Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in 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 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.
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 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
They handle the accounting and tax work that sits behind a hospital's day-to-day operations. That typically includes bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, financial reporting, budgeting and cash flow planning, along with Corporation Tax and VAT support where those apply. The aim is to keep your records accurate, your reporting useful and your compliance deadlines under control, while giving you a clearer picture of how the hospital is performing.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital businesses providing a more focused range of services. What they tend to have in common is a need for accounting support that understands the cost structure and income patterns of a hospital, rather than a one-size-fits-all service. If you are unsure whether your organisation fits, it is worth a conversation, because the right starting point is usually how you are structured and what you need from your accounts.
Pricing is based on the work involved, which depends on the size and structure of your hospital, the number of entities involved, the volume of transactions, your payroll and the level of reporting you need. We quote on a fixed, transparent basis so you know what to expect, and we avoid hidden fees. The clearest way to get a figure is to talk through your circumstances with us, so the scope is properly understood before anything is agreed.
Yes. Payroll is often one of the largest and most time-consuming areas of a hospital's finances, particularly where you have a mix of full-time, part-time and variable-hours staff across clinical and non-clinical roles. We can manage the payroll process, help with the associated reporting and employer obligations, and make sure the figures feed cleanly into your management accounts so staff costs are visible throughout the year rather than a surprise at the year end.
It depends on how your hospital is structured and what it does. Corporation Tax is relevant where a hospital operates through a limited company, and the treatment of different income streams and costs needs to be considered carefully. VAT is equally circumstance-dependent: the VAT treatment of hospital-related supplies varies with the nature of the supply, the activities involved, the organisation's status and the specific facts, so it should be reviewed rather than assumed in either direction.
Yes, and this is often where good accounting support earns its keep. Where income arrives from more than one source and costs are weighted towards staff, premises and equipment, management accounts help you see which activities are performing and where pressure is building. We can prepare regular management accounts, build cash flow forecasts around your actual payment patterns, and help you plan for large items such as equipment purchases rather than reacting to them after the fact.
We can. Equipment purchases and other capital expenditure tend to be significant and irregular, which makes them difficult to absorb if they have not been planned for. We help hospitals think through how a purchase affects cash flow and reporting, how it should be treated in the accounts, and how it fits alongside your existing commitments. That way, decisions about equipment, premises or facilities are made with a clear view of the financial consequences.
It usually starts with a conversation about your hospital, how it is structured and what you need from your accounting support. If you are switching accountants, we can talk through what is involved in moving across and what information we would need from you. From there we agree a scope of work that fits your circumstances, and once that is in place you have a clear point of contact for bookkeeping, payroll, reporting and tax matters as they arise.