Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Egham
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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 Egham 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
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses running day-case units, treatment centres and similar facilities. The common thread is that these organisations carry substantial staff costs, medical equipment and premises overheads, and multiple income streams, so they need accounting and tax support that reflects how a hospital actually operates rather than a one-size-fits-all approach.
The core work covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, alongside Corporation Tax support where it applies and VAT assistance where relevant. In practice, the mix is tailored to each hospital, because a hospital group with several sites and complex staffing will have different reporting needs from a single-site independent hospital. We focus on keeping records accurate, deadlines met and the numbers genuinely useful for decision-making.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees or surprise invoices. The scope depends on the size and structure of the hospital or hospital business, the number of sites, payroll volume, the level of bookkeeping required and whether you need management accounts, financial reporting or tax and VAT support. Once we understand your requirements, we set out a clear fee structure before any work begins.
Yes. Payroll is usually one of the biggest single costs for a hospital, covering clinical staff, administrative teams, support roles and often a mix of full-time, part-time, bank and locum arrangements. We can manage payroll processing, payslips, deductions and the associated reporting so that staff costs are recorded accurately and reconciled properly against the accounts, which also makes budgeting and workforce planning far more straightforward.
Medical equipment and capital spending can be significant for hospitals, and getting the treatment right matters for both your accounts and your tax position. We look at how purchases, leases, financing arrangements and depreciation are recorded, how they affect your reported position and cash flow, and what reliefs or allowances may be available where relevant. The aim is to give you a clear picture of your capital commitments and the ongoing impact on the business.
VAT for hospitals is not a simple yes-or-no question. The treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so some income and costs may be treated differently from others. We review how your supplies and expenditure are structured, help you apply the correct treatment and make sure returns and records are consistent, so you are not exposed to unexpected liabilities or missing out on what you can recover.
Yes. Where Corporation Tax applies to your hospital business, we can prepare and file the necessary returns, calculate liabilities and make sure the position is reflected correctly in your accounts. Alongside that, we prepare management accounts and financial reporting that give hospital operators a clear view of profitability, cost pressures and cash flow, which is essential when you are balancing substantial payroll, equipment and premises commitments.
Getting started is straightforward. We begin with an initial conversation about your hospital or hospital business, how it is structured and what you need help with, then review your current accounting and tax position to identify priorities. If you are switching accountants, we can handle the handover and communicate with your existing adviser on your behalf. From there, we agree the scope and fees and put the ongoing support in place.