Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Wanstead London
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 Wanstead 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.
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 hospitals and hospital businesses across a range of structures, including private hospitals, independent hospitals, hospital operators, multi-site hospital groups and smaller hospital organisations. Whether you are a standalone hospital or part of a wider group, the starting point is the same: understanding how your organisation is set up, how it generates income and what its main cost pressures are. That determines the accounting, payroll, reporting and tax support that makes the most sense for you.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax and VAT where these apply to your organisation. In a hospital setting, that often means handling staff costs across clinical and non-clinical teams, tracking equipment purchases and capital expenditure, and keeping on top of payments to suppliers, landlords and professional service providers. We build the service around what your hospital actually needs rather than applying a fixed package.
Pricing is based on the scope of work your hospital requires, so it reflects factors such as the number of sites, the size of the payroll, the volume of transactions, the complexity of your income streams and whether you need ongoing management reporting or one-off support. We favour fixed, transparent packages with no hidden fees, so you know what you are paying for and why. Once we understand your circumstances, we can set out a clear proposal before any work begins.
We work within the professional and regulatory standards that apply to UK accountancy and tax services, and we keep our knowledge current across the areas that matter most to hospitals and hospital businesses. If you have specific compliance requirements or need clarity on how a particular tax rule applies to your organisation, we will talk it through with you openly rather than assuming a one-size-fits-all answer. For anything outside our remit, we will tell you plainly and point you in the right direction.
Hospitals face a mix of tax considerations depending on how they are structured and what they do. Corporation Tax may be relevant for incorporated hospital businesses, and VAT is often more nuanced than people expect, because the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. It is not a case of all hospital services being exempt or all hospital-related supplies being taxable. We review your position in detail and explain what applies to you.
Yes. Large purchases such as medical equipment and other capital expenditure can have a significant effect on your cash position, your reported figures and how costs are recognised over time. We help you plan for these outlays, reflect them properly in your accounts and management reporting, and build cash flow forecasts that account for both routine operating costs and larger one-off investments. That gives hospital operators a clearer view of what is affordable and when.
Switching is usually more straightforward than hospitals expect. Once you decide to move, we handle the handover, including requesting the relevant information from your existing accountant and getting to grips with your current records, reporting and tax position. We will let you know what we need from you and when, and we will work around the operational demands of running a hospital so the transition does not disrupt your day-to-day activities. From there, we set up the ongoing support that suits your organisation.
The first step is a conversation about your hospital or hospital business, covering its structure, services, staffing, income streams and the accounting or tax issues you want to resolve. From there, we review your existing position and outline the support that would help most, along with a clear, transparent proposal. If it looks like a good fit, we agree the scope and get started on the transition and ongoing work.