Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Fareham
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Fareham 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 for 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 hospital businesses of different shapes and sizes in Fareham, including private hospitals, independent hospitals, hospital operators and hospital groups. Some are single-site operations, while others run across multiple premises or sit within a wider corporate structure. Because of that, the accounting and tax requirements can vary considerably, and the support is shaped around your organisation's structure, activities, income streams and overheads rather than a fixed template.
The core work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting. Where Corporation Tax applies to the entity, that is prepared and submitted as part of the compliance cycle, and VAT support is provided where relevant, with the treatment reviewed against the nature of the supplies, the activities involved and the organisation's status. The scope is agreed in advance so you know what is being handled and when.
Pricing is based on the size and complexity of the hospital business, the volume of transactions, the number of staff on payroll and the level of reporting and compliance support required. We work on fixed, transparent packages rather than open-ended hourly billing, so there are no hidden fees and no surprises. Once we understand your requirements, you receive a clear scope and cost before any work begins.
Yes. Payroll is one of the largest and most sensitive areas for any hospital, covering clinical and non-clinical teams, varying shift patterns, overtime and different contract types. We manage payroll processing, payslips, statutory deductions and the associated reporting obligations, so wages are accurate and deadlines are met. It also means staff costs feed into your management accounts and budgeting in a way that reflects what is actually being paid out.
VAT treatment for hospitals is not uniform. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams and services can be treated differently. We review your position carefully and make sure returns reflect the reality of what your hospital is providing, rather than applying assumptions that may not fit your business.
Yes. Hospitals often face significant, irregular outlays on medical equipment, premises and facilities, alongside a steady stream of payroll and supplier commitments. We build management accounts and cash flow forecasts that show how those costs land across the year, so you can plan purchases and capital expenditure with a clearer view of what the numbers can support.
Switching is usually more straightforward than people expect. We handle the handover directly with your existing accountant, request the records we need and make sure nothing is missed across the transition. Most hospitals find the process settles quickly, with the main focus being on getting accurate information in place and identifying anything that needs attention in the current year's accounts.
It begins with a conversation about your hospital or hospital business — how it is structured, what it provides, who is on payroll and where you feel the financial pressure points are. From there we review your accounting and tax requirements, confirm the scope of support and put a plan in place. If you would like a clearer picture of what is involved, get in touch and we will talk it through.