Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Thame
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Thame 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
The scope depends on what your hospital or hospital business needs, but it commonly covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow planning and financial reporting. Where they apply, we also handle Corporation Tax, VAT support and help with HMRC and Companies House compliance. The aim is to keep your records accurate, your reporting clear and your deadlines met, rather than delivering a fixed package that ignores how your organisation actually runs.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide services alongside them. Because a hospital's accounting needs depend on its structure, activities, income streams, staffing, premises, equipment and supplier arrangements, we tailor the support to your situation rather than assuming every hospital is the same.
We use fixed, transparent packages so you know what you are paying for and when, with no hidden fees or surprise invoices. The fee is based on the scope of work involved — for example, the size of your payroll, the number of income streams, the volume of transactions and the level of reporting you need. We will talk through what is included before any work begins, and the arrangement can be adjusted if your requirements change.
We work to UK accounting and tax rules and keep your filing obligations on track, including annual accounts, Corporation Tax returns, VAT returns where relevant and Companies House submissions. Part of the value of ongoing support is that deadlines are monitored rather than remembered at the last minute, and your records stay organised throughout the year instead of being scrambled together at year end. If you would like details of our professional memberships and how we manage compliance, we are happy to talk that through directly.
VAT for hospitals is not a one-size-fits-all area. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some items may be treated differently from others. We look at your actual income streams and activities, then advise on how VAT applies to you and how to report it correctly, rather than relying on broad assumptions.
Yes. Large equipment purchases, facility upgrades, leasehold improvements and other capital expenditure need to be recorded and treated properly, particularly where they affect your accounts, tax position or cash flow planning. We can help you track those costs, understand the financial impact of planned investment and reflect them accurately in your management accounts and year-end reporting.
Hospital finances often involve significant fixed costs and income that arrives on its own timetable, which makes cash flow planning genuinely important. We can help you build budgets, forecast income and expenditure, and monitor performance against plan through management accounts, so you can see pressure points early and make decisions about staffing, equipment and investment with better information behind them.
Getting started is straightforward. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, then agree the support you need. If you are moving from another accountant, we can guide you through what is involved, including the information required and the handover of your records, so the transition happens without disruption to your day-to-day operations.