Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Guildford
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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 Guildford 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
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses. That includes organisations running from a single site as well as those managing multiple facilities or service lines. Because accounting requirements differ depending on structure, activities, income streams, staffing, premises, medical equipment and operating costs, we start by understanding how your organisation is set up before recommending any support.
Support can cover annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies, general tax support, and VAT support where relevant. In practice, most hospitals need a blend of these, with accurate records, dependable payroll and clear reporting forming the foundation and tax or advisory work layered on top. We shape the mix around your hospital's structure and the way it operates.
Pricing reflects the scope and complexity of what you need, including the size of the organisation, the number of staff on payroll, how many income streams there are, and the level of reporting and tax support required. We set out fixed, transparent fees in advance so there are no hidden charges or unexpected invoices on the way. If your requirements change over time, we review the arrangement rather than letting costs drift.
Yes. Hospital payroll often involves a mix of full-time, part-time, bank and shift-based staff, which means variable hours, overtime and different pay arrangements to process accurately. We manage payroll calculations, payslips, Real Time Information submissions to HMRC and the related record-keeping, so staff are paid correctly and the payroll figures feed into your management accounts and year-end reporting without being duplicated.
Corporation Tax may apply depending on how the hospital or hospital business is structured and whether it generates taxable profits, so the treatment should be reviewed against your own circumstances rather than assumed. VAT is similarly fact-specific, because the correct treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We look at what you actually provide and charge, then make sure the position taken is properly supported.
We do, and for hospitals this is often where the real value sits. Management accounts give you a clearer view of income against staff costs, medical equipment, premises, suppliers and other operating costs, while cash flow forecasting helps you plan for large payments and quieter trading periods. Together they make it far easier to make decisions on capacity, staffing and investment with the numbers in front of you.
Medical equipment and other capital items need to be recorded and treated correctly, with a clear distinction between capital expenditure and day-to-day running costs. We help you keep that record straight, understand how purchases and any financing affect your accounts and tax position, and plan the cash flow implications of significant investment. That way, equipment decisions do not create surprises at the year end.
It begins with a conversation about your hospital or hospital business and what you need support with. From there we review your current accounting and tax position, agree the scope and set out the fees, then manage the handover from your existing accountant where relevant. Once that is in place, we take on the ongoing bookkeeping, payroll, reporting and tax work so your records stay accurate and deadlines are met.