Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Thames Ditton
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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 Thames Ditton 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
The core work covers annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow planning, financial reporting, Corporation Tax where it applies, general tax support and VAT support where it is relevant. In practice, most hospitals want a mix of these depending on how the organisation is set up and how much internal resource is available. Everything is prepared around hospital operations, so staff costs, medical equipment, premises, suppliers, professional services and multiple income streams are all reflected properly in the numbers rather than treated as generic overheads.
We support private hospitals, independent hospitals, single-site hospital businesses, hospital operators running more than one facility, and hospital groups managing several locations or service lines. Each brings different accounting requirements. A single-site independent hospital may want day-to-day bookkeeping, payroll and management accounts, while a hospital group may need consolidated reporting, tighter cash flow visibility and more structured budgeting across sites. The service is shaped around your structure, activities and income streams rather than a fixed template.
Fees are quoted as fixed, transparent packages so you know what you are paying for and there are no hidden extras added on later. The figure reflects the scope of work involved, which varies with the size of the hospital, how it is structured, the volume of transactions, the number of staff on payroll, the complexity of the income streams and the level of reporting and tax support you need. We talk through what is included before anything begins, and the package can be adjusted if your requirements change.
Your accounts should be prepared in line with UK accounting standards, and tax and VAT filings should be submitted accurately and on time to HMRC. When you speak with us, we will explain who would be handling your work and the professional standards and memberships behind it, so you can make an informed decision rather than relying on assumptions. The wider point is that hospitals need an accountant who keeps records clean, deadlines under control and reporting reliable, because HMRC enquiries, late filings or inconsistent figures are disruptive for any hospital business.
Yes. Hospital payroll is usually one of the more demanding areas to get right, because it often involves clinical and non-clinical teams, shift patterns and rota-based hours, varying rates, overtime, and staff moving between departments or sites. We handle payroll processing, payslips, Real Time Information submissions to HMRC and pension auto-enrolment obligations, and we make sure payroll costs feed properly into your management accounts and budgets. That matters when staff costs represent a large share of overall expenditure.
VAT treatment for hospitals is not a simple yes-or-no answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and some supplies may be treated differently from others within the same organisation. A hospital can also have a mix of activities that fall into different categories, which makes record-keeping and classification important. Private hospitals and NHS hospitals should not be assumed to have identical accounting or tax treatment, so it is always worth reviewing your position properly rather than applying a blanket rule.
Yes. Corporation Tax applies to some hospital businesses and not others, depending on how the organisation is structured, so the first step is establishing what actually applies to you. We then make sure the figures behind the return are accurate, including the different income streams a hospital may generate and the significant costs that sit alongside them. Capital expenditure on medical equipment and facilities is another area that needs careful treatment, since how it is recorded and accounted for can affect your reported position, your tax position and your cash flow planning.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, how it is structured and what you need support with, then review your existing accounting and tax arrangements to see what is working and what needs attention. If you are moving from another accountant, we can deal with the handover of records and communication with your previous adviser on your behalf, so the transition does not disrupt your reporting or your payroll. From there we agree a fixed package and put ongoing support in place.