Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Hayes
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Hayes 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 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
We support private hospitals, independent hospitals, hospital operators and hospital groups, from single-site facilities through to organisations running several locations. Some are limited companies, some operate through other structures, and the accounting and tax position can look quite different in each case. If you are unsure whether your hospital fits, a short conversation is usually enough to work out whether we are the right fit for what you need.
Most hospitals need a combination of bookkeeping, payroll, management accounts, annual accounts, budgeting, cash flow planning and financial reporting, with tax support for Corporation Tax where it applies. VAT support is often relevant too, particularly where a hospital has a mix of activities and supplies. How much of each you need depends on your structure, the number of staff on payroll, the volume of transactions and how much reporting your board, lenders or investors expect.
We work on fixed, transparent packages agreed in advance, so you know what is included and what is not before we start — and there are no hidden fees. Fees reflect the scope and complexity of the work, which for a hospital can be influenced by its structure, number of sites, payroll size, transaction volumes and reporting requirements. If your circumstances change during the year, we discuss any impact on scope and fee openly rather than surprising you later.
Yes. Hospital payroll is rarely straightforward, with clinical and non-clinical teams, varied shift patterns, part-time and bank staff, overtime and pension contributions all feeding into the same process. We can manage payroll runs, handle PAYE and pension auto-enrolment obligations, and keep records that tie back into your management accounts and annual figures. That consistency matters when staff costs are one of the largest items in a hospital's budget.
VAT treatment for hospitals is not a single answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so some supplies may fall outside the scope of VAT or be treated as exempt, while others may be taxable at the standard or reduced rate. Hospitals with a mix of income streams can also have partially exempt positions to manage. We review your actual arrangements and how they are reflected in your records rather than applying a blanket rule.
Medical equipment and other capital purchases are significant commitments, so it helps to plan for them rather than absorb them as they arise. We can help you build equipment costs into budgets and cash flow forecasts, reflect them properly in your accounts, and consider capital allowances and financing arrangements where they are relevant. That gives you a clearer view of when purchases are affordable and how they will affect the hospital's position.
Any accountant you appoint should be able to confirm their professional body membership, how they are regulated and the anti-money-laundering and data-handling standards they work to. You should also expect a clear engagement letter setting out the scope of work, responsibilities and fees. We are happy to talk through our qualifications, regulatory position and internal processes before you engage us, so you can make an informed decision rather than assume.
It usually starts with a conversation about your hospital, its structure and what you need from an accountant, whether that is catching up on records, improving reporting or getting better visibility of cash flow. If you are switching from another accountant, we can talk through how handover and professional clearance normally work and what information we will need. From there, we agree the scope and fee, set a start date and put the support in place around your reporting deadlines.