Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in South London
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 South 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.
A 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
The work covers the core accounting and tax needs of a hospital or hospital business — keeping bookkeeping accurate and up to date, preparing annual accounts, producing management accounts and financial reports, running payroll for clinical and non-clinical staff, helping with budgeting and cash flow, and handling tax and VAT matters where they apply. Because hospitals carry significant staff costs, medical equipment, premises and supplier expenses, the reporting is usually structured to show how those costs behave and how they interact with income from different streams. The aim is to give owners and managers financial information that is clear enough to act on.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the management and holding companies that sit alongside them. The right approach depends heavily on structure — a single-site independent hospital has very different reporting needs from a group running several facilities — as well as on the mix of activities, income streams, staffing models, premises arrangements and equipment requirements. We look at those factors first and shape the accounting support around them rather than applying the same template to every hospital.
Most hospitals benefit from a combination of accurate bookkeeping, regular management accounts, payroll, budgeting and cash flow forecasting, and clearly presented annual accounts. Management accounts tend to be particularly valuable because they show how staff costs, premises, equipment, suppliers and other operating costs are tracking against income, and they highlight pressures early enough to respond to. Alongside that, year-end accounts, Corporation Tax where applicable and VAT support where relevant help keep the compliance side in order so it does not become a distraction.
Pricing is based on the size and complexity of the hospital or hospital business, the volume of transactions, the number of staff on payroll, the number of income streams, and how much reporting and advisory support is required. We work on fixed, transparent packages with no hidden fees, so you know what you are paying for and what is included before work begins. If your requirements change — for example if you add a new facility, expand a service line or take on more staff — the scope and pricing are reviewed together so nothing comes as a surprise.
Hospital payroll tends to be one of the largest and most complex costs, particularly where there are varied shift patterns, rotas, overtime, locum or bank arrangements, and a mix of clinical and non-clinical roles. We can manage payroll end to end, including payslips, deductions, pension contributions, statutory payments and the reporting obligations that go with them, and make sure the payroll figures feed correctly into your management accounts. Getting this right matters both for compliance and for accurate cost reporting, since staff costs usually sit at the centre of a hospital's financial picture.
VAT for hospitals is not a simple yes-or-no situation. The treatment of a supply depends on the nature of what is being provided, the activities involved, the status of the organisation and the specific circumstances — so it is not accurate to assume that all hospital services are exempt, or that all hospital-related supplies are taxable. Private hospitals and other hospital organisations can also have different VAT positions depending on how they are structured and what they do. We review the actual activities and income streams involved and advise on the correct treatment rather than applying a blanket rule.
Where a hospital or hospital business operates through a limited company, Corporation Tax will generally be relevant, and it applies to taxable profits after allowable deductions. The detail matters — capital allowances on medical equipment, treatment of premises costs, deductibility of various operating expenses and the timing of income can all affect the taxable position. We help hospitals understand their Corporation Tax position, plan for liabilities sensibly and keep filings accurate and on time, while being clear that the exact outcome depends on the specific structure and circumstances of the organisation.
Switching is usually more straightforward than people expect. It normally involves getting in touch, telling us a little about your hospital or hospital business, and letting us handle the handover of information from your current accountant, including records, filings and any ongoing matters. We review your existing accounting and tax position as part of that process, flag anything that needs attention, and then set up the ongoing support that fits your requirements. You will have a clear picture of what happens next before anything moves.