Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Whitchurch
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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 Choose CruseBurke for Accounting Support
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 private hospitals, independent hospitals, hospital operators, hospital groups and smaller hospital businesses, including those providing day-case, diagnostic, outpatient or inpatient services. Their needs differ widely depending on size, structure and the range of services they offer, so the support we provide is shaped around each organisation. If you are unsure whether your hospital business fits, the simplest thing is to get in touch and talk it through.
Our work for hospital businesses typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting, financial reporting and tax support, including Corporation Tax and VAT where those apply to your circumstances. We also help with practical matters such as reconciling income streams, tracking equipment and premises costs, and keeping supplier payments under control. The exact mix depends on what your hospital needs and how much you want to handle in-house.
We use fixed, transparent packages, so you know what you are paying for and there are no hidden fees or surprise invoices. The price reflects the scope of work involved, which depends on factors such as the size of your hospital business, the number of staff on payroll, the volume of transactions and the level of reporting you need. We will talk through your requirements first and explain the options clearly before anything is agreed.
Yes. Payroll is one of the biggest administrative and cost pressures for hospitals, particularly where you have a mix of permanent staff, part-time employees, bank shifts and agency arrangements. We can manage payroll processing, payslips, PAYE and pension-related obligations, and help you keep clear records of staffing costs. That makes it far easier to see how labour costs are affecting your overall financial position.
VAT treatment for hospital-related supplies depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so it is not something that can be reduced to a single rule. Corporation Tax similarly depends on how the hospital business is structured and what it does. We review your position, explain how the rules apply to you and help you stay compliant with your filing and reporting obligations.
Yes. Medical equipment is often one of the largest outlays a hospital makes, and the way you fund and account for it affects both your cash flow and your tax position. We help you plan for capital expenditure, understand the accounting treatment and factor larger purchases into your budgeting and forecasting, so investment decisions are made with a clear view of the financial impact.
That is common in the sector, and it is one of the reasons hospital accounting can be more involved than in other businesses. Self-pay income, insured work, contracted services and other revenue streams may need to be tracked separately for reporting and tax purposes. We help you keep those streams clearly recorded so your management accounts and financial reporting genuinely reflect how the hospital is performing.
Getting started is straightforward. We begin by understanding your hospital or hospital business, then review your current accounting and tax position before putting the right ongoing support in place. If you are moving from another accountant, we can manage the handover, including requesting the relevant records and information so the transition is as smooth as possible. You are welcome to contact us to discuss your situation and what you need.