Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Eastleigh
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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 Eastleigh 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
Support is built around what your hospital or hospital business needs, and typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting. Where they apply, we also deal with Corporation Tax, VAT and other tax matters, and we help make sure costs such as staff, medical equipment, premises, suppliers and professional services are recorded accurately and consistently. The mix is agreed with you rather than fixed, so it reflects the size, structure and activities of your organisation.
It is designed for private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need dependable accounting, tax and reporting support. That includes organisations with multiple income streams, substantial payroll, significant equipment and facilities costs, or complex supplier arrangements. If you are unsure whether your organisation fits, a conversation about how you are structured and what you need is usually enough to establish whether we are the right fit.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees. The level of support you need depends on factors such as the size of your hospital business, the volume of transactions, the number of staff on payroll, how many income streams you have and how much reporting and tax work is involved. We set out what is included in writing before anything begins, so there are no surprises partway through the year.
We provide professional accounting, tax and payroll services, and we work to the standards and compliance requirements that apply to the work we carry out. Where a piece of work needs a specific qualification, registration or regulatory approval, we will be clear about that and how it is covered. If you would like to understand exactly how we handle compliance for your organisation, we are happy to explain it in detail before you commit to anything.
VAT treatment for hospitals is not a single, simple answer. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so some income may be treated differently from other income, and costs may or may not be recoverable. NHS hospitals and private hospitals do not automatically receive identical treatment either. We look at what your organisation actually does and how it is structured before advising on the right approach.
Yes. Large purchases such as medical equipment and premises improvements need to be planned and accounted for properly, including how they affect your tax position, your cash flow and your longer-term budgeting. We help you build a realistic picture of when money goes out and when it comes in, so you can make decisions about investment and expansion with a clearer view of what the numbers look like. This is often one of the most valuable areas of support for hospital businesses.
Switching is generally more straightforward than people expect, and we can manage the handover so that your records, deadlines and reporting continue without disruption. We will review your existing accounts and tax position, identify anything that needs attention, and make sure the transition is properly documented. If it turns out that staying where you are is the better option for now, we will tell you that too.
It starts with a conversation about your hospital or hospital business: how it is structured, how it earns income, what your main costs and pressures are, and what you want from an accountant. From there we review your current accounting and tax position and outline how we would support you going forward. Once the scope is agreed and the fees are confirmed in writing, we can put everything in place and take the financial admin off your plate.