Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Seven Kings
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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 Seven Kings 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 Accountants for Hospitals support is designed for hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. Because a single-site hospital and a multi-site hospital group can have very different structures, income streams and cost profiles, we start by understanding how your organisation is set up, how it is funded and what financial information you actually need. We do not work with NHS Trusts or other public-sector organisations, and we do not assume that private and NHS hospitals share the same accounting or tax treatment.
Support can cover annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax where applicable and tax and VAT support where relevant. These are applied to the specific realities of a hospital business, such as staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments, professional fees and multiple income streams. The exact mix depends on your size, structure and what your internal team already handles.
We work on fixed, transparent packages so you know what you are paying for and why, with no hidden fees or surprise extras appearing later. Pricing reflects the scope of work involved, which depends on factors such as the size of your hospital, the number of sites, payroll volumes, how many income streams you have and whether you need management accounts and regular reporting. Once we understand your requirements, we can set out a clear scope so the cost is easy to compare and budget for.
Yes. Payroll is often one of the largest and most time-sensitive costs in a hospital, covering clinical, administrative, support and ancillary staff across different pay rates, shift patterns and contracts. We can take on the payroll process, helping to keep deductions, pension contributions, statutory payments and reporting deadlines in order. That reduces the risk of errors and frees up your internal team to focus on running the hospital.
VAT treatment for hospitals is not a single answer. It depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances, so some areas may be treated differently to others. We review how your income streams and costs actually work, identify where VAT needs to be accounted for or recovered, and help you apply the treatment that fits your situation rather than relying on broad assumptions.
Where Corporation Tax applies to your hospital or hospital business, we can help with preparing and filing the necessary returns, reviewing allowable costs and expenses, and planning ahead so there are no unwelcome surprises. On the reporting side, we can prepare annual accounts and management accounts that show how the hospital is performing across income streams and cost areas, giving you something genuinely useful for lenders, investors or internal decision-making.
Hospitals often face significant outlays on medical equipment, premises works and facilities, alongside regular supplier and payroll commitments, while income may arrive unevenly. We can help you build budgets and cash flow forecasts that reflect those patterns, so you can plan for capital purchases, manage supplier payment timing and understand your position in advance rather than after the fact. Good forecasting also makes conversations with banks, lessors and equipment suppliers far easier.
Getting started is straightforward. We begin with a conversation about your hospital, how it operates and what you need from an accountant, then review your current accounting and tax position. If you are moving from another accountant, we can manage the handover, request the information we need and keep disruption to a minimum. From there we agree a scope of work and put ongoing support in place.