Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Chalgrove
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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 Chalgrove 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 handle the accounting and tax side of running a hospital or hospital business, which typically means bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support. Alongside that, we deal with Corporation Tax where it applies, wider tax compliance and VAT where relevant to the supplies being made. Because hospital operations are unusual, we work with the detail that drives the numbers, such as staff costs and shift patterns, medical equipment and capital expenditure, premises and facilities, supplier payments and the different ways income comes into the business.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and hospital businesses of varying sizes, including providers running treatment and diagnostic centres on a hospital-style model. Their accounting requirements differ considerably depending on their legal structure, the services they deliver, how they are funded and how many sites or staff they have. We do not assume every hospital works the same way, so the support is shaped around the specific organisation in front of us.
Most hospital clients need a combination of core bookkeeping and record keeping, payroll for clinical and non-clinical staff, preparation of annual accounts, regular management accounts and financial reporting, plus tax support and VAT support where it applies. Budgeting and cash flow forecasting are often included too, because hospital cost bases are substantial and income can arrive unevenly. We agree the scope at the start so you know what is covered, and it can be adjusted as the hospital grows, adds services or takes on more staff.
Pricing is based on fixed, transparent packages rather than hourly billing that leaves you guessing, so you know what to expect before work begins. What a hospital needs depends on its size, structure, number of employees, the complexity of its income streams, whether it holds stock or significant equipment, and whether VAT or group arrangements are involved. We discuss your circumstances first, then set out a clear scope and fee with no hidden extras.
Yes. Hospital payroll is rarely simple, with varied shift patterns, overtime, enhancements, bank or locum arrangements, pension contributions and a mix of clinical and non-clinical roles. We can run payroll end to end or work with your existing systems, making sure pay is processed accurately and on time and that the associated reporting obligations are met, including RTI submissions to HMRC. Accurate payroll also feeds directly into your management accounts, giving you a clearer view of one of your largest cost lines.
VAT for hospitals is not a single, simple answer. The treatment of a supply depends on what is actually being provided, the nature of the activity, the status of the organisation and the specific circumstances involved, so some income may be treated one way while other income is treated differently. We review the mix of supplies a hospital makes, how they are structured and how they are recorded, then help you apply the rules correctly and keep the supporting records in order.
Yes. Medical equipment and facility investments are usually significant, and it matters whether a purchase is treated as capital expenditure or as an ongoing cost, how it is depreciated in the accounts and how it affects your tax position and cash flow. We can help plan for larger purchases, model the impact on cash flow and budgeting, and reflect it properly in your financial reporting so decisions about expansion or replacement are based on real numbers rather than guesswork.
It usually begins with a conversation about your hospital or hospital business, how it is structured, what accounting and tax support you already have and where the gaps or frustrations are. If you are switching accountants, we can explain what information we need and help manage the handover so nothing gets missed. From there, we agree the scope of support and put the arrangements in place, then keep things under review as your operations change.