Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Winchester
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Winchester 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
It typically covers the core financial functions a hospital or hospital business needs: bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting. Depending on your structure and circumstances, we can also support Corporation Tax, wider tax matters and VAT, including the records and reporting that sit behind them. The mix is shaped around your organisation rather than sold as a fixed bundle, so you only pay for the support that is genuinely relevant.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital-based businesses. Their needs vary widely depending on structure, size, services offered, staffing, premises and the income streams they rely on. If you are unsure whether your organisation fits, a short conversation is usually enough to establish whether our support is a good match.
We use fixed, transparent packages based on the scope of work your hospital actually needs, so you know what you are paying for upfront. There are no hidden fees and no vague hourly surprises. Where your requirements change — for example if payroll grows, you take on new premises or your reporting needs become more detailed — we review the arrangement with you rather than letting it drift.
Yes. Payroll is one of the most significant areas for hospitals, given the number of clinical and non-clinical staff involved, the variety of working patterns and the need to get payments right and on time. We can manage payroll processing, PAYE, pension contributions, starters and leavers, and the reporting that goes with them, so your team is not absorbing that workload alongside everything else.
Corporation Tax depends on how your hospital business is structured and how it is treated for tax purposes, so we look at your circumstances rather than applying a blanket approach. VAT is similar: treatment depends on the nature of the supply, the activities involved and the status of the organisation, and it is not accurate to assume that all hospital services are exempt or that all hospital-related supplies are taxable. We help you understand how the rules apply to your own activities and keep the supporting records in order.
Yes. Medical equipment purchases and other significant capital expenditure have a real effect on both your cash flow and your tax position. We can help you plan for those costs, keep them properly recorded, and make sure the accounting and tax treatment is handled correctly, including how capital items are reflected in your annual accounts and management reporting.
Switching is usually far less disruptive than people expect. We start by reviewing your current position and understanding what you need, then handle the handover of records and information from your existing accountant so the changeover stays clean. From there, we agree the ongoing support and get your bookkeeping, payroll and reporting running on a consistent footing.
It starts with a conversation about your hospital or hospital business — how it is structured, how it earns income, where the main costs sit and what you need from an accountant. From there, we review your accounting and tax requirements and set out a clear proposal for the support we would provide. If you are ready to move forward, we handle the practical steps and put your ongoing support in place.