Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Woodstock
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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 Woodstock 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 typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies, VAT support where relevant and general tax advice. What that looks like in practice depends on your hospital: a hospital operator with several sites and a large payroll will need a different mix from a smaller independent hospital with a single premises. We agree the scope with you up front so you know which areas we are handling and how often.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with businesses whose main activity is running a hospital. Because hospital businesses vary in how they are structured and funded, we tailor the service to your circumstances rather than assuming everyone needs the same thing. If you are unsure whether your organisation fits, it is worth a conversation, as the deciding factor is usually the nature of your activities and reporting needs rather than a label.
We use fixed, transparent packages based on the scope of work you need, so you are not left guessing what a monthly invoice will look like. The fee reflects factors such as transaction volumes, payroll size, number of income streams, reporting frequency and whether VAT or Corporation Tax work is involved. There are no hidden fees, and if your requirements change, we review the scope with you rather than quietly adjusting the cost. We will always explain what sits inside and outside the agreed fee before you commit.
We work to UK accounting and tax rules and keep your filings aligned with the requirements of HMRC and Companies House, including statutory deadlines for accounts, confirmation statements and tax returns. Records are kept in a structured way so information is traceable if it is ever queried. If your circumstances raise a more technical point, we will tell you plainly what the position is, what is required and what options exist, rather than glossing over the detail.
VAT in the hospital sector is rarely a simple yes-or-no answer. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it needs to be looked at case by case. Some supplies may fall outside the scope or be treated differently from others, and a hospital may have a mix of activities with different VAT positions. We review how your income streams and costs actually work and help you apply the right treatment and keep appropriate records.
Yes. Large purchases such as medical equipment and major facility investments have a significant effect on cash flow, your balance sheet and your tax position, so they need planning rather than being treated as an afterthought. We help you build equipment spending into budgets and forecasts, keep the accounting treatment consistent and make sure the tax relief and reporting implications are handled properly. Where a purchase decision is coming up, involving us early usually gives you more options.
We do. Hospital payroll often involves a mix of full-time and part-time staff, varying shift patterns, overtime, bank or agency arrangements and pension contributions, all of which need to be processed accurately and on time. We manage the calculations, payslips, RTI submissions and associated compliance, and we make sure payroll costs feed cleanly into your management accounts so you can see the true cost of staffing. Payroll data is handled confidentially and consistently each period.
Start with a conversation about your hospital or hospital business, what you currently have in place and what is causing you concern, whether that is cash flow, reporting, payroll, tax deadlines or simply not having clear figures to work from. If you are switching accountants, we can explain what is involved and what information we need, and we will liaise on your behalf where appropriate so the handover is smooth. From there we set out the support that fits and get on with it.