Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Caterham On The Hill
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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 Caterham On The Hill 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.
Practical 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 accounting and tax work a hospital or hospital business needs to stay compliant and well informed. In practice that usually means bookkeeping, annual accounts, payroll for clinical and administrative staff, management accounts, budgeting and cash flow support, financial reporting, Corporation Tax where it applies, and VAT support where relevant. The exact mix depends on how your hospital is structured and how much of the day-to-day finance work you want handled for you.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that sit alongside them. Their circumstances differ widely, from a single-site independent hospital to a group running several facilities, and the accounting requirements tend to follow that structure. Larger operations often need more detailed management reporting and cost analysis, while smaller ones may simply want reliable compliance and clear year-end accounts.
Pricing is based on the scope of work and the complexity of your hospital business, so it is agreed in advance rather than left open-ended. We use fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees appearing later. Once we understand your income streams, staffing, equipment and reporting needs, we can set out a clear scope and a clear cost.
Yes. Payroll is often one of the largest and most intricate areas of a hospital's finances, particularly where you have a mix of clinical, administrative and support staff on different contracts and pay arrangements. We can handle the regular payroll processing, deal with the associated reporting obligations, and make sure the figures feeding into your management accounts and budgets are consistent with what is actually being paid out.
VAT treatment for hospitals is not a one-size-fits-all answer. It depends on the nature of the supplies you make, the activities involved, the status of your organisation and your specific circumstances, so two hospital businesses can face quite different positions. We look at what you actually provide and how it is charged, then explain where VAT applies, where it may not, and what records and reporting you need to keep in order.
Yes. Medical equipment and other capital expenditure can put real pressure on cash flow, especially when purchases are substantial or financed over time. We can help you reflect those costs properly in your accounts, factor them into budgets and cash flow forecasts, and understand the tax and reporting implications so that major purchases are planned for rather than absorbed as a surprise.
Switching is usually more straightforward than people expect, and it is something we handle regularly. We can request the relevant information from your existing accountant, review the records you have, and bring everything across in an organised way so there is no gap in your compliance. The main thing is giving us a clear picture of your current position so the transition does not disrupt your payroll, reporting or filing deadlines.
It begins with a conversation about your hospital or hospital business, how it is structured, what income streams you have and what you want from an accountant. From there we review your current accounting and tax position, then set out a scope of work and a clear cost. Once that is agreed, we put the ongoing support in place and adapt it as your operations change.