Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Abbey
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
Hospitals and Hospital Organisations We Support in Abbey
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 Abbey 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
Our work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax support where applicable and VAT support where relevant. In practice we tailor the mix to the hospital or hospital business, since a hospital group with multiple sites will usually need different reporting and payroll support from a single-site independent hospital. The common thread is accurate records, clear reporting and tax work handled on time.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital businesses providing inpatient, outpatient, surgical or diagnostic services. Their accounting needs differ depending on structure, activities, income streams, staffing, premises and equipment, so we take time to understand the organisation before recommending a way forward. If you are unsure whether your set-up fits, it is worth a conversation to establish what support would genuinely be useful.
Fees are based on the scope of work involved, which depends on factors such as the size of the hospital business, the number of staff on payroll, the volume of transactions and the level of reporting required. We work on fixed, transparent packages wherever possible so you know what to expect in advance, with no hidden fees and no unexpected extras appearing later. Because every hospital is different, we discuss the scope first and set out the fee structure clearly before any work begins.
All accounting and tax work is prepared in line with UK accounting standards and the reporting requirements that apply to your organisation, with deadlines for filings and payments tracked as part of the ongoing service. Compliance is not treated as an annual event — it is built into the bookkeeping, payroll and reporting work throughout the year, so there are fewer last-minute surprises. Where a specific matter needs specialist input, we will always be clear about that rather than overstate what is covered.
Corporation Tax applies where the hospital business is set up as a limited company, and the position depends on the organisation's structure, profits and any reliefs or allowances that may be available for items such as medical equipment and capital expenditure. VAT is more nuanced: the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should not be assumed that every hospital service is exempt or that every hospital-related supply is taxable. We review the actual position rather than applying a blanket rule.
Yes. Hospitals often carry significant fixed costs such as clinical and non-clinical payroll, premises and facilities, alongside large one-off purchases of medical equipment, which is why budgeting and cash flow planning matter so much. We help model income and expenditure, plan for capital purchases and monitor how different income streams affect the money coming in. That gives you a clearer basis for decisions on hiring, expansion or investment.
Switching is usually far less disruptive than people expect. We begin by understanding the hospital or hospital business, reviewing the current accounting and tax position, and identifying anything that needs attention before we take over the ongoing work. From there we agree the scope and provide support on a schedule that suits how the organisation operates. If you would like to discuss your situation, the first step is simply a conversation about where you are now and what you need.