Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Thatcham
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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 Thatcham 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
It usually covers the day-to-day and the annual essentials: bookkeeping, payroll for clinical and non-clinical staff, management accounts, budgeting and cash flow monitoring, financial reporting, annual accounts, and tax support including Corporation Tax where it applies and VAT support where relevant. For hospitals, the detail matters — staff costs, medical equipment, premises, supplier payments and multiple income streams all need to be recorded and reported in a way that gives you a clear picture. We tailor the mix to your hospital or hospital business rather than applying a fixed package.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses involved in running or managing hospital facilities. The right approach depends on how the organisation is structured, what services it provides, how it generates income, how it is staffed and what its main operating costs are. If you are unsure whether your organisation fits, it is worth a conversation — we can talk through your circumstances and explain what support would look like.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. The fee reflects the scope of the work — the volume of transactions, the number of staff on payroll, how many income streams there are, whether VAT and Corporation Tax are involved, and how much reporting and advisory support you need. We will set out what is included before anything begins, and the arrangement can be reviewed as your hospital's requirements change.
Yes, but they are rarely straightforward. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to say that all hospital services are VAT exempt or that all hospital-related supplies are taxable. Income streams can also be treated differently from one another. We review how your supplies are structured and what they consist of, then explain the position clearly so you can apply it correctly.
Payroll is one of the largest and most detailed costs for most hospitals, covering clinical teams, administrative staff, support roles and possibly temporary or locum arrangements. We can manage payroll processing and reporting, including the associated tax and National Insurance obligations, so payments are accurate and deadlines are met. Getting payroll right also feeds directly into your management accounts and budgeting, which makes it easier to plan staffing and control costs across departments.
Medical equipment and capital expenditure need careful treatment, because the way these costs are recorded affects your reported position and your tax outcome. We look at what has been purchased, how it is used in the business and how it should be reflected in your accounts and tax reporting, including any reliefs that may be available depending on the circumstances. We also help you plan for significant purchases so they do not place unnecessary strain on cash flow.
Our work is carried out in line with UK accounting and tax rules and the professional standards that apply to the services we provide. We keep up to date with changes that affect hospital businesses, including reporting requirements and tax rules, so the advice you receive reflects the current position rather than last year's assumptions. Where a question falls outside our remit, we will tell you plainly rather than guess.
It is usually simpler than people expect. We start by understanding your hospital or hospital business and reviewing your current accounting and tax arrangements, then we agree the scope of support and handle the handover with your existing accountant on your behalf. If you would like to talk through your situation before deciding, that is the best place to begin — we will explain what we would do and what it would involve.