Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in 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 Hospitals Face
Why Hospitals in 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.
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
It depends on what your hospital needs, but most hospital businesses come to us for a combination of bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning and financial reporting. We can also support you with Corporation Tax where it applies, VAT where relevant, and the ongoing tax questions that come up during the year. Support is scaled to the size and complexity of your operation rather than sold as a fixed bundle.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as other hospital businesses that need dependable accounting and tax support. Whether you run a single-site hospital or manage several locations, the accounting work still needs to reflect your structure, income streams and cost base. If you are unsure whether your organisation fits, it is worth a conversation — we will tell you honestly.
We work on fixed, transparent fees agreed in advance, so you know what you are paying for and there are no hidden extras. The fee reflects the scope and complexity of the work — the number of sites, the size of your payroll, how many income streams you have and the level of reporting you need. As your requirements change, we review the arrangement with you rather than letting costs drift.
Yes. Hospital payroll is rarely straightforward, often covering both clinical and non-clinical teams, variable hours, overtime, shift patterns and pensions. We can handle the calculations, payslips, PAYE and pension obligations, and make sure the figures feed correctly into your management accounts. That takes a sizeable administrative burden off your internal team and reduces the risk of errors.
Corporation Tax applies to companies in the usual way, although the treatment of certain costs, capital items and reliefs will depend on your circumstances. VAT is more nuanced: hospitals can have different VAT considerations depending on the nature of their supplies, the activities involved, the organisation's status and the specific circumstances. We look at your position in detail rather than applying blanket assumptions, since NHS hospitals and private hospitals do not automatically have identical accounting or tax treatment.
Yes. Medical equipment and other capital expenditure often represent significant outlays for hospitals, and how those are timed and financed affects both your cash position and your reporting. We help you plan for larger purchases, model the impact on cash flow and make sure the accounting treatment is correct. Where relevant, we also look at how equipment costs fit into your wider budgeting and tax planning.
Switching is usually far less disruptive than people expect. We handle the handover with your existing accountant, obtain the records and information we need, and make sure nothing is missed along the way. Once everything is in place, we review your position and set out the ongoing support that makes sense for your hospital.
The first step is a conversation about your hospital or hospital business — how it is structured, how it earns income and what you need help with. From there, we will outline the support that fits and confirm the fee before any work begins. There is no obligation, and no jargon.