Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Eastcote
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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 Eastcote 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
The service is built around the accounting and tax work a hospital or hospital business needs, which typically includes bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning and financial reporting. We can also help with Corporation Tax where it applies, wider tax support and VAT considerations, depending on the nature of your supplies, activities and how your organisation is structured. Most hospitals need a combination of these rather than everything on the list, so the scope is agreed around your circumstances and reviewed as things change.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need dependable accounting support behind the scenes. That includes organisations operating from a single site as well as those running multiple locations or service lines, and those with a mix of income streams such as treatment fees, procedures, consulting arrangements, diagnostics and other hospital-related services. If you are unsure whether your organisation fits, it is usually worth a conversation to establish what you actually need.
Fees are based on a fixed, transparent package rather than an open-ended hourly arrangement, and the price reflects the scope of work involved. Factors such as the size of the hospital, the number of sites, payroll headcount, transaction volumes, the complexity of your income streams and whether you need management accounts or VAT support all influence the fee. You will know what is included and what it costs before work begins, with no hidden fees or surprise invoices, and the package can be adjusted if your requirements grow or change.
Yes. Payroll is often one of the biggest cost lines in a hospital, covering a workforce that can span clinical, administrative and support roles across different shift patterns and contract types. We help make sure employees are paid accurately and on time, that the associated payroll taxes and reporting obligations are handled properly, and that staffing costs are recorded in a way that feeds cleanly into your management accounts and budgets. That visibility matters when you are planning rotas, recruitment or cost control.
VAT for hospitals is not a straightforward, one-size-fits-all area. The treatment of a particular supply depends on the nature of that supply, the activities involved, the status of the organisation making it and the specific circumstances, so you should not assume that all hospital services are exempt or that everything is taxable. We help review how VAT applies to what you actually do, flag areas where the position needs care and make sure the treatment adopted is documented and consistently applied.
Yes, and for most hospital businesses this is where accounting support adds the most day-to-day value. Management accounts give you a regular view of income, operating costs, staff expenditure and margins, while financial reporting provides the formal picture you and your stakeholders need. Budgeting and cash flow forecasting help you plan for large outgoings such as medical equipment, premises works and supplier commitments, so you are not caught short when significant payments fall due.
Where Corporation Tax applies to your organisation, we help with the calculations, the filing obligations and the planning around them, including how capital expenditure on medical equipment, facilities and other assets is treated. Capital purchases and lease arrangements can affect your tax position and your cash flow in different ways, so it helps to look at them before commitments are made rather than afterwards. We also make sure your records support the figures reported.
Getting started usually begins with a short conversation about your hospital or hospital business, what you currently have in place and where you feel the pressure points are. From there we review your accounting and tax position, agree the scope of support that suits you and coordinate the handover from your existing accountant so the transition is handled cleanly. You do not need everything perfectly organised beforehand — most of the work of getting things into shape can be part of the process.