Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Goring-on-Thames
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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 Goring-on-Thames 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
It depends on what your hospital or hospital business needs, but it typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies, and VAT support where relevant to your supplies. Some hospitals want the full finance function looked after, while others want help with specific areas such as payroll for clinical and non-clinical staff or management reporting for directors and owners. We agree the scope up front so you know what is included and what is not.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that sit behind them. That can include single-site hospitals, organisations with more than one site, and businesses providing hospital services under a range of arrangements with different income streams. Accounting requirements differ depending on how the organisation is structured, how it is funded, what it owns and how it operates day to day, so the support is shaped around your circumstances rather than applied as a standard template.
Pricing is based on the work involved — the size and structure of the hospital, the number of sites, the volume of transactions, payroll complexity, reporting requirements and how much of the finance function you want us to handle. We use fixed, transparent packages where the scope is clear, and we explain what is included before anything begins, so there are no hidden fees or surprise invoices. If your requirements change, we review the arrangement with you rather than simply adding charges.
Your accounts, tax returns and filings are prepared in line with UK accounting and tax requirements, and we work to the deadlines that apply to your organisation, whether that means Companies House filings, HMRC submissions or VAT returns. Where something depends on your structure, activities or status, we explain the position clearly so you can make informed decisions rather than assuming a rule applies to you. If you would like to discuss the qualifications and professional memberships relevant to your engagement, we are happy to cover that when we speak.
Yes. Payroll for hospitals often involves a mix of clinical and non-clinical roles, varied hours, overtime, shift and rota patterns, and different contractual arrangements, which makes accuracy and timing important. We can handle the payroll process from start to finish, including payslips, deductions, pension contributions and the relevant reporting obligations, and we can align payroll data with your management accounts so staff costs are visible and easy to track.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some income may be treated differently from other income and different streams can carry different VAT consequences. We review how your hospital earns money and what it pays for, then explain the position that applies to you and how to record and report it correctly. Where the rules are nuanced, we set out the options so you can plan with confidence.
Medical equipment and other capital purchases usually need to be treated differently from day-to-day running costs, and getting that split right affects your profit position, your tax outcome and how your balance sheet looks to lenders or investors. We look at what you have bought, how it is used and how it should be recorded, then reflect it properly in your annual accounts and management reporting. It also feeds into cash flow and budgeting, because equipment spending is often lumpy and needs planning around.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your current accounting and tax position, including your records, reporting and compliance status. If you are moving from another accountant, we can handle the handover of information and correspondence so the transition is smooth and nothing is missed. From there we agree the ongoing support and a sensible timetable for the work.