Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Totton
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 Totton 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 depends on what your hospital needs, but most of our hospital clients want a combination of bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow work, plus Corporation Tax support where it applies and VAT guidance where relevant. We can take on the full finance function or plug gaps alongside an existing in-house team. If you already have bookkeeping in place but need reliable management reporting, that is just as workable as a complete outsourced setup.
We support private hospitals, independent hospitals, day-case and specialist hospital operators, and hospital groups running more than one site or service line. Hospitals vary widely — some are consultant-led with theatre and diagnostic facilities, others focus on a narrow clinical specialism or outpatient care — and their accounting needs differ accordingly. What matters is understanding your structure, income streams, staffing, premises, equipment and operating costs before recommending anything.
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 scope of work — things like transaction volumes, payroll headcount, number of sites, reporting requirements and whether you need annual accounts, management accounts or both. There are no hidden extras, and we will always talk through what is included before anything is agreed so there are no surprises later.
Accounting and tax work for any business, hospitals included, needs to be carried out properly, with client due diligence and anti-money laundering checks done up front and filings submitted on time. When you speak to any firm, it is worth asking which professional body regulates them and how they handle those checks and deadlines — we are happy to answer those questions directly so you can make a confident decision. The same applies to record-keeping expectations, which we can explain clearly as part of your onboarding.
It depends on how your hospital is structured and what it does. Corporation Tax is usually relevant for limited company hospital operators, and there can be important allowances and timing questions around significant spending on medical equipment, premises and facilities. VAT is where things get more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. We look at your actual position rather than applying a blanket rule.
Yes. Payroll is often one of the largest and most complex costs a hospital carries, spanning clinical staff, nursing and support teams, administrative functions, locums and bank or agency arrangements. We can handle payroll processing, payslips, real-time reporting and the associated submissions, and we make sure staff costs are reflected accurately in your management accounts so you can see the true cost of running each part of the hospital.
Large purchases such as scanners, theatre equipment, monitoring devices or facility upgrades usually need careful treatment rather than being written off as ordinary expenses. We help you plan that spending, consider how it affects your cash flow and tax position, and make sure the accounting treatment and any allowances are handled correctly. Where equipment is funded through finance or leasing arrangements, we factor those commitments into your reporting and budgeting too.
It usually starts with a conversation about your hospital — how it is structured, what you need help with and what is currently taking up your time. From there we can review your existing records and reporting, handle the handover from your current accountant where relevant, and confirm a scope and fixed fee before work begins. Switching is generally more straightforward than people expect, and we manage the process so your compliance deadlines are never left exposed.