Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Garsington
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Garsington 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.
A 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 core of it is bookkeeping, payroll, annual accounts, management accounts and financial reporting, supported by budgeting, cash flow planning, tax support and VAT guidance where relevant. In practice, what we cover is shaped by how your hospital operates — whether you need help keeping supplier and staff cost records tidy, producing management information that shows how each income stream is performing, or making sure your year-end accounts and tax position are properly prepared and filed on time. Most hospital clients use a combination of these, and the mix can change as the organisation grows or its activity shifts.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses around them such as day-case facilities, consulting suites and diagnostic units. Their accounting requirements vary significantly depending on their structure, the services they provide, their staffing model, their premises and equipment, and the income streams they generate. Because of that, we do not apply a single template — the support is built around the organisation in front of us and the way it actually trades.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees appearing later. The level of pricing depends on the scope of work involved — the number of entities, the size of the payroll, how many income streams there are, whether management accounts are needed and how complex the VAT and tax position is. We agree the scope with you up front, explain what sits inside it, and revisit it if your hospital's circumstances change.
Yes. Payroll is usually one of the largest and most sensitive areas of hospital accounting, covering clinical staff, non-clinical and administrative teams, locum or bank arrangements and the pension and statutory obligations that come with them. We can run payroll on an ongoing basis, calculate the deductions and contributions due, produce payslips and handle the reporting obligations that follow. Getting this right matters not just for compliance but for cash flow, because staff costs are typically the biggest regular outgoing a hospital has.
VAT treatment for hospitals depends heavily on the specific circumstances rather than following one blanket rule. It can differ according to the nature of the supply, the activities involved, the status of the organisation and how those supplies are structured, which means some areas may be treated differently from others within the same hospital. We look at your particular activities and income streams, explain how the rules appear to apply to them, and help you keep the records and reporting in order. This is an area where assumptions are best avoided, so we work through it case by case.
Whether Corporation Tax applies, and to what extent, depends on how the hospital or hospital organisation is structured and the activities it carries out. Where it does apply, we prepare the computations and returns, make sure the figures in the accounts and the tax return agree, and help you plan around capital expenditure such as medical equipment so it is reflected properly. We also look at timing where relevant, so payments and liabilities do not arrive as a surprise and cash flow stays manageable.
Switching is usually more straightforward than people expect, and it need not disrupt your payroll or your reporting deadlines. We ask for details of your current accountant and your existing records, handle the professional handover between firms, and pick up the position as it stands so nothing falls through the gap. Once we have reviewed where things are, we agree what needs doing and when, and set up the ongoing support from there. If there is anything in the previous records that needs tidying, we will tell you clearly rather than leaving it unmentioned.
Start by getting in touch and telling us about your hospital or hospital business — how it is structured, what it does, and which areas of accounting, payroll or tax you need help with. We will review your current position, including your records and compliance obligations, and come back with a clear view of what we would do and how the pricing would work. If you are happy to proceed, we agree the scope, handle the handover from any existing accountant, and begin the ongoing support.