Accountants for Private Hospitals, Clinics & Care Homes

Accountants for Hospitals in Thames

Practical accounting, tax and payroll support for private hospitals, independent hospitals, hospital operators and hospital groups across Thames — built around how hospitals actually operate, earn and spend.

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4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

      EXCELLENT  
   Based on 300 reviews 
    
 
 
 
   
 
 
       Posted on Google  
   
   Jamie Fletcher 
 
 
 
 Trustindex verifies that the original source of the review is Google. It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
  
 
      Posted on Google  
   
   Mansur Liman 
 
 
 
 Trustindex verifies that the original source of the review is Google. Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
  
 
      Posted on Google  
   
   Muna Mohamoud 
 
 
 
 Trustindex verifies that the original source of the review is Google. I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail.

Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable.

I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
  
 
      Posted on Google  
   
   Sergey M 
 
 
 
 Trustindex verifies that the original source of the review is Google. I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
  
 
      Posted on Google  
   
   Ebba Qureshi 
 
 
 
 Trustindex verifies that the original source of the review is Google. Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
  
 
      Posted on Google  
   
   Mael Leboucher 
 
 
 
 Trustindex verifies that the original source of the review is Google. We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did.

Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly.

Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible.

Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow.

I would 100% recommend them.
  
 
      Posted on Google  
   
   3rd Hub 
 
 
 
 Trustindex verifies that the original source of the review is Google. Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
  
 
      Posted on Google  
   
   Martin Tyrrell 
 
 
 
 Trustindex verifies that the original source of the review is Google. I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free.

A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently.

I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
  
 
      Posted on Google  
   
   Matthew Lyon 
 
 
 
 Trustindex verifies that the original source of the review is Google. Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
  
 
  
  
 
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Hospitals and Hospital Organisations We Support

We support private hospitals, independent hospitals, day-case and specialist hospital facilities, hospital operators and hospital groups across Thames. Their accounting needs vary considerably depending on how they are structured, the services they provide, their income streams, staffing arrangements, premises, medical equipment and ongoing operating costs. Whether you run a single site or a growing group, the finances behind a hospital are rarely straightforward, and the accounting work should reflect that.

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

As Accountants for Hospitals, we cover the day-to-day and year-end work that keeps a hospital’s finances in order — bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, budgeting and cash flow planning, financial reporting and Corporation Tax where it applies. Because hospital costs sit in very specific places, from medical equipment and premises through to staffing, consumables, professional services and supplier contracts, we approach the numbers with that context in mind. VAT support is also available, with the treatment of hospital-related supplies assessed case by case according to the nature of the supply, the activities involved and the organisation’s status.

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

Hospitals carry significant fixed costs — premises, facilities, medical equipment and a payroll that is often the largest single outgoing in the business — while income may arrive from several different streams, each with its own timing and terms. That combination puts real pressure on cash flow, particularly when capital expenditure, equipment maintenance and supplier payments fall due in the same period. Reporting can also become difficult to interpret when costs are spread across departments, sites or service lines, and both VAT and Corporation Tax positions need reviewing against the specific circumstances rather than being assumed. This is where accounting support that genuinely understands hospital operations makes a practical difference.

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Why Hospitals in Thames Choose CruseBurke

CruseBurke provides accounting support shaped around hospital businesses — accurate financial records, payroll, management accounts, cash flow planning, financial reporting and tax compliance, with the detail set up to reflect how your hospital actually runs. Medical equipment costs, premises, supplier arrangements and multiple income streams are all part of the picture, so the support you receive is grounded in the realities of your operation. The aim is straightforward: clear, reliable numbers and a team you can talk to when decisions need to be made.

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.

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A Simple 3-Step Process for Hospitals

We start by understanding your hospital — how it is structured, how it earns, where the main costs sit and what matters most to you right now. From there we review your existing accounting and tax position, including your records, payroll, reporting and any compliance deadlines on the horizon. We then put ongoing support in place that fits your hospital, and we revisit it as the business changes rather than leaving it to gather dust.

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.

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Accounting Support Built Around Hospitals

Accounting support for a hospital needs to fit the way a hospital works, which is why we tailor our work to your structure, services and income streams rather than applying a generic template. That can include bookkeeping, payroll, annual accounts, management accounts, financial reporting, cash flow planning and tax support, with medical equipment, premises, suppliers and operating costs properly reflected in the figures. The result is information you can rely on for planning, funding conversations and day-to-day decisions.

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

What does your service include for hospitals?

It depends on the size, structure and complexity of your hospital, but in practice it usually covers bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, budgeting and cash flow planning, financial reporting and tax compliance. VAT support is available where relevant, and the VAT treatment of hospital-related supplies is always reviewed against the specific circumstances rather than assumed. We agree the scope with you up front so you know exactly what is covered.

Which types of hospitals do you work with?

We work with private hospitals, independent hospitals, day-case and specialist hospital facilities, hospital operators and hospital groups. A single-site hospital with a focused service line has very different accounting needs from a multi-site group with several income streams, and the support is shaped accordingly. If you are unsure whether your organisation fits, it is worth a conversation — the practical answer usually becomes clear quickly.

How does pricing work for Accountants for Hospitals?

We use fixed, transparent packages agreed in advance, so you know what you are paying for and when. Pricing reflects the scope of work involved — the size and complexity of the hospital, the number of staff on payroll, the volume of transactions, reporting requirements and any additional compliance work needed. There are no hidden fees, and if your requirements change we discuss any adjustment with you before it happens.

Do hospitals have specific VAT considerations?

Yes, and they vary considerably from one organisation to the next. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be answered with a blanket rule. Some hospital-related supplies may be treated differently from others, and mixed or ancillary activities can complicate matters further. We review your position carefully and help you apply the right treatment, including where adjustments such as partial exemption may need to be considered.

Can you manage payroll for hospital staff?

Yes. Hospital payroll often involves a mix of clinical and non-clinical employees, varied shift patterns, overtime, enhancements and sometimes agency or locum arrangements, which makes accuracy and timeliness particularly important. We handle payroll processing, payslips, PAYE and the associated reporting obligations so your staff are paid correctly and your records stay in order. This can sit alongside your bookkeeping and management accounts, so the wage bill is properly reflected in your reporting.

How do you handle medical equipment and capital expenditure in the accounts?

Medical equipment purchases, upgrades and replacements need to be treated correctly, which means considering whether a cost should be capitalised, how it is written down over time and what the cash flow impact of paying for it looks like. We help you record and plan for capital expenditure so your accounts give an accurate picture of your hospital's financial position. That also makes it easier to have informed conversations with lenders or investors if you need to fund equipment in future.

How do income streams and Corporation Tax fit together for a hospital?

Many hospitals earn from more than one source, whether that is treatment fees, contracted work, ancillary services or other activities, and each stream can have its own timing and accounting treatment. Corporation Tax applies where it applies, based on your organisation's structure and taxable profits, so the position needs to be reviewed properly rather than assumed. Good bookkeeping and clear management accounts make that review far more straightforward and reduce surprises at year end.

What is involved in switching to Accountants for Hospitals in Thames?

It is usually simpler than people expect. We review your current records and compliance position, agree what is needed and handle the transition, including communicating with your existing accountant where you are happy for us to do so. Once everything is in place, we set up ongoing bookkeeping, payroll, reporting and tax support around your hospital's requirements and timescales, so the change does not disrupt your operations.

Speak to an Expert

Need Accountants for Hospitals in Thames Who Understand Your Business? Let's Make Your Numbers Work Harder.

Hospitals rarely struggle because the work is simple — they struggle because payroll, equipment costs, supplier payments and multiple income streams all land at once. CruseBurke can take bookkeeping, payroll, management accounts, annual accounts and tax support off your plate, with cash flow planning and VAT support where they apply, so your decisions are based on figures you trust. You focus on running your hospital; we will make sure the financial side keeps pace.

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