Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Wantage
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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 Hospitals Face
Why Hospitals in Wantage 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
It covers the areas that matter most to a hospital business, including bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow, financial reporting, Corporation Tax where it applies, and VAT support where it is relevant. Because hospital operations bring their own complexities — staff costs, medical equipment, premises, suppliers and varied income streams — we shape the work around your structure rather than applying a standard package.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as other hospital-based businesses that need reliable financial records, reporting and tax support. Whether you run a single site or oversee several, the focus is on accounting that reflects how your hospital actually operates. If your circumstances are unusual or your structure is complex, it is worth talking it through with us so we can confirm the best way forward.
Fees are based on the scope and complexity of your requirements, so we take the time to understand your hospital before suggesting a package. Pricing is fixed and transparent, agreed in advance, with no hidden extras, and it can be reviewed as your needs change. You will always know what is included before any work begins.
Yes. Payroll in a hospital often involves a mix of full-time, part-time and bank or locum staff, variable hours, shift patterns and different pay rates, which makes accuracy and timing essential. We can handle payroll processing, payslips, RTI submissions and the associated record keeping, so your people are paid correctly and your obligations as an employer are met.
Corporation Tax applies to companies in the usual way, with allowances and reliefs potentially available on items such as medical equipment and capital expenditure, depending on the circumstances. VAT is more nuanced: the treatment of a supply depends on its nature, the activities involved, the organisation's status and the specific facts. It is not correct to assume that everything a hospital does is exempt, nor that everything is taxable, so we review your position properly and advise on the treatment that applies to you.
Yes. Medical equipment and facilities investments are significant commitments, and how they are recorded, funded and treated for tax purposes can affect both your cash flow and your overall tax position. We can help you plan for capital expenditure, make sense of the reliefs and allowances that may apply, and reflect the costs accurately in your accounts and management reporting.
Switching is usually straightforward. We handle the handover with your previous accountant, obtain the information we need and make sure your records are brought up to date, so there is no gap in your bookkeeping, payroll or reporting. Many hospital businesses find the transition smoother than expected once the practical steps are set out clearly.
Get in touch and tell us about your hospital or hospital business, including how it is structured and where you need support. We will review your current accounting and tax position, highlight anything that needs attention and explain how our help would work in practice, so you can move forward with confidence.