Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bordon
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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 for Hospitals
Why Hospitals in Bordon 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 for 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
We support private hospitals, independent hospitals, hospital operators, hospital groups and organisations running day-case facilities, diagnostic centres or treatment services. Each of these can be structured differently, whether as a limited company, a group with several entities or another arrangement, and each tends to have its own mix of income streams, staffing and cost pressures. Because of that, our support is shaped around how your particular hospital or hospital business operates rather than applied in a one-size-fits-all way.
Support typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with tax support and VAT support where relevant. For hospital businesses, that often means tracking high staff costs, medical equipment and capital expenditure, premises and facilities costs, and payments to a wide range of suppliers. We also help with Corporation Tax where it applies and with keeping your records in a form that stands up to scrutiny from lenders, investors or HMRC.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees or surprise invoices. The level of support you need depends on factors such as the size of the hospital, the number of entities involved, the volume of transactions, how many staff are on payroll and whether VAT is a consideration. Once we understand your requirements, we set out a clear scope and a fee that matches it, and we can review that as your hospital grows or your circumstances change.
Yes, payroll is a significant part of what hospital businesses need, given that clinical, nursing, administrative and support staff costs usually make up a large share of total expenditure. We can manage payroll processing, PAYE and National Insurance, pension contributions and the reporting that goes with them, including where staff are paid different rates or work varying shift patterns. Getting payroll right matters both for compliance and for keeping a reliable picture of your overall cost base.
VAT treatment for hospitals is not a simple yes-or-no matter. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances, and different elements of a hospital's activity can be treated differently. Because of this, it is worth reviewing your position carefully rather than assuming everything is exempt or everything is standard-rated. We can help you understand how VAT applies to what you actually do and make sure your returns reflect it correctly.
Cash flow is often one of the biggest pressures for hospitals, since costs such as payroll, equipment, premises and supplier payments tend to be regular and substantial, while income can arrive unevenly from different sources. We help by preparing budgets and forecasts that reflect your real cost structure, then monitoring actual performance against them through management accounts. That gives you early warning of pressure points and a firmer basis for decisions about staffing, equipment investment or expansion.
Switching is usually more straightforward than people expect, and we handle the practical side of the transition so it does not become another job on your list. We will review your current accounting and tax position, identify anything that needs tidying up and take over the ongoing work from an agreed point. If you are partway through a financial year or have outstanding filings, we will factor that into the plan so nothing falls through the gap.
It starts with a conversation about your hospital or hospital business, covering how it is structured, how it earns income, who is on payroll and what financial reporting you currently have in place. From there we review your accounting and tax requirements and set out a clear scope, along with a fixed fee that reflects it. Once you are happy with the approach, we put the ongoing support in place and work alongside you as your circumstances evolve.