Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Brackley
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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 Brackley 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
We support a range of hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. Each of these can hold quite different financial profiles, so the work is shaped around factors such as the organisation's legal structure, the services it provides, how it earns income, how many staff it employs and what it spends on premises, medical equipment and suppliers. If you are unsure whether your organisation fits, it is usually worth a conversation so we can look at your circumstances properly.
The core of the service normally covers bookkeeping, annual accounts, management accounts and financial reporting, together with payroll and budgeting and cash flow support. We also help with Corporation Tax where it applies, broader tax matters and VAT guidance, taking into account hospital-specific areas such as staff costs, medical equipment and capital expenditure, premises, professional services and multiple income streams. The exact mix depends on your hospital's size, structure and internal finance arrangements, and it can be adjusted as your needs change.
Pricing is based on the scope of the work rather than a one-size-fits-all figure, because a hospital group with complex payroll and multiple sites needs something quite different from a smaller independent hospital. We work on fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees or unexpected extras appearing later. After we understand your requirements, we set out clearly what is included and what it covers before any work begins.
Yes. Payroll is often one of the largest and most complicated areas of hospital finance, particularly where there are shift patterns, varied roles, different contract types and constant changes to the team. We can handle payroll processing, keep records accurate and make sure the associated reporting is completed on time, so your staff are paid correctly and your payroll records reconcile with your wider accounts. It also feeds usefully into budgeting and cash flow planning.
Corporation Tax and VAT depend heavily on your organisation's structure, its status and the nature of its supplies and activities. VAT in particular is not something that can be assumed in advance — treatment varies depending on what is being supplied, the activities involved and the specific circumstances, and it should be reviewed rather than generalised. We look at your situation individually, explain the position clearly and help you apply the right treatment consistently.
Yes. Medical equipment purchases are often significant outlays, and how they are recorded, funded and accounted for over time can have a real effect on your reported position. We help you plan for capital expenditure alongside everyday running costs, and build cash flow and budgeting models that show when pressure points are likely to arise. That way, large purchases or equipment replacements can be planned rather than absorbed as a shock to your finances.
Accounting work for hospitals involves confidential financial information and statutory obligations, so it needs to be handled by people who understand the standards that apply and keep their knowledge current. We work within the relevant professional and regulatory requirements, maintain appropriate records and handle your data responsibly. If you have specific compliance questions relating to your hospital's structure or sector, we can discuss those directly as part of the initial review.
Getting started is usually simpler than people expect. We begin with a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve, then review your requirements and confirm the support that fits. If you are moving from another accountant, we can guide you through the transition and explain what information is needed from your side, so the changeover happens without disrupting your payroll, reporting or compliance deadlines.