Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Godstone
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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 Godstone 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
Support is built around what your hospital or hospital business actually needs, and commonly includes bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting. Where relevant, we also cover Corporation Tax and VAT support, along with help preparing for deadlines such as Companies House filings or HMRC submissions. You do not have to take everything — many hospital businesses start with the areas causing the most pressure, such as payroll or management reporting, and add more as needed.
We work with hospitals and hospital businesses rather than general healthcare providers, including private hospitals, independent hospitals, hospital operators and hospital groups. That might be a single-site hospital with a focused service offering, or a larger group running multiple sites with more complex reporting needs. Whether you operate as a limited company, a partnership or another structure, the support is tailored to your arrangements and the income streams you generate.
We use fixed, transparent packages agreed in advance, so you know what you are paying for and when rather than dealing with open-ended hourly billing. The scope is based on the work involved — the number of sites, the size of your payroll, the volume of transactions, how many income streams you have and the level of reporting you need. There are no hidden fees, and if your requirements change we discuss the impact on scope and cost before anything moves forward.
Compliance starts with accurate, well-maintained records, so we keep your bookkeeping and payroll up to date and make sure statutory accounts and filings are prepared correctly and submitted on time. We monitor the key deadlines that apply to your hospital business, including Corporation Tax returns where relevant and confirmation statements, and flag anything that needs your attention before it becomes urgent. If you would like to see the regulatory registrations and professional details that apply to the people handling your work, we are happy to confirm these directly.
Yes. Hospital payroll tends to be one of the largest and most varied costs a hospital carries, with different roles, shift patterns, overtime, enhancements and varying contract types to account for. We can run payroll end to end, including payslips, RTI submissions, pension contributions and the record-keeping that sits behind them. Getting this right matters both for staff confidence and for making sure your management accounts and year-end figures reflect the true cost of your workforce.
Hospitals often earn income in several different ways, and each stream needs to be understood on its own terms before the tax and VAT position can be confirmed. VAT treatment in particular depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be assumed from the sector alone — and NHS hospitals and private hospitals do not necessarily face identical treatment. We review how your income arises and explain the position clearly, so you can plan with confidence.
Medical equipment and other capital items can involve significant outlay, and it usually helps to plan for them rather than absorb them as a surprise. We can factor capital expenditure into your budgeting and cash flow forecasting, and make sure assets are recorded and treated appropriately in your accounts. Where Corporation Tax relief may be available on qualifying purchases, we will explain how it applies to your circumstances, so decisions about timing and funding are made with the full picture in front of you.
Getting started is straightforward: we begin with a conversation about your hospital or hospital business, your current accounting arrangements and what you want to improve. We then review your existing records and tax position, agree the scope of support, and handle the handover with your previous accountant where one is involved. If you are moving across mid-year, we manage the transition carefully so deadlines are not missed and nothing falls between the two firms.