Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Kingston upon Thames
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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 Kingston upon Thames 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
Our work covers the core accounting and tax needs of a hospital business, including annual accounts, bookkeeping, management accounts, payroll for clinical and non-clinical staff, budgeting, cash flow planning and financial reporting, plus Corporation Tax support where it applies and VAT support where it is relevant. Because hospitals carry substantial staff costs, premises overheads, medical equipment commitments and ongoing supplier payments, we focus on keeping your records accurate and your reporting genuinely useful. You deal with one team that already understands your hospital's structure and income streams.
We support private hospitals, independent hospitals, hospital operators, hospital groups and smaller specialist or day-case hospital businesses, along with the trading and holding companies that sit behind them. Every one of these has a different mix of income streams, cost structures and reporting obligations, so the service is shaped around your organisation rather than applied from a template. If you are unsure whether your hospital business fits, a short initial conversation is usually the quickest way to find out.
Pricing is based on the scope of work your hospital actually needs, so it reflects factors such as transaction volumes, payroll headcount, the number of income streams and how much reporting you want each month. We agree a fixed, transparent package in advance, with no hidden fees and no surprise invoices, and we review it as your requirements change. That means you know what you are committing to before any work begins.
Accounting and tax work in the UK is carried out within a regulated framework, and the team handling your hospital's affairs will hold the relevant professional qualifications and memberships for the work involved. We can confirm exactly who will look after your accounts and what professional body they belong to as part of your initial conversation, along with how client information is kept secure and how we stay current with filing and reporting requirements. If your hospital group has an audit requirement, we can discuss how that fits with the wider accounting support.
The main considerations usually centre on how the hospital is structured, how profits are calculated and reported, and how Corporation Tax applies where the organisation is a limited company. Staff costs, capital expenditure on medical equipment, premises costs and professional fees all feed into the tax position, and reliefs such as capital allowances can be relevant depending on what has been purchased and when. Because the answers depend on your specific activities and structure, we work through them with you rather than applying a one-size-fits-all approach.
VAT treatment for hospitals is not a single answer. It depends on the nature of the particular supply, the activities involved, the status of the organisation making the supply and the specific circumstances, so some elements may be treated differently from others. This is an area where assumptions can be costly, particularly for hospitals with a mix of income streams, and it is worth reviewing regularly as your services and arrangements change. We can help you review your position and keep your VAT reporting consistent with it.
Yes. Larger outlays such as medical equipment, premises improvements and facilities upgrades can have a significant effect on both your cash position and your tax position, so they need to be planned rather than absorbed reactively. We help you build capital expenditure into your budgeting, understand how it affects your management accounts and financial reporting, and keep an eye on the timing of payments to suppliers and other commitments. That gives you a much clearer view of what your hospital can comfortably afford to commit to.
Switching is usually simpler than people expect. We ask for some background on your hospital or hospital business, review your current accounting and tax position, and then handle the handover with your existing accountant so the transition does not disrupt your reporting or compliance deadlines. Once we understand your structure, income streams and priorities, we put the right ongoing support in place and agree the scope and pricing with you up front. If you would like to talk it through first, we are happy to start there.