Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Burnham
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Burnham 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
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the businesses that own or manage them. That can include single-site facilities and organisations running several sites under one structure. Because each hospital has its own services, income streams, staffing model and cost base, the accounting support is shaped around the organisation in front of us rather than applied as a fixed template.
Support typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable and VAT support where relevant. In practice, most hospitals need a combination of these, depending on whether they employ staff directly, hold significant equipment or premises costs, work with insurers or contract partners, or operate across more than one site. We agree the scope with you so it matches what the hospital actually needs.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The right package depends on factors such as the size of the hospital, the number of staff on payroll, the volume of transactions, how many sites you operate and the level of reporting you need. We discuss your circumstances and confirm the scope before any work begins.
Yes. Payroll is usually one of the largest costs for a hospital, and it often includes clinical staff, administrative teams, support and facilities staff, bank or locum workers and shift patterns that vary week to week. We can manage payroll processing, payslips, deductions, pension contributions and the reporting that goes with it, which helps keep staff paid accurately and reduces the risk of errors building up across the year.
Medical equipment, facilities improvements and other capital items need to be recorded and treated correctly, which affects both your reported position and the tax relief available. We can help you separate capital spend from day-to-day operating costs, keep track of what the hospital owns and is depreciating, and plan for significant purchases without losing sight of cash flow. Because these decisions often involve judgement, we look at the specific assets and circumstances involved.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, and different income streams within the same hospital can be treated differently. We review how your hospital operates and which supplies it makes, then advise on the position that applies to you and how to report it correctly.
Where a hospital operates through a company, Corporation Tax is usually relevant, and the calculation depends on profits, allowable costs, capital allowances and the way income is recognised across different services. Hospitals often receive income from several directions, such as patient fees, insurers, contracts and other activities, each with its own timing and treatment. We help keep those streams recorded properly so the taxable position is accurate and the reporting is clear.
It usually starts with a conversation about your hospital, how it is structured and what you need help with. We then review your existing records, reporting and compliance position, and set out how we would support you going forward. If you are switching accountants, we can handle the handover from your current adviser and make sure nothing important is missed along the way.