Accountants for Private Hospitals, Clinics & Care Homes

Accountants for Hospitals in Tower Hamlets

Practical accounting and tax support for hospitals and hospital businesses in Tower Hamlets, covering everything from day-to-day bookkeeping and payroll to annual accounts, management reporting and tax compliance.

Instant Quote

Call Me Back

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

      EXCELLENT  
   Based on 300 reviews 
    
 
 
 
   
 
 
       Posted on Google  
   
   Jamie Fletcher 
 
 
 
 Trustindex verifies that the original source of the review is Google. It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
  
 
      Posted on Google  
   
   Mansur Liman 
 
 
 
 Trustindex verifies that the original source of the review is Google. Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
  
 
      Posted on Google  
   
   Muna Mohamoud 
 
 
 
 Trustindex verifies that the original source of the review is Google. I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail.

Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable.

I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
  
 
      Posted on Google  
   
   Sergey M 
 
 
 
 Trustindex verifies that the original source of the review is Google. I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
  
 
      Posted on Google  
   
   Ebba Qureshi 
 
 
 
 Trustindex verifies that the original source of the review is Google. Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
  
 
      Posted on Google  
   
   Mael Leboucher 
 
 
 
 Trustindex verifies that the original source of the review is Google. We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did.

Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly.

Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible.

Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow.

I would 100% recommend them.
  
 
      Posted on Google  
   
   3rd Hub 
 
 
 
 Trustindex verifies that the original source of the review is Google. Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
  
 
      Posted on Google  
   
   Martin Tyrrell 
 
 
 
 Trustindex verifies that the original source of the review is Google. I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free.

A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently.

I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
  
 
      Posted on Google  
   
   Matthew Lyon 
 
 
 
 Trustindex verifies that the original source of the review is Google. Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
  
 
  
  
 
     Verified by Trustindex  Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Hospitals and Hospital Organisations We Support in Tower Hamlets

We work with private hospitals, independent hospitals, day-case and specialist hospital providers, hospital operators and hospital groups across Tower Hamlets and the wider area. Their accounting needs vary considerably depending on how they are structured, what services they deliver, the mix of income streams they receive and how they manage staffing, premises, medical equipment, suppliers and professional services. Because of that, the support we provide is shaped around each hospital business rather than applied as a one-size-fits-all package.

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

As Accountants for Hospitals, we handle annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow planning, financial reporting, Corporation Tax where applicable, and tax and VAT support where relevant. Each of these areas is approached with hospital operations in mind, so staff costs, medical equipment purchases, premises and facilities, supplier payments, professional fees and operating costs are reflected properly in the numbers. We also help hospitals understand the performance of different income streams so that financial reporting gives a clear picture of how the business is actually performing.

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

Hospitals often carry significant fixed costs across staff payroll, medical equipment, premises and facilities, alongside a steady flow of supplier and professional service payments, which can make cash flow and budgeting genuinely difficult to manage. Multiple income streams, capital expenditure on equipment, and reporting obligations to lenders, investors or group entities add further complexity, and Corporation Tax and VAT treatment can depend on the nature of the supplies involved, the activities carried out and the organisation’s status. Good accounting support helps hospitals keep control of these moving parts rather than discovering problems after the year end.

Instant Quote

Call Me Back

Why Hospitals in Tower Hamlets Choose CruseBurke

CruseBurke provides practical accounting support for hospitals that need reliable financial records, well-run payroll, useful management accounts and clear reporting on cash flow, tax compliance, medical equipment costs, premises and suppliers. We take the time to understand how a hospital operates financially, then tailor bookkeeping, reporting and tax support around that structure rather than around a generic template. The aim is straightforward: hospital businesses should have numbers they can trust and advice they can act on when making decisions about staffing, equipment or expansion.

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.

Instant Quote

Call Me Back

Our Simple 3-Step Process for Hospitals

We start by getting to understand your hospital or hospital business, including how it is structured, how it earns income and where the main cost pressures sit. From there we review your existing accounting and tax position, including records, reporting and compliance, so we can see what needs attention. Once that picture is clear, we put the right ongoing support in place, whether that means bookkeeping, payroll, management accounts, annual accounts, tax and VAT support, or a combination of them.

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.

Instant Quote

Call Me Back

Practical Accounting Support Built Around Hospitals

Accounting support for hospitals works best when it reflects the realities of running one, so we tailor bookkeeping, payroll, annual accounts, management accounts and financial reporting to the way your hospital actually operates. That includes keeping medical equipment costs, premises and facilities, supplier payments and staffing expenditure properly recorded and reported. We also provide tax support and VAT guidance where relevant, so hospital businesses can make decisions with a clearer view of their financial position.

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

What types of hospitals do you provide Accountants for Hospitals services to?

We support private hospitals, independent hospitals, day-case and specialist hospital providers, hospital operators and hospital groups, along with hospital businesses that combine clinical services with other activities. The common thread is that these organisations have accounting needs shaped by staffing levels, premises, medical equipment, supplier arrangements and multiple income streams. Because hospital structures differ so much, we assess each one individually before recommending the level of support that makes sense.

What is included in your accounting services for hospitals?

Support can cover bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, Corporation Tax where applicable, and tax and VAT support where relevant. We can also help with reporting to lenders, investors or group entities where a hospital is part of a wider structure. The exact mix depends on how your hospital business is set up and what you already handle in-house.

How does pricing work for hospital accounting support?

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 in advance based on factors such as the number of staff on payroll, the volume of transactions, the number of income streams and whether you need management reporting or tax support alongside annual accounts. There are no hidden fees, and if your requirements change we discuss the impact before anything is adjusted.

What should we check before appointing accountants for a hospital business?

It is worth confirming that the firm is regulated by a recognised professional body, holds professional indemnity insurance and has experience of organisations with similar cost structures and reporting requirements. It also helps to ask how they handle payroll for mixed clinical and non-clinical teams, how they approach capital expenditure on medical equipment, and how they would report on multiple income streams. A firm that asks detailed questions about your operations before quoting is usually a good sign.

Can you manage payroll for hospital staff?

Yes. Hospital payroll tends to be complex, with a mix of full-time, part-time, bank and locum arrangements, different pay rates, overtime and varying pension contributions. We can manage the full payroll process, including payslips, RTI submissions and pension administration, so that staff costs are recorded accurately and feed cleanly into your management accounts and annual figures.

How do you handle VAT for hospitals?

VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be assumed across the board. Some supplies may fall outside the scope of VAT, some may be exempt and others may be standard-rated or subject to different rules, and the position can vary between private hospitals, independent providers and hospital groups. We review your particular activities and income streams before advising on how VAT should be treated.

Can you help with medical equipment purchases and capital expenditure?

Yes. Medical equipment and other capital expenditure need to be recorded correctly so that the accounts reflect both the cost and the ongoing effect on the balance sheet and profit. We help hospitals plan for significant purchases, consider how they affect cash flow, and make sure the accounting and any relevant tax reliefs are dealt with properly. Where equipment is funded through finance arrangements, we factor that into reporting and budgeting.

How do we get started with Accountants for Hospitals in Tower Hamlets?

The first step is a conversation about your hospital or hospital business, covering how it is structured, how income is generated and what accounting, payroll, reporting and tax support you currently have in place. If you are switching accountants, we can handle the handover with your existing firm and obtain the records we need, so the transition is smooth. From there we confirm the scope of support and put a clear, fixed package in place.

Speak to an Expert

Need Accountants for Hospitals in Tower Hamlets Who Understand Your Business? Get Practical Accounting Support Built Around How Hospitals Operate

Running a hospital means juggling payroll for a large team, expensive medical equipment, premises costs and suppliers, all while trying to keep track of several income streams at once. CruseBurke helps hospital businesses stay on top of this with management accounts that show what is really happening, reliable payroll, and tax and VAT support where relevant. If your current accounting arrangements leave you guessing about cash flow or chasing figures at year end, it is worth talking to a team that understands the pressures you face.

Instant Quote

Call Me Back