it alone.
It starts with a conversation about your hospital or hospital business — how it is structured, how it earns income, where the main costs sit and what you need from your accountant. From there we review your accounting and tax position, outline what the ongoing support would look like and confirm the scope and pricing before any work begins. You can then choose to move forward at a pace that suits you.