Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Cheshunt
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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 Cheshunt 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 support is built around the financial needs of hospitals and hospital businesses. In practice, that usually covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, alongside Corporation Tax support where applicable and VAT support where relevant. Because hospitals vary so much in size and structure, we agree the scope with you so the service matches how your organisation operates rather than following a fixed template.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that operate alongside them. Their accounting requirements can differ significantly depending on whether they are limited companies, part of a wider group, or structured in another way, and on whether they provide inpatient care, day-case procedures, diagnostics, outpatient services or a combination. We take the time to understand the structure and activities before recommending how support should work.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees. The fee reflects the scope and complexity of your requirements, such as the number of payroll employees, the volume of transactions, whether you need management accounts or budgeting support, and how involved your VAT and Corporation Tax affairs are. We explain what is included before anything begins, so there are no surprises later.
Yes, payroll is a core part of what we do for hospitals. Hospital payroll often involves a mix of clinical, administrative and support staff, with overtime, shift patterns, variable hours and multiple pay rates, and it needs to be accurate and on time every period. We can manage the payroll process, handle the associated filings and keep records that tie in properly with your wider accounting and management reporting.
Corporation Tax applies where it applies to your organisation's structure and activities, and it needs to be planned for rather than dealt with at the last minute, particularly where medical equipment or premises investment affects your profits. VAT is more nuanced: hospitals can have different VAT considerations depending on the nature of their supplies, their activities and their organisational status. Some supplies may be treated in one way and others differently, and in some cases partial exemption or specific reliefs come into play, so the treatment needs to be looked at on the facts rather than assumed.
Yes. Hospitals often face large, irregular outlays on medical equipment, premises work and facilities, while income arrives across a number of streams that may not move in step. We help with budgeting and cash flow forecasting so you can see the impact of planned spending before you commit to it, and management accounts that show how the organisation is performing in a format you can act on.
Switching is usually far less disruptive than people expect. We handle the practical side of the transition, including obtaining the necessary information from your existing accountant, reviewing your records and making sure nothing is missed between one period and the next. At the same time, we take the opportunity to understand your hospital's structure, income streams and costs properly, so the first set of accounts and reports we produce reflects your operations accurately.
It begins with a conversation about your hospital or hospital business, how it is structured, what services it provides and what you need from your accounting support. From there, we review your accounting and tax position and set out a clear scope and fixed fee. Once you are happy with what we have proposed, we agree how the ongoing work will run and put the necessary arrangements in place.