Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Andover
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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 Andover 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
In practice, we look after the accounting and tax side of running a hospital business so you can focus on operations and patient care. That typically means keeping your bookkeeping accurate, preparing annual accounts and management accounts, running payroll, helping with budgeting and cash flow, and handling Corporation Tax, VAT and other tax obligations as they apply to your organisation. We also help interpret the numbers, so you can see what is driving costs and income across different parts of the hospital.
They are designed for hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital-based providers such as day-case or specialist inpatient services. The right level of support depends on your size, structure and how many income streams you have. If you are unsure whether your organisation fits, we are happy to talk it through and be clear about whether we are the right fit.
Core services include bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax and VAT where relevant. We tailor the mix to your hospital, taking account of staff and contractor costs, medical equipment and capital expenditure, premises and facilities, suppliers, professional services and your different income streams. You can take a full package or focus on the areas where you need the most help.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The scope is agreed up front based on your hospital's size, structure, transaction volumes, payroll headcount and reporting requirements, and we will explain clearly what is and is not included. If your circumstances change, we review the arrangement rather than leaving you with a package that no longer fits.
Yes. Payroll is often one of the biggest administrative tasks in a hospital, particularly where you have a mix of permanent staff, part-time and bank workers, contractors or consultants, and varying shift patterns and hourly rates. We can handle PAYE and real-time reporting, pensions, starters and leavers, and the treatment of different pay arrangements, so your team is paid accurately and on time and your payroll records stand up to scrutiny.
Corporation Tax applies to limited companies and depends on your profits, structure and any available reliefs, including capital allowances on equipment, while sole traders and partnerships are dealt with through Self Assessment. VAT is more nuanced: hospitals can have different VAT considerations depending on the nature of their supplies, the activities involved, their organisational status and the specific circumstances, so some income may be treated differently from other income. We review your income streams and activities individually rather than assuming a single rule applies.
Yes. Equipment purchases, refurbishments and other capital projects can tie up significant cash and have tax implications, so it helps to plan them properly. We can help you budget for capital expenditure, consider the tax treatment of assets, and forecast cash flow around large purchases or repayment schedules, so a major investment does not put pressure on your day-to-day finances.
It usually starts with a conversation about your hospital, how it is structured and what is currently working or causing difficulty. From there we review your existing accounting and tax position, agree the support you need, and handle the transition from your current accountant, including requesting the relevant records and HMRC authorisations. Once everything is in place, we take over the ongoing work and keep you informed as deadlines approach.