Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Stratford
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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 Stratford 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
We support hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators, hospital groups and specialist hospital services that operate commercially. That covers single-site hospitals as well as organisations running or managing more than one location, and it includes both owner-managed businesses and board-led groups. Because structures differ — a limited company, a group of companies or a partnership arrangement — the accounting, reporting and tax requirements can look quite different from one hospital to the next, and the support is shaped around those differences. If you are unsure whether your organisation fits, that is usually quick to clarify in a short conversation.
The core work typically includes bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax and VAT where those apply. In practice, that means keeping records accurate and up to date, reporting on income from different streams, tracking staff costs, medical equipment and capital expenditure, premises and facilities costs, and payments to suppliers and professional services. Many hospital clients want regular management information rather than only year-end figures, so reporting frequency is agreed to suit the business and how quickly decisions need to be made.
Fees are structured as fixed, transparent packages rather than open-ended hourly billing, so you know what to expect before any work begins. The level of fee reflects the size and complexity of the hospital business — the number of staff on payroll, transaction volumes, the number of income streams and sites, how the organisation is structured, and how often management accounts and financial reporting are needed. There are no hidden extras, and if the business grows, adds services or restructures, the scope and fee can be reviewed openly. A conversation about your current setup is the best way to get a clearer picture.
Yes — payroll is one of the areas hospitals most often need support with, given the number of staff, varied shift patterns and the mix of clinical and non-clinical roles. That includes processing PAYE, handling starters and leavers, statutory payments, pension auto-enrolment and the reporting that accompanies them. Because staff costs are usually one of the largest outgoings in a hospital, accurate payroll also feeds directly into budgets, cash flow forecasts and management accounts, keeping the numbers consistent across the whole business rather than sitting in disconnected spreadsheets.
VAT treatment across the hospital sector is not uniform. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances, so it is not safe to assume that everything is exempt or that everything is taxable. Private and independent hospitals often have a mix of activities that attract different treatment, and the position can be affected by how services are structured, sourced and delivered. We review the detail with you and help make sure the basis being applied is consistent, supported and properly documented.
Yes. Medical equipment and other capital expenditure are significant commitments for most hospitals, and they affect both the accounts and the tax position. We help with how purchases and disposals are recorded, how capital allowances may apply, and how major outlays fit into budgets and cash flow forecasts so that they do not create avoidable pressure elsewhere in the business. Where equipment is financed, leased or replaced on a cycle, the accounting and tax treatment can differ, so it is worth reviewing the options before committing rather than afterwards.
Accounts are prepared in line with UK accounting standards and filed within the deadlines set by Companies House and HMRC, with tax computations and returns prepared on the same basis. We work to a clear compliance calendar covering accounts, Corporation Tax, VAT returns, payroll submissions and confirmation statements, so nothing depends on someone remembering at the last minute. Where an audit is required by law, by lenders or by investors, we can work alongside the auditor and provide the records and explanations they need. If your records are behind, we can help bring them up to date as part of the process.
Switching is usually more straightforward than people expect. We review your current position, confirm what is needed, and handle the practical side of moving records across, including contacting your existing accountant where professional clearance is required. The priority is that nothing is missed during handover and that filing and payroll deadlines continue to be met while the transition happens. From there, we agree a support plan that fits the hospital's reporting cycle, payroll dates and the way decisions are actually made in the business.