Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Finchley
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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 Finchley 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
Our work for hospitals typically covers bookkeeping and record-keeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies, VAT support and general tax advice. The exact scope depends on the size and structure of your hospital or hospital group, how many income streams you have and whether you need monthly management information or mainly year-end compliance. We agree the scope with you up front so you know what is being handled and when.
We support private hospitals, independent hospitals, hospital operators, hospital groups and similar hospital businesses, including day-case and specialist inpatient providers. The accounting needs of these organisations vary considerably depending on whether they are limited companies, partnerships or part of a wider group, how their income is generated and how much they invest in premises, equipment and staff. If you are unsure whether your organisation fits, it is worth a conversation, as the underlying accounting and tax questions are usually similar.
We work on fixed, transparent packages rather than open-ended hourly billing, so you can see what you are paying for and why. Pricing reflects the complexity of your hospital business, including transaction volumes, number of staff on payroll, the level of reporting you need and whether VAT and Corporation Tax work is involved. There are no hidden fees, and if your requirements change as the hospital grows, we revisit the arrangement rather than letting costs drift.
Yes. Payroll is often the largest and most complicated cost in a hospital, with variable hours, shift patterns, overtime, enhancements and multiple staff groups. We can run payroll end to end, including PAYE and National Insurance calculations, pension contributions, statutory payments and payslips, as well as the reporting obligations that come with employing staff. Accurate payroll also feeds directly into your management accounts, which is why keeping it tidy pays off well beyond payday.
VAT in a hospital setting is rarely a single answer, because treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances. Different income streams, such as self-pay treatment, insured work, contracted arrangements, retail or ancillary services and property-related income, may be treated differently from one another. We review how your hospital generates income and how it is structured, then advise on the position that applies to you rather than applying a blanket rule.
If your hospital operates through a limited company, it will generally be within the scope of Corporation Tax on its taxable profits, although the exact position depends on your structure, allowable expenses and any reliefs that apply. Hospitals often have significant capital expenditure on medical equipment and premises, and how that is treated can materially affect the tax position. We prepare the relevant computations and returns where they apply, and flag planning points as they arise.
Yes. Large equipment purchases and premises investment are among the biggest financial decisions a hospital makes, and they affect both the accounts and the tax position. We can help you plan the cash flow impact, understand how expenditure flows through your financial statements and consider the tax treatment of capital items. That planning is usually far more useful when it happens before the commitment is made rather than after.
Getting started is simple. We begin with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position, and then agree the support that fits. If you already have an accountant, switching is usually straightforward, and we can handle the handover of information and records so the transition does not disrupt your reporting or compliance deadlines.