Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Dunmow
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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 Dunmow 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 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
It depends on what you already handle in-house and what you would rather hand over, but typical work includes bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting and general tax support. Corporation Tax support is included where it applies to the entity, and VAT support is available where relevant, based on your specific activities and supplies. Many hospitals ask us to combine several of these so that the numbers stay consistent across the year rather than being pulled together in a rush at the year end.
We work with private hospitals, independent hospitals, day-case and specialist treatment facilities, hospital operators and hospital groups, as well as the hospital businesses that support them. Accounting needs differ a great deal depending on whether you are a single-site hospital, part of a group, or an operator running several facilities under one structure. We look at how your organisation is set up, what it does and where its income comes from before recommending any particular approach. If you are unsure whether your setup fits, it is worth a conversation to find out.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and what is included. The fee reflects the scope of the work, such as how many pay runs you need, how many entities are involved, the volume of transactions behind your bookkeeping and the level of reporting you want. There are no hidden fees, and if your requirements change, the package is reviewed with you rather than quietly adjusted. A short initial conversation is usually enough for us to scope things accurately.
Our work is carried out in line with UK accounting standards and HMRC requirements, with records kept organised so that filings and returns are accurate and submitted on time. Where you have additional reporting obligations, such as requirements from lenders, investors or regulators, we factor those into the accounts and reports we prepare so the information is usable for the people who need it. If specific professional qualifications or memberships matter to you, tell us upfront and we will be open about what we hold and what that means for your engagement.
Hospitals often have a more complex tax picture than a typical trading company, largely because of how their income is earned and what they provide. Corporation Tax will apply to many hospital businesses depending on how they are structured, and VAT treatment is rarely a single answer: it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Payroll taxes and staff costs also carry their own considerations, particularly where rotas, overtime or contracted staff are involved. None of this should be guesswork, which is why a review of your position is always the sensible starting point.
Yes. Cash flow is one of the areas hospitals feel most acutely, because equipment purchases, premises costs and staff wages do not always line up neatly with income. We help with budgeting and forecasting so you can see what is coming, plan for larger capital expenditure such as medical equipment, and understand how a busy or quiet period affects your position. Management accounts are usually where this comes together, giving you figures you can review regularly rather than only once a year.
Hospital payroll is rarely straightforward, with rotas, shift patterns, varying hours, overtime and a mix of permanent and contracted staff all feeding into the monthly cost. We can manage payroll for your hospital so payments, deductions and reporting are handled accurately and on time, and so the wage figures that land in your accounts are reliable. That consistency matters, because staff costs are usually the largest single line in a hospital's budget.
Getting started is simple: we have an initial conversation about your hospital or hospital business, what you currently have in place and what you would like to improve. If you are with another accountant, we can deal with the handover of information directly so you are not stuck in the middle chasing records. There is no obligation at that stage, and no pressure to commit before you are comfortable with the scope and the way we work. Once you are ready, we put the support in place and take it from there.