Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in North London
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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 North London 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
It typically covers the core areas a hospital business needs: bookkeeping and record-keeping, payroll for staff, annual accounts, management accounts and financial reporting, budgeting and cash flow support, and tax matters such as Corporation Tax where it applies. VAT support is included where it is relevant to your activities and how your supplies are treated. Because hospitals differ so much in structure and operations, the exact mix is agreed with you rather than fixed in advance.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses of varying sizes and structures. Some operate from a single site, others across several, and their accounting needs reflect that. We do not provide accounting services for NHS Trusts, NHS Foundation Trusts or other public-sector organisations, so if your organisation sits in that space we would not be the right fit.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the shape of your hospital business — things like the number of staff on payroll, the volume of transactions, the number of sites and the level of reporting you need — rather than a single figure applied to everyone. There are no hidden fees, and the scope is agreed with you upfront so it can be reviewed as your requirements change.
Yes. Payroll is often one of the largest costs for a hospital and one of the most administratively demanding, particularly where staff are paid on different patterns, rates or contracts. We can handle the payroll process, from calculations and deductions through to the reporting obligations that come with employing people, so it is accurate and on time. That gives you a reliable picture of staff costs to feed into budgeting and management accounts.
Both depend on your specific circumstances rather than following a blanket rule. VAT treatment varies according to the nature of the supplies you make, the activities involved, the status of your organisation and the detail of each arrangement — some supplies may be treated differently from others, and mixed activities can complicate matters. Corporation Tax depends on your structure, your taxable profits and the reliefs available to you. We review your position and make sure your reporting and returns reflect it properly.
Equipment purchases and facility improvements are often substantial and irregular, which can put pressure on cash flow even when a hospital is trading well. We can help you plan for capital expenditure, spread the financial impact sensibly, and reflect assets and depreciation correctly in your accounts and management reporting. That way, investment decisions are made with a clear view of what the numbers look like both now and further ahead.
Multiple income streams are common and can make reporting harder than it needs to be, especially when income arrives on different terms or cycles. We help separate and track those streams so you can see what is performing, what each one contributes and how they interact with your cost base. That level of detail makes management accounts far more useful when you are planning staffing, services or expansion.
It usually starts with a conversation about your hospital or hospital business — how it is set up, what you currently have in place and where you feel the gaps are. If you are switching accountants, we can help coordinate the handover so it is smooth and nothing is missed. From there, we confirm the scope of support that suits you and put the arrangements in place.