Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Woolwich
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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 Woolwich 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
The role covers both the compliance side and the management side of hospital finances. On the compliance side, that means keeping accurate records, preparing annual accounts, handling payroll obligations, and managing tax and VAT requirements where they apply to your activities. On the management side, it means producing management accounts and financial reporting that show how the hospital is performing, along with budgeting and cash flow forecasting so you can plan for staff costs, medical equipment, premises and supplier payments with a clearer picture of what is affordable.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide services within a hospital setting. Support is shaped around the structure of the organisation, whether that is a single site or a group of locations, and around the income streams it relies on. If your organisation is a hospital rather than a general healthcare provider, the accounting work is framed accordingly, covering the cost base and reporting needs that tend to come with running a hospital.
Pricing is built around fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The scope depends on factors such as the size of the hospital, the number of staff on payroll, the complexity of income streams, whether management accounts and budgeting are needed, and whether VAT or Corporation Tax support is involved. We set out what is included before any work begins, and there are no hidden fees added on afterwards.
Yes. Payroll is one of the largest and most regular costs for most hospitals, covering clinical and non-clinical teams, varied working patterns, overtime and other payments. We can manage payroll processing, deal with the associated deductions and reporting obligations, and make sure payroll figures feed properly into your management accounts and cash flow forecasts. That helps avoid the situation where payroll is handled in isolation and the wider financial picture becomes hard to read.
It depends on how the organisation is structured. Companies, including many private and independent hospital operators, are generally within the scope of Corporation Tax, while other structures are treated differently. The rate and reliefs that apply can also vary according to profits and circumstances. Rather than assume one position applies to every hospital, we look at your structure and activities and handle the relevant calculations, filings and deadlines on that basis.
VAT treatment for hospitals is not something that can be decided from a single rule, because it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some hospital supplies may be exempt, some may be taxable, and some situations involve mixed or partially exempt positions that need careful handling. We review what your hospital actually provides and how it is structured, then advise on the VAT treatment and the records needed to support it.
Yes, and this is often where hospitals feel the most pressure. Medical equipment and capital expenditure are significant commitments that need planning rather than reacting to as they arise. We help build budgets and cash flow forecasts that account for equipment purchases, premises and facilities costs, supplier payments and staffing, so decisions about investment can be made with a realistic view of the numbers. Management accounts then keep that picture current rather than historical.
Switching is usually more straightforward than hospitals expect. We begin with a conversation about your organisation, how it is structured and what accounting and tax support you currently receive, then review the records and reporting in place. From there we set out an approach that covers bookkeeping, payroll, accounts, reporting and compliance as needed, and liaise with your previous adviser where required so the handover runs smoothly. Once things are in place, ongoing support continues without you needing to manage the process yourself.