Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Faringdon
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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 Hospitals Face
Why Hospitals Choose CruseBurke for Accounting Support
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
They handle the accounting, tax and payroll work that sits behind a hospital business — keeping the books accurate, preparing annual accounts and management accounts, running payroll, helping with budgeting and cash flow forecasting, and supporting tax compliance such as Corporation Tax where it applies and VAT where relevant. For hospitals specifically, that means working with the detail that shapes the numbers, including staff costs, medical equipment, premises, supplier payments and the range of income streams a hospital may generate. Alongside the compliance work, the aim is to give you reporting you can actually use to run and plan the business.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as day-case and specialist treatment facilities. Because these organisations vary considerably in structure, size and the services they provide, the accounting requirements are rarely identical. A single-site independent hospital, for example, will have a different reporting and tax picture from a group running more than one facility. We look at the specific structure and activities of each hospital before recommending how the support should work.
In practice, hospitals often need a combination of bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, plus tax support covering Corporation Tax where applicable and VAT where it applies. Bookkeeping and payroll tend to be the foundation, since staffing and supplier costs are significant and constant, while management accounts and cash flow reporting help you see where the business is heading rather than only where it has been. Many hospitals also want help planning and tracking capital expenditure on medical equipment and facilities.
Pricing is based on the scope of work involved, so it reflects the size and complexity of your hospital, the volume of transactions, the number of staff on payroll, the reporting you need and the level of ongoing support you are looking for. We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect and there are no hidden fees or surprise invoices. Once we understand your hospital's requirements, we can set out the scope and the corresponding fee clearly before anything begins.
Yes — payroll is one of the most important areas for hospitals, because staff costs usually represent a large share of total expenditure and the workforce is often varied. That can include full-time and part-time employees, shift and rota-based patterns, different pay rates and overtime, and a mix of clinical and non-clinical roles. We handle the payroll processing, payslips, deductions and the reporting that sits behind it, and we make sure payroll figures feed properly into your management accounts so your staff cost reporting stays accurate through the year.
Both depend on your specific circumstances rather than a single blanket rule. Corporation Tax will depend on how the hospital business is structured and whether it is trading through a limited company, and it is important to get that treatment right from the outset. VAT is equally fact-specific: the treatment of a supply depends on its nature, the activities involved, the organisation's status and the surrounding circumstances, which is why hospital services cannot simply be assumed to be exempt or taxable across the board. We review your activities and income streams and advise on the position that applies to you.
Yes. Hospitals often combine a fairly fixed cost base with income arriving from several sources at different times, so budgeting and cash flow forecasting are genuinely useful rather than a formality. We can help build budgets that reflect your staffing, premises, equipment and supplier commitments, forecast cash flow around the timing of income and payments, and plan for larger items such as medical equipment and facility investment. That makes it easier to fund capital expenditure without straining day-to-day cash flow.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, how it is structured and what you need from an accountant, then review your current accounting and tax position. If you are moving from another accountant, we can manage the handover, including requesting the relevant information and records on your behalf, so the transition does not disrupt your reporting or payroll. From there, we agree the scope and the ongoing support and get to work.