Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Teddington
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Teddington 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
Our work for hospitals typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax support where it applies and VAT support where relevant to the hospital's activities. We also help with the practical detail that matters to hospitals, such as recording staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments and multiple income streams. The exact scope is agreed with you so it fits your organisation rather than a fixed package.
This service is aimed at hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators, hospital groups and the trading or property entities connected to them. If your organisation provides hospital services and needs reliable accounting, tax and reporting support, we can help. We do not claim to act for NHS Trusts, NHS Foundation Trusts or other public-sector bodies, and we would always discuss your specific structure and status before agreeing a scope of work.
We use fixed, transparent packages based on the work your hospital actually needs, so you know what you are paying for and there are no hidden fees. Pricing reflects factors such as transaction volumes, payroll headcount, the number of income streams, whether management accounts are required and how complex the reporting or tax position is. We will discuss your requirements first and then confirm the scope and cost clearly, so there are no surprises later.
Our work is carried out in line with UK accounting standards and HMRC requirements, and we keep pace with changes in tax and reporting rules that affect hospitals and hospital businesses. We are careful to base advice on your organisation's actual circumstances, particularly where tax treatment depends on structure, activities or status. Where a question falls outside our remit or requires specialist input from another professional, we will say so rather than guess.
Common issues include high and variable staff costs, medical equipment purchases and capital expenditure, premises and facilities overheads, supplier and contractor payments, and the need to track several income streams at once. These all affect profitability, cash flow and budgeting, and they need to be recorded and reported consistently. On the tax side, Corporation Tax may apply to hospital businesses depending on how they are structured, and VAT treatment always depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances.
VAT for hospitals is not a simple yes or no. Some supplies may be exempt, while others may be taxable or subject to a different treatment, and the position depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances. We review what your hospital actually provides and how it is structured before advising, and we help keep the VAT position consistent as services and activities change. We do not apply blanket assumptions to hospital businesses.
Yes. Hospital payroll often involves shift patterns, varying hours, overtime, agency arrangements and a mix of clinical and non-clinical roles, which makes accuracy and timeliness essential. We help process payroll, handle deductions and pension contributions correctly, and keep payroll records aligned with the rest of your accounting so staff costs are properly reflected in management accounts and budgets. That visibility matters when payroll is one of the largest costs in the business.
Getting started usually begins with a conversation about your hospital or hospital business, how it is structured, how it earns income and what accounting, payroll and tax support you currently have in place. If you are switching accountants, we help manage the handover by reviewing existing records and identifying anything that needs tidying up before the next reporting cycle. From there, we agree a scope and put straightforward ongoing support in place, so you always know who to speak to and what happens next.