Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Croydon
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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 Croydon 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.
Practical 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 work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as day-case facilities and specialist treatment centres. The right approach depends on your structure, your income streams and how your organisation is run, so we start by understanding your circumstances rather than assuming a particular model applies to you.
Depending on what your hospital needs, our support can include bookkeeping, annual accounts, management accounts, financial reporting, payroll for clinical and non-clinical teams, budgeting, cash flow forecasting, and tax support including Corporation Tax where applicable and VAT support where relevant. We shape the service around your operations, taking into account staff costs, medical equipment, premises, suppliers and the different ways your hospital generates income.
It suits hospital businesses of varying sizes, from a single independent hospital through to hospital operators managing more than one site or facility. If your organisation employs staff, invests in medical equipment, manages significant premises and supplier costs, and needs reliable financial records and reporting, the service is likely to be a good fit.
We work on fixed, transparent packages so you know what you are paying for and when, with no hidden fees or surprise invoices. The fee reflects the scope of work involved, which depends on factors such as your size, transaction volume, payroll complexity and reporting requirements, and we agree it with you upfront before any work begins.
We keep your accounting and tax obligations in order and work within the relevant UK rules and professional standards that apply to our practice. Where a question depends on your specific circumstances, such as your structure or your organisational status, we review it properly rather than offering a general answer that may not fit your hospital.
VAT treatment for hospitals is not automatic in either direction. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it needs to be looked at carefully rather than assumed. We review how VAT applies to your hospital's activities and flag anything that needs attention, without making blanket assumptions about what is or is not taxable.
Yes. Capital expenditure on medical equipment, along with premises costs, payroll and supplier payments, can put real pressure on hospital cash flow. We use management accounts, budgeting and forecasting to give you a clearer picture of what is coming in and going out, so planned investment decisions are based on figures you can actually rely on.
Getting started is straightforward. We begin with a conversation about your hospital, what you need and how you currently handle your finances, then review your existing accounting and tax position. If you are switching from another accountant, we manage the handover of records and information with you so the transition stays smooth and your reporting continues without unnecessary disruption.