Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Feltham
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Hospitals and Hospital Organisations We Support in Feltham
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 Feltham 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, hospital groups and the hospital businesses that support them. The accounting needs of each can differ depending on structure, services, income streams and cost base, so we focus on understanding how the hospital operates before recommending how support should be structured. If you are unsure whether your organisation fits, it is worth a conversation to establish what you need.
Support typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax support where applicable and VAT support where relevant. Because hospitals often have complex cost bases covering staff, medical equipment, premises and suppliers, we make sure the records and reporting reflect those realities rather than treating the hospital as a standard business. The exact mix of services is agreed with you based on your circumstances.
We use fixed, transparent packages so you know what you are paying for and when, with no hidden fees or unexpected extras appearing later. Pricing depends on factors such as the size and structure of the hospital, the number of income streams, payroll headcount, transaction volumes and the level of reporting you need. Rather than quoting a one-size-fits-all figure, we scope the work properly and agree the fee with you upfront.
Yes. Payroll is one of the most significant recurring costs for most hospitals, covering a wide range of roles and shift patterns, and it needs to be handled accurately and on time. We can manage payroll processing and the associated reporting, and we tie the payroll figures back into your management accounts and budgets so you always have a clear view of your staffing costs.
We can provide Corporation Tax support where it applies to your organisation, along with VAT support where relevant. VAT treatment for hospitals depends on the nature of the supplies made, the activities involved, the organisation's status and the specific circumstances, so it is never a case of applying a blanket rule. Where VAT applies, we help you understand your position, keep records in order and deal with reporting obligations properly.
Medical equipment and other significant purchases are dealt with appropriately in your records, taking into account whether they are capital in nature and how they should be reflected in your accounts and tax position. Because equipment spending can be substantial and irregular, we also help hospitals plan for it through budgeting and cash flow forecasting, so larger purchases do not come as a surprise to your finances.
Yes. Hospitals frequently receive income from a mix of sources, and each stream can behave differently in terms of timing, payment terms and treatment in the accounts. We structure your bookkeeping and management accounts so these streams are clearly separated and reported, giving you visibility over which areas are performing well and where cash flow pressure may be building.
Getting started is straightforward. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, then agree the scope and the fixed fee with you. If you are moving from another accountant, we can handle the practical side of the transition so the changeover is smooth and your records continue without interruption.