Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Whitehall
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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 Whitehall 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
Our work for hospitals and hospital businesses typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax where it applies and VAT advice where relevant. The exact mix depends on your structure, size and how much of the day-to-day finance function you want handled externally. Many hospital businesses start with a core package covering compliance and payroll, then add management reporting or budgeting support as their needs develop.
We work with privately run and independent hospitals, hospital operators and hospital groups, along with related hospital businesses such as treatment and diagnostic centres operating outside the public sector. If your organisation delivers hospital services and needs reliable accounts, payroll and tax support, the approach is likely to fit. Because hospitals differ so much in size and structure, we assess each enquiry individually rather than assuming one service model suits everyone.
Pricing is based on the scope of work rather than a flat rate, since a small independent hospital with a modest payroll has very different requirements from a hospital group with multiple sites and several income streams. We agree the scope upfront and quote on a fixed, transparent basis wherever possible, so you know what you are paying for and there are no hidden fees. If your requirements change during the year, we discuss any adjustment with you before it happens.
Accounting and tax work is governed by professional standards and regulatory requirements, and it is reasonable to ask any firm who will actually handle your work and what oversight applies to it. We are happy to explain how your accounts and tax filings will be prepared, who is responsible for them and the compliance obligations that come with running a hospital business. If you have specific regulatory or reporting requirements, tell us early so we can factor them into the engagement.
The recurring themes are large and regular payroll runs, capital expenditure on medical equipment, premises and facilities costs, high volumes of supplier payments, and income arriving from several different sources on different cycles. On the tax side, Corporation Tax applies where relevant, and VAT treatment needs care because it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We look at your particular arrangements rather than applying broad assumptions to hospital businesses as a whole.
VAT for hospitals is not a simple yes-or-no question. Treatment depends on what is being supplied, the activities involved, the status of the organisation and the specific circumstances, so some supplies may be treated differently from others. It is also not safe to assume that every hospital is in the same position, since organisations with different structures and activities can face different outcomes. We review your actual income streams and cost base before advising.
Yes. Payroll is often the largest cost in a hospital, so we make sure staff costs are processed accurately and reflected properly in your management accounts. We also help you account for medical equipment and other capital expenditure sensibly, and build cash flow forecasts that take account of supplier payments, premises costs and the timing of income. That combination tends to give hospital operators far more confidence when planning recruitment, equipment purchases or expansion.
Getting started is usually straightforward. We begin with a conversation about your hospital or hospital business, then review your current accounts, payroll and tax position to understand what needs attention. If you are moving from another accountant, we can liaise with them to obtain the records and information needed, and we will confirm the scope of work with you before anything begins. From there, we set up the ongoing support around your reporting cycles and deadlines.