Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Fetcham
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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 Fetcham 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
Our support typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, general tax advice and VAT assistance where relevant. Because hospitals have distinctive cost structures and income streams, we shape the service around your specific circumstances rather than applying a standard package. That might mean detailed reporting on staff costs and medical equipment expenditure for one hospital, and a stronger emphasis on multi-site cash flow planning for another.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, including businesses running single sites and those managing several locations. Their accounting requirements vary depending on their legal structure, the services they provide, how they are funded, their staffing arrangements, premises and equipment commitments. If you are unsure whether your hospital or hospital business fits, it is worth a conversation to establish what you need.
We work on fixed, transparent packages, so you know what you are paying for and when, with no hidden fees attached to routine work. Pricing reflects the scope and complexity of what a hospital needs, such as the number of pay runs, the volume of transactions, the level of management reporting and any tax or VAT work involved. We discuss this with you upfront so the arrangement is clear before anything begins.
Yes. Payroll is usually one of the largest and most sensitive areas for any hospital, covering clinical and non-clinical staff, varied shift patterns, overtime and a range of contract types. We can manage the payroll process for you, making sure payments, deductions and reporting obligations are handled accurately and on time, and that the associated costs are reflected properly in your management accounts and budgets.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. Income streams and cost categories can be treated differently, which is why a review of your particular position matters. We can look at how VAT applies to your hospital's activities and help you handle it correctly, including where supplies are mixed.
Yes. Medical equipment and other capital expenditure are significant commitments for most hospitals, and they affect both your cash flow and your longer-term financial planning. We can help you think through the timing and funding of purchases, reflect them properly in your accounts, and make sure the tax and VAT implications of those decisions are understood rather than discovered afterwards.
Switching is usually more straightforward than people expect. We can liaise with your existing accountant to obtain the records and information needed, then review your position and set up processes that suit how your hospital operates. You keep running the hospital while we handle the transition, and we will explain each step so there are no surprises along the way.
It starts with a conversation about your hospital or hospital business, covering how it is structured, what services it provides, how income arrives and where the main accounting and tax pressures sit. From there we confirm the scope of support, agree how the arrangement will work, and put a clear plan in place. Once everything is confirmed, we can begin onboarding and take the accounting workload off your hands.