Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Purley
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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 Purley 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
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that sit alongside those operations. Every organisation is different, so the accounting approach depends on your legal structure, the services you provide, how many sites you run, how your income arrives and the scale and mix of your cost base. We are not engaged to provide specialist accounting services for NHS Trusts, NHS Foundation Trusts or other public-sector bodies.
Support typically covers annual accounts, day-to-day bookkeeping, management accounts, payroll, budgeting and cash flow planning, financial reporting, Corporation Tax where it applies, and VAT support where relevant. For hospitals, that often means handling large staff payrolls, tracking medical equipment and capital expenditure, recording supplier and premises costs accurately, and reporting on several income streams. The exact mix is agreed around what your hospital or hospital group actually needs.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The scope is agreed upfront based on the size of your operation, the number of entities and sites, the volume of transactions, payroll headcount and the level of reporting you need. There are no hidden fees, and if your requirements change, we discuss the scope and pricing with you before anything is adjusted.
Yes. Payroll is often one of the largest and most complex costs for a hospital, covering clinical teams, administrative staff, support functions and shift-based working patterns. We can manage payroll processing, payslips, deductions, pensions and the associated reporting, making sure the figures flow correctly into your accounts and management information. This helps keep staff paid accurately and your payroll records consistent with the rest of your financial reporting.
VAT treatment for hospitals is rarely straightforward. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so blanket assumptions about exemption or taxability can cause problems. We review what your hospital actually does, how income streams are structured and how costs are incurred, then advise on how VAT should be treated and what needs to be reported.
Hospitals usually carry significant fixed costs, including staff, premises, facilities, medical equipment and supplier payments, and income may not arrive evenly. We help build budgets and cash flow forecasts that reflect those realities, track capital expenditure on equipment and facilities, and produce management accounts that show where the pressure points are. That gives you a clearer basis for planning investment and managing working capital.
We work to professional accounting and tax standards, keeping records accurate and filings submitted on time, and we advise within the relevant UK rules on accounts, Corporation Tax and VAT. Where your hospital has requirements such as audit or specific reporting obligations, we will discuss how these apply to your circumstances and what is needed. If you are unsure whether something applies to your organisation, it is worth raising it early so it can be reviewed properly.
The first step is a conversation about your hospital or hospital business, your current accounting arrangements and where you feel support is needed. If you are switching accountants, we can help with the handover of records and information so the transition is managed properly. From there, we agree the scope, set up the services you need and provide ongoing accounting and tax support as your organisation moves forward.