Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Sunbury-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 Sunbury-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.
A 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
Most hospital clients need a combination of core services: bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support. Where relevant, that also includes Corporation Tax assistance and VAT support. We look at how your hospital is structured and what it actually needs, then build the service around that, rather than applying a fixed package that ignores the way you operate.
We work with hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups running more than one site. Their accounting requirements vary widely depending on structure, services offered, income streams, staffing, premises, equipment and supplier arrangements, so the support is shaped around each organisation. We do not provide specialist accounting services for NHS Trusts, NHS Foundation Trusts or other public-sector bodies, and accounting or tax treatment is never assumed to be identical across different types of hospital.
Pricing is based on the scope of work involved — the level of bookkeeping, the size and complexity of the payroll, how many sites or entities are involved, and the reporting and tax support you need. We work on fixed, transparent packages wherever possible so you know what you are paying for in advance, and there are no hidden fees added on later. Once we understand your hospital's requirements, we will set out the scope and cost clearly.
Hospital payroll often involves a mix of full-time, part-time, bank and locum staff, different pay rates, shift patterns, overtime and a range of deductions, which makes accuracy essential. We can manage payroll end to end, including payslips, PAYE and National Insurance, pensions and RTI submissions, so staff are paid correctly and deadlines are met. We also keep payroll records aligned with your bookkeeping and management accounts, so staff costs are reflected properly in your numbers.
It depends on the circumstances. VAT treatment varies according to the nature of each supply, the activities involved, the organisation's status and the specific facts, so it should be reviewed rather than presumed — hospitals can have a mix of supplies with different VAT outcomes, and blanket assumptions in either direction can cause problems. Corporation Tax may also apply depending on how the organisation is structured and what it does. We help you understand which treatment applies to your particular activities and keep the position documented.
Yes, and this is often where hospitals see the most practical value. Management accounts give you a clear view of performance partway through the year, while budgeting and cash flow forecasting help you plan for staff costs, medical equipment and capital expenditure, premises, facilities and supplier commitments. With different income streams arriving on different cycles, having reliable forward-looking information makes it far easier to manage working capital and make informed decisions.
We can support hospital businesses operating across more than one site, including situations where there are multiple entities, intercompany arrangements or consolidated reporting requirements. That usually means thinking carefully about how income and costs are allocated between sites, how management information is presented, and how tax and VAT positions are handled across the group. We agree the approach upfront so the reporting stays consistent and useful.
It starts with a conversation about your hospital — its structure, services, income streams, cost base and what you currently have in place for bookkeeping, payroll, accounts and tax. If you are moving from another accountant, we can handle the transfer of records and liaise on your behalf as part of getting set up. From there, we confirm the scope of support and put a clear plan in place, so you know exactly what is happening and when.