Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bicester Oxon
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
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 for Hospitals
Why Hospitals in Bicester Oxon 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.
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 for hospitals typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with tax support and VAT assistance where those apply. Because hospital businesses vary so much, the exact mix depends on your structure, the number and type of staff you employ, the equipment and premises you maintain and the income streams you generate. We agree the scope with you at the outset so it is clear what is being handled and when.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and similar hospital organisations that need dependable accounting and tax support. That includes single-site facilities as well as businesses running multiple locations or specialist services. The common thread is that these are hospital businesses with real operational costs, staffing requirements and reporting obligations, and they need an accountant who understands that context rather than treating them as a generic company.
We use fixed, transparent packages, so you know what you are paying for and there are no hidden fees or surprise invoices appearing later in the year. The fee reflects the level of work involved, which depends on factors such as transaction volume, payroll size, the complexity of your income streams and whether you need additional reporting or tax support. We discuss this with you before any work begins, so you can make a decision with a clear picture in front of you.
Yes. Payroll is often one of the most significant and most complicated cost areas for a hospital, particularly where you have a mix of clinical, administrative and support staff on different contracts, working patterns and pay arrangements. We can manage the payroll process, including the calculations, deductions and submissions that go with it, and make sure the figures feeding into your management accounts and annual accounts reflect your actual staffing costs accurately.
It depends on how your hospital or hospital group is structured and what it does. Where the organisation operates through a company, Corporation Tax will generally be relevant, and VAT treatment can vary considerably depending on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances. Some hospital supplies may be treated differently from others, which is why we look at your particular situation rather than applying a blanket rule.
Yes, and this is often where hospitals feel the pressure most. Medical equipment purchases, premises costs, supplier payments and payroll commitments do not always line up neatly with the timing of income, so planning ahead makes a real difference. We can help you build a clearer view of your cash position, prepare budgets and management accounts, and understand how major capital expenditure decisions will affect your finances over the coming months.
Switching is usually more straightforward than people expect. We can liaise with your existing accountant to obtain the information we need, review your records and confirm your position before taking over. Once everything is in place, we set up a clear schedule for bookkeeping, payroll, reporting and any tax deadlines so nothing slips through the gaps during the transition or afterwards.
The first step is a conversation about your hospital or hospital business, what you currently have in place and what you would like to improve. From there, we review your accounting and tax requirements and outline how we would support you going forward. There is no obligation at that stage, and you will have a clear understanding of the scope and the approach before committing to anything.