Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Wickham
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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 for Hospitals
Why Hospitals in Wickham 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 day-to-day accounting and tax work a hospital or hospital business needs: bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, and tax support including Corporation Tax where it applies and VAT where relevant. Because hospital businesses vary so much in size and structure, the mix is agreed around your organisation rather than applied as a fixed bundle.
We support private hospitals, independent hospitals, hospital operators and hospital groups, including organisations with more than one site or a more complex group structure. The common thread is that they need accounting support that understands clinical staffing, medical equipment, premises and multiple income streams. We do not assume that every hospital has the same accounting or tax treatment, so the approach is tailored to how your organisation is set up and what it does.
Yes. Payroll is often one of the biggest and most complex cost areas for a hospital, covering clinical staff, support staff, shift patterns, overtime and varying contracts. We can handle payroll processing alongside the wider accounting work, so staff costs feed accurately into management accounts, budgeting and year-end reporting instead of being reconciled separately at the last minute.
Pricing is based on the scope of work — the size and structure of the hospital or hospital group, the volume of transactions, payroll numbers, reporting requirements and the level of support you need. We work on fixed, transparent packages so you know what you are paying for, with no hidden fees and no unexpected invoices for routine work. After an initial conversation, you get a clear picture of the likely cost before anything is agreed.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — it is not a simple case of everything being exempt or everything being taxable. Different income streams can be treated differently, and related activities such as retail, catering, premises lettings or equipment sales may sit outside the main healthcare supplies. We can review your particular situation and help you apply the treatment that fits.
Yes. Large equipment purchases and facility improvements can have a significant effect on cash flow, tax position and reported results, so they need to be planned rather than absorbed as a surprise. We can help you factor capital expenditure into budgets and forecasts, understand how it affects your accounts and tax position, and time major purchases sensibly where there is flexibility.
Switching is usually more straightforward than people expect. We can liaise with your existing accountant to obtain the information needed, review your current records and bring the bookkeeping up to date, then take over the ongoing work. There is no requirement to wait until a particular point in the year, although aligning the change with your year end can sometimes make the transition tidier.
Get in touch and we will start with a conversation about your hospital or hospital business — its structure, income streams, staffing, premises and the accounting and tax support you currently have in place. From there we can outline what we would do, what it would cost and what we need from you to begin. You do not need everything perfectly organised before that first discussion.