Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Crowthorne
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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 Crowthorne 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 service usually covers the essentials a hospital business needs to stay compliant and well informed: bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax where it applies and VAT support where relevant. Because hospitals vary so much in size, structure and income streams, the exact mix is agreed around your circumstances rather than fixed in advance. If you need help with a specific area such as payroll for clinical and administrative staff, or reporting across multiple income streams, that can be built into the scope.
They are suited to private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with a similar operating model. If your organisation deals with significant staff costs, medical equipment, premises and facilities, multiple suppliers and several income streams, you will likely benefit from accounting support that understands those pressures. We do not act for NHS Trusts, NHS Foundation Trusts or other public-sector organisations, so our work is focused on private and independent hospital businesses.
Pricing is based on the work involved, which depends on the size and complexity of your hospital business, the number of staff on payroll, the volume of transactions, how many income streams you have and what level of reporting you need. We use fixed, transparent packages where possible so you know what you are paying for, with no hidden fees and no surprise invoices. Before anything is agreed, we set out what is included so you can weigh up the cost against the value of the support.
VAT for hospitals is rarely a simple yes-or-no question. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to assume that all hospital services are exempt or that all hospital-related supplies are taxable. We look at what you actually provide, how it is charged and who it is provided to, then help you apply the rules correctly and keep the supporting records in order. Where a position is unclear, we explain the options and the risks so you can make an informed decision.
Yes, payroll is one of the core areas we handle for hospital businesses. Hospital payroll often includes a mix of clinical, administrative, facilities and support staff, with varying hours, rates and contract types, which makes accuracy and timeliness important. We can manage the payroll process, keep records up to date and help you understand the overall staff cost picture, since payroll is usually one of the largest items in a hospital's accounts and has a direct effect on cash flow and budgeting.
We do, and for most hospitals this is where accounting support adds the most day-to-day value. Management accounts give you a clearer view of how income streams, staff costs, premises, equipment and supplier payments are performing against expectations. From there, cash flow forecasting and budgeting help you plan for large outlays such as medical equipment and facility costs, and make decisions about staffing or expansion with better information in front of you.
Yes. Medical equipment and facilities spending tends to be significant and irregular, so it needs to be planned and accounted for properly rather than treated as routine expenditure. We help you think through the accounting treatment, the effect on your financial statements and how the timing of a purchase fits with your cash position. That includes considering how such spending interacts with your tax position and your wider budgeting for the year ahead.
Getting started is straightforward. We begin by understanding your hospital or hospital business and how it operates, then review your current accounting and tax arrangements to identify anything that needs attention. If you are moving from another accountant, we can manage the transition, including requesting the necessary information and records so the change is orderly. Once the position is clear, we agree the scope of ongoing support and put it in place, adjusting it as your requirements change.