Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Redhill
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Hospitals and Hospital Organisations We Support in Redhill
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 Redhill 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
Most hospital clients need a combination of bookkeeping, payroll, management accounts, annual accounts, financial reporting, budgeting, cash flow support and tax assistance, including VAT and Corporation Tax where applicable. We can take on the whole finance function or focus on the specific areas where you need extra capacity, such as payroll during a period of growth. Everything is agreed up front, so you know exactly what is covered and what sits outside the scope.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses running day-case units, diagnostic facilities and specialist inpatient services. Because accounting needs vary so much depending on structure, activities, income streams and staffing, we start by understanding your organisation rather than applying a template. If you are unsure whether your hospital fits, it is worth a conversation.
Fees are based on the scope and complexity of the work — the size of your hospital business, the volume of transactions, payroll numbers, reporting requirements and the level of support you need. We use fixed, transparent packages wherever possible, agreed in advance, so there are no surprises and no hidden fees. If your requirements change during the year, we discuss any adjustment with you before it happens rather than after.
We prepare accounts and tax filings in line with current UK accounting and tax requirements and work to deadlines, so submissions and payments are not missed. Our team keeps up to date with the areas that affect hospital businesses, including VAT treatment and capital allowances on equipment and facilities. We are happy to talk through our professional memberships and regulatory registrations during an initial conversation.
Yes, although VAT for hospitals is rarely straightforward. The correct treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so what applies to one hospital may not apply to another. We review your income streams, supplies and cost profile, help you apply the right treatment, keep suitable records and manage VAT returns and queries from HMRC.
Hospital payroll often involves large teams, varied shift patterns, different pay rates, overtime, bank or agency staff and pension auto-enrolment, which makes accuracy and timing critical. We can run payroll end to end, handle starters and leavers, produce payslips and manage RTI submissions to HMRC. Payroll costs also feed cleanly into your management accounts and budgets, so you always know where your staffing spend sits.
Yes. Significant equipment purchases affect your cash flow, your balance sheet and potentially your tax position through capital allowances. We can help you budget for planned expenditure, model the impact on cash flow, and make sure equipment costs are recorded and treated correctly in your accounts and financial reporting.
It usually begins with a conversation about your hospital, your current accounting arrangements and what you would like to improve. If you decide to move across, we handle the handover with your existing accountant, gather the information we need and agree a timetable that fits your reporting cycle. From there, support continues on an agreed basis, so you always know what is happening and when.