Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Southampton
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 Southampton 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 for 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 full span of compliance and day-to-day finance work: bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow monitoring, financial reporting and tax support, including Corporation Tax for incorporated hospital businesses and VAT where it applies. Because hospital operations involve significant staff costs, medical equipment, premises overheads, supplier payments and several different income streams, the reporting is built to show those clearly rather than lumping everything together. The exact scope is agreed with you up front, based on the size and structure of your hospital or hospital business.
It is aimed at hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups — together with organisations running hospital-based services. Their accounting requirements differ widely depending on how they are structured, how they generate income, how many staff they employ and what equipment and premises they maintain. Support is arranged around those specifics, so the fit is with hospital operations rather than a broader or unrelated set of businesses.
We use fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees or unexpected invoices along the way. The fee reflects the actual work involved, which depends on factors such as the number of entities in your hospital group, transaction volumes, payroll headcount, reporting frequency and whether VAT or Corporation Tax support is required. We discuss this with you before anything is confirmed, so the arrangement is clear from the outset.
We work within the professional and regulatory standards expected of UK accountants, and your accounts, tax filings and reporting are prepared to the applicable requirements. If there are specific compliance obligations that apply to your particular hospital business — whether connected to its legal structure, its activities or its tax position — those are identified and addressed as part of the engagement. If you would like details of how we work and what we hold, just ask and we will talk you through it.
The main ones tend to be Corporation Tax, where the hospital operates through a limited company, and VAT, which is rarely straightforward in a hospital setting. VAT treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances — it is not a case of everything being exempt or everything being taxable. Other areas such as capital allowances on medical equipment, payroll taxes on staff costs and employment-related obligations often come into play too, and we look at how each applies to your situation.
Yes, and for many hospitals this is one of the most valuable parts of the support. Payroll, premises costs, medical equipment, capital expenditure and supplier payments all tend to be substantial and reasonably predictable, while income can arrive unevenly or from several sources at once. Management accounts and cash flow forecasting help you see what is coming, plan equipment purchases and premises commitments with more confidence, and avoid being caught short during quieter or slower-paying periods.
Switching is usually more straightforward than people expect. We handle the handover, liaise with your existing accountant for the records we need, and make sure nothing is left behind or duplicated. Once the transition is complete, you get a clean set of records and a clear picture of where your hospital business stands financially, with ongoing support that fits how you operate.
Get in touch and tell us about your hospital or hospital business — its structure, how it earns income, what your current accounting arrangements look like and where you feel the pressure most. We will talk through your requirements, explain what support would suit you and confirm the scope and fee before anything begins. From there, we agree the practical next steps and get your records and reporting in order.