Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Windlesham
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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 Windlesham 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.
Practical Accounting Support for 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
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses where accounting and tax support is needed. The work is shaped around your structure, your activities and the way your income and costs are organised, rather than being built for a particular size or model of hospital.
Support can include bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, Corporation Tax where it applies and VAT support where relevant. In practice, the mix depends on your hospital's circumstances — a hospital with a large staff body and significant equipment spend will need a different emphasis to a smaller hospital business with simpler operations.
Fees are based on the scope of work involved, which means what you pay reflects your hospital's size, structure, transaction volumes, payroll numbers and the level of reporting you need. We work on fixed, transparent packages agreed in advance so there are no hidden fees, and the scope can be reviewed as your hospital business grows or changes.
Our focus is on private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses in the private and independent sector. NHS hospitals, NHS Trusts and other public-sector bodies have their own reporting and governance frameworks, so we would discuss any such enquiry separately before confirming whether we are the right fit.
Corporation Tax treatment depends on how your hospital business is structured and how it operates, and VAT treatment depends on the nature of the supplies made, the activities involved, the organisation's status and the specific circumstances. We review your position carefully, help you understand which rules apply to your situation and make sure the relevant returns and reporting are prepared on time.
Yes. Significant purchases such as medical equipment, together with premises and facilities costs, can have a major effect on cash flow and on how your accounts are presented. We help you plan for these costs, keep capital expenditure properly recorded and produce reporting that shows clearly how those commitments affect the financial position of the hospital.
The first step is a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve. From there we agree the scope of work, explain how everything will be handled and, if you are switching from another accountant, help manage the transition so your records, payroll and deadlines are not disrupted.
Yes. Some hospital businesses have an internal finance function that handles day-to-day records and simply needs additional accounting, reporting or tax support, while others prefer us to manage more of the process. We can work in whichever way suits your team, your systems and the level of oversight you want to retain.