Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Suton
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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 Hospitals Face
Why Hospitals in Suton 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 financial side of running a hospital or hospital business: annual accounts, day-to-day bookkeeping, payroll for clinical and administrative teams, management accounts, budgeting, cash flow planning and financial reporting. Where they apply, we also handle Corporation Tax, VAT support and help with tax planning. The emphasis is on keeping records accurate, deadlines met and reporting clear enough to support decisions about staffing, equipment, premises and growth.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with related trading or service activities. Their structures differ widely — some are limited companies, some operate across several sites, and some sit within a wider group — so the accounting and reporting needs differ too. We look at each organisation on its own terms rather than assuming a standard hospital model applies.
We work on fixed, transparent packages based on the scope of what you need, so you know what you are paying for before work begins. There are no hidden fees and no surprises added on at the end. Because hospitals vary so much in size, structure and transaction volume, we scope the work first and then agree a fee that reflects the actual level of support required.
We prepare accounts and tax work in line with applicable UK accounting standards and filing requirements, and we handle submissions to HMRC and Companies House as part of the service. You should always check that any accountant you appoint holds the relevant professional qualifications and regulatory registrations, and we are happy to confirm ours directly when you get in touch so you can make an informed decision.
Yes, although VAT for hospitals is rarely straightforward. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — some supplies may be exempt, while others may be taxable or subject to a different treatment entirely. Rather than applying a blanket rule, we review what your hospital actually provides and how it is structured, then advise on the position that applies to you.
Hospital payroll tends to involve a mix of clinical and support roles, varying hours, overtime and pension arrangements, which makes accuracy and timing important. We manage the payroll process, calculate deductions, handle the relevant submissions and keep the records organised so staff are paid correctly and your reporting stays consistent. This also feeds neatly into management accounts, where staffing is usually one of the largest cost lines.
Yes. Purchasing or leasing medical equipment is a significant commitment, and it affects both your cash flow and your tax position. We help you plan for major expenditure, understand the tax treatment where it applies, and reflect capital costs accurately in your accounts so the long-term financial impact is visible rather than a surprise. That planning is often most valuable before a purchase is agreed, not after.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, review your current accounting and tax position, and agree the level of support that fits. If you are switching accountants, we manage the handover, request the information we need from your existing adviser and keep the transition as smooth as possible so nothing is missed in the changeover.