Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Fordington
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Fordington 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
It typically covers the accounting and tax work a hospital or hospital business needs to stay compliant and well informed. That can include day-to-day bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where it applies and VAT support where relevant. The exact mix depends on your structure, your income streams and how much of the work you want to handle in-house.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide services connected to hospital care. Their accounting needs differ enormously depending on whether they are a single-site hospital or a multi-site group, how their income streams are structured, and how their staffing, premises and equipment costs are arranged. We shape the support around those differences rather than applying a one-size-fits-all approach.
We use fixed, transparent packages agreed in advance, so you know what you are paying for before the work begins. The fee reflects the scope of what you need, such as the volume of transactions, the size of your payroll, whether management accounts are required each month or each quarter, and the level of tax work involved. There are no hidden fees, and if your requirements change we will discuss any adjustment openly with you.
Yes. Hospital payroll is rarely straightforward, with clinical staff, administrative teams, part-time and variable-hours workers, and possibly contracted or specialist staff all needing to be paid correctly and on time. We can run payroll on your behalf, handle the associated reporting obligations, and keep the staff cost information clear enough that it feeds sensibly into your management accounts and budgeting.
VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be assumed either way. Some supplies may be exempt while others are taxable or subject to different rules, and mixed activities can make record-keeping more involved. We look at what your hospital actually does and help you apply the right treatment and keep the supporting records in order.
Where Corporation Tax applies to your hospital organisation, we can help with the compliance side and with planning around it. That often links closely to capital expenditure, since medical equipment, premises improvements and facilities upgrades can be significant outlays with tax implications. We help you record these properly, understand how they affect your position, and factor them into your cash flow and budgeting decisions.
Hospitals often have a fairly fixed cost base alongside income streams that arrive on their own timetables, which can put pressure on cash even when the business is performing well. We prepare management accounts and cash flow forecasts that show what is coming in, what is going out and when the pinch points are likely to appear. That gives hospital operators and finance teams the information they need to plan staffing, equipment purchases, supplier payments and premises costs with more confidence.
Getting started is straightforward. We begin by understanding your hospital or hospital business, how it is structured and what accounting and tax work you currently have in place. We then review your existing records and reporting, agree the scope of support that suits you, and handle the transition from your current adviser where that is needed. From there, the ongoing bookkeeping, payroll, accounts and tax work continues without disrupting your operations.