Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in South West London
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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 South West London 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
Our work for hospital businesses typically covers annual accounts and financial statements, day-to-day bookkeeping, management accounts and reporting, payroll for clinical and non-clinical staff, budgeting and cash flow planning, and tax support including Corporation Tax where applicable and VAT where relevant to your supplies. We can take on the full function or focus on specific areas such as payroll or management reporting, depending on what your hospital already handles in-house and where you need the most support.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide services connected to hospital care. Some are single-site facilities, others operate across multiple locations or sit within a wider group structure. Because the accounting and tax position can differ depending on how an organisation is set up and what it does, we look at your circumstances rather than applying a standard template. NHS Trusts and other public-sector organisations sit outside the scope of what we provide.
We work on fixed, transparent fees agreed in advance, so you know what you are paying for before work begins. The fee reflects the size and complexity of your hospital business — things like the number of sites, staff numbers, transaction volumes, payroll complexity and the level of reporting you need. There are no hidden charges, and if your requirements change we discuss any adjustment with you first rather than simply adding costs to the invoice.
Look for a team that understands hospital operations rather than only general business accounting — staff costs and shift patterns, equipment and capital expenditure, premises and supplier contracts, and multiple income streams all affect how the numbers should be handled. It is also worth confirming the professional standards and regulatory position of the firm, and how they work with clients on compliance and deadlines. We are happy to explain our own position and how we approach hospital accounting when you get in touch.
Payroll in a hospital environment often involves a mix of full-time, part-time, bank and shift-based staff, with different rates and hours that change from period to period. We can run payroll end to end, including payslips, deductions, pension contributions and HMRC reporting, and make sure the figures flow through to your management accounts so staffing costs are visible and predictable. If you already run payroll internally, we can review it and support the reporting side instead.
Corporation Tax will be relevant for most hospital companies, and the position depends on how profits are calculated, what reliefs and allowances apply, and how capital expenditure such as medical equipment or premises improvements is treated. VAT and employment taxes can also come into play depending on your structure and activities. We review your position as a whole and deal with the compliance side so deadlines are met and nothing is overlooked.
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. Some supplies may be exempt, others may be taxable or outside the scope, and mixed activities can make the position more complicated. We help you work through what applies to your hospital business and keep your VAT returns consistent with the underlying supplies.
Yes. If you are moving from another accountant, we can manage the handover, obtain the information we need and make sure your records and filings stay on track through the transition. If you are setting up or expanding a hospital business, we can help with structure, bookkeeping set-up, payroll, budgeting and ongoing reporting from the start, so your financial records are in good shape from day one. Getting started is simply a conversation about your hospital and what you need.