Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Chertsey
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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 Chertsey 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 scope depends on your organisation, but most hospital clients need a combination of annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow planning, financial reporting, and tax support such as Corporation Tax where a company structure applies. VAT support can also be included where it is relevant to your supplies and activities. We agree the scope with you upfront, so you know exactly what is covered and how often you will receive information, rather than discovering gaps later in the year.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses, including day-case facilities and specialist treatment centres. Some clients are single-site organisations, while others run several locations or a group structure with multiple entities. What they have in common is a need for accounting support that understands hospital operations, from large payroll runs and equipment costs to multiple income streams and heavy supplier commitments.
We work on fixed, transparent fee packages rather than open-ended hourly billing, so you can plan your costs with confidence and there are no hidden fees. The fee reflects the scope of the work, which is influenced by factors such as your structure, transaction volumes, the size of your payroll, the number of sites and how much reporting you need. Once we understand your situation, we will explain what the service involves and what it costs before anything begins.
Yes. Payroll for hospitals often involves varied shift patterns, rota-based pay, unsocial hours and overtime enhancements, pension contributions and different contract types, so accuracy and consistency matter. We can manage the payroll process, including PAYE and Real Time Information reporting, produce the payslips and summaries your team needs, and make sure the figures feed correctly into your management accounts so staff costs are visible rather than buried.
VAT for hospitals is not a one-size-fits-all area. The treatment depends on the nature of the particular supply, the activities involved, the organisation's status and the specific circumstances, so some healthcare-related supplies may be exempt while others are standard-rated or treated differently. Mixed supplies, partial exemption and the way services are packaged can all affect the position. We look at what you actually provide and how you provide it before advising on the most appropriate approach.
Yes, where your hospital operates through a company, Corporation Tax applies and we can support you with the compliance and planning around it, including the timing of capital expenditure on medical equipment and how assets are treated in your accounts. Equipment purchases, fit-outs and facility improvements can have a significant effect on your tax position and cash flow, so it helps to plan them with the numbers in view rather than dealing with the consequences afterwards.
Cash flow planning is one of the most useful pieces of work we do for hospitals, because costs such as medical equipment, premises, facilities and supplier payments can be large and irregular while income arrives on its own timetable. We use management accounts and realistic budgeting to show you what is coming, flag pressure points early, and help you make decisions about purchases, staffing and expansion with a clearer picture of the impact on your finances.
It usually starts with a straightforward conversation about your hospital, how it is structured and what you need from an accountant. From there we review your current accounting and tax position, deal with the practical side of moving across if you are switching from another firm, and put together a service that fits your organisation. If you are already working with an accountant, we can manage the handover so your records, deadlines and payroll continue without disruption.