Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in West Wimbledon
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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 West Wimbledon 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
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital-based organisations providing surgical, diagnostic, inpatient or specialist care. Because these organisations are structured and run very differently, the accounting support is shaped around each one individually — from a single-site independent hospital to a group operating across several locations. If you are unsure whether your organisation fits, a brief conversation is usually enough to establish what you need.
It depends on your requirements, but typically covers bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, and VAT support where relevant. Hospital-specific factors such as staff costs, medical equipment, premises and facilities, supplier payments and multiple income streams are built into how the work is done. Some hospitals take a broad package covering everything, while others prefer a narrower scope focused on a particular pressure point.
Fees are based on the scope and complexity of the work rather than a single flat figure applied to everyone. A hospital with one site, a small team and straightforward income streams has a very different workload from a multi-site hospital group with substantial payroll, ongoing equipment investment and several revenue streams, and the fee reflects that difference. We set out our fees clearly before any work begins, on fixed, transparent packages with no hidden extras, so there are no surprises later in the year.
VAT treatment across the hospital sector is rarely black and white. Whether a particular supply is exempt, standard-rated or treated in another way depends on the nature of the supply itself, the activities involved, the status of the organisation and the specific circumstances — and different services within the same hospital can be treated differently. Where a hospital has a mixture of taxable and exempt income, partial exemption rules may also come into play. We look at your actual activities and income streams before advising on the position that applies to you.
Yes. Payroll is often one of the largest and most complicated costs a hospital carries, particularly with rotas, shift patterns, overtime, pension contributions and a mix of clinical and non-clinical staff. We can handle payroll processing and the associated reporting, and prepare management accounts that show how the hospital is genuinely performing — income against costs, staffing, equipment and premises expenditure, and the trends that matter when you are planning ahead.
Yes. Medical equipment represents a significant investment, and how those purchases are treated — whether they are capitalised, how they are depreciated, and how they affect your tax position and cash flow — has a real impact on your figures. We can help you plan for equipment spending, reflect it properly in your accounts, and understand how it affects your overall financial position and any tax reliefs that may be available.
Switching is usually far less disruptive than hospitals expect. Once you decide to move, we contact your existing accountant for professional clearance and the information needed to take over, then agree a handover plan so bookkeeping, payroll and reporting continue without interruption. We will also review what has been done previously to make sure everything is in order. You do not need to wait until a particular point in the year to begin.
Start with a conversation about your hospital — how it is structured, what services it provides, how many staff you employ and what you need most from an accountant. From there we can outline the services that fit, explain how we would work alongside your team and set out fees clearly in advance. If you have existing accounts, payroll records or reporting you would like reviewed first, we are happy to look at those as part of the process.