Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Ealing
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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 Ealing 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 covers the core areas most hospital businesses need: bookkeeping, annual accounts, management accounts, payroll, financial reporting, budgeting and cash flow support, along with Corporation Tax and VAT support where those apply. Because hospitals have particular cost patterns, we also look at how staff costs, medical equipment, premises, supplier payments and professional fees are recorded and reported. The mix is adjusted to suit your structure and priorities rather than being a fixed package you have to fit into.
We work with private hospitals, independent hospitals, hospital operators and hospital groups. What matters most is that you operate in, or own, a hospital or hospital business and need accounting and tax support that understands how that operation works. The accounting requirements of a single-site independent hospital and a multi-site hospital group are quite different, so we start by understanding your structure, income streams and cost base.
We use fixed, transparent pricing agreed in advance, so you know what you are paying for and there are no hidden fees appearing later. The fee reflects the scope of work involved, such as how many payroll employees you have, how many income streams need reconciling, the volume of transactions and whether you need management accounts or additional reporting. We will explain what sits inside the agreed scope so nothing is ambiguous.
Yes. Payroll is often one of the largest and most complex costs a hospital carries, particularly where staff work shifts, overtime, variable hours or across different departments. We can manage payroll processing, PAYE obligations and the reporting that goes with it, so payments are accurate and deadlines are met. Keeping payroll consistent also makes it far easier to produce meaningful management accounts and understand your true staffing costs.
Corporation Tax applies to companies in the usual way, based on taxable profits after allowable expenses, though the detail depends on your structure and what is treated as capital or revenue spending. VAT is more nuanced: the treatment 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 reviewed rather than assumed. We look at your individual position and make sure VAT is handled correctly.
Medical equipment and larger purchases are often a significant outlay for hospitals and need to be treated correctly, with the right distinction between capital expenditure and routine running costs. Getting that split right affects your reported profits, your tax position and how clearly your accounts reflect the state of the business. We also consider how equipment spending interacts with cash flow, since large purchases can be lumpy and need planning around.
Yes, and this is one of the more common issues hospital businesses face. Income may arrive through private patient fees, insurer arrangements, contracts or other sources, and each needs to be recorded accurately and reconciled properly for reporting to be reliable. We set up bookkeeping and reporting so you can see where income is coming from and how each stream is performing, rather than looking at one blended total.
It starts with a conversation about your hospital or hospital business, how it is structured and what you need help with. If you are switching accountants, we can take care of the handover so the change is smooth and your records stay in order. From there we agree the scope, confirm pricing and put the right support in place.