Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Hartley Wintney
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 Hartley Wintney 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
It depends on what your hospital or hospital business needs, but typically it covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning and financial reporting. Where relevant, we also help with Corporation Tax, other tax matters and VAT support. The focus is on keeping your records accurate, your reporting useful and your compliance obligations handled properly, including the areas that come up most often in a hospital setting such as staff costs, medical equipment, premises and supplier payments.
These services are aimed at hospitals and hospital businesses rather than healthcare providers generally. That includes private hospitals, independent hospitals, hospital operators and hospital groups with varied structures and income streams. If you run a hospital organisation with employees, premises, equipment and multiple cost centres, the accounting and tax work tends to be more involved than standard small business accounting, and that is the kind of work we are set up to support.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The scope depends on factors such as the size of the hospital business, the number of employees, the complexity of your income streams, whether you need management accounts and how much bookkeeping support you want. Once we understand your requirements, we will set out clearly what is included so you can compare and plan with confidence.
Yes. Payroll is often one of the largest and most complex costs for a hospital, particularly where you have a mix of clinical, clinical support and administrative staff, varied shift patterns, overtime and pension contributions. We can handle payroll processing alongside the wider accounts so that staff costs are recorded consistently and reflected properly in your management accounts and year-end figures. That joined-up approach makes budgeting and cash flow planning considerably more straightforward.
VAT treatment for hospitals is not a straightforward yes-or-no question. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so two hospitals with different service mixes and structures can have quite different VAT positions. Because of that, we look at your actual activities and income streams before advising, and we make sure any VAT treatment adopted is properly considered rather than assumed.
Yes. Medical equipment and larger capital projects can represent significant outlay and have a real effect on cash flow, so how they are recorded and treated matters. We help with the accounting side of capital expenditure, including keeping track of purchases, depreciation and the timing of spend, plus the relevant tax reliefs where they apply. That gives you a clearer picture of your asset base and how future investment affects your financial position.
Multiple income streams are common in hospital businesses and they need to be recorded in a way that lets you see what is actually performing. We set up and maintain records that separate income sources properly, so your management accounts and financial reporting show meaningful figures rather than one blended total. This also helps with budgeting, cash flow forecasting and ensuring the tax position reflects the true mix of activities.
It starts with a conversation about your hospital or hospital business and what you need from an accounting partner. We then review your existing records, accounting arrangements and compliance position, and if you are switching accountants we can help manage the handover with your previous adviser. From there we agree the scope of support and put it in place, whether that is bookkeeping, payroll, management accounts, annual accounts, tax and VAT support, or a combination of these.