Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Angus
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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 Angus 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.
Practical 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 work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with their own facilities or treatment operations. What these organisations have in common is a need for accounting that reflects substantial staff costs, significant equipment and premises expenditure, and income from more than one source. If you are unsure whether your organisation fits, the simplest approach is to talk it through with us and we will explain what support would be relevant.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where it applies and VAT support where relevant. For hospitals, that often means reporting that separates staff costs, medical equipment and capital spending, premises and facilities, supplier payments and professional services, while tracking different income streams clearly. We can provide individual services or a combined package depending on what you already handle in-house.
Pricing is based on the scope and complexity of the work rather than a one-size-fits-all figure, so it reflects things like transaction volumes, payroll headcount, reporting frequency and the number of income streams involved. We use fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. If your requirements change — for example, if you expand your facilities or take on more staff — we will review the arrangement with you rather than leave you guessing.
We work to UK accounting standards and keep up to date with HMRC and Companies House requirements, filing deadlines and reporting obligations relevant to the businesses we look after. Where a specific engagement calls for particular expertise, we will be clear about who is handling the work and bring in additional support if needed. If you would like to understand the professional memberships and qualifications relevant to your engagement, we are happy to talk that through before you commit to anything.
Hospitals tend to have a distinctive cost profile, with payroll, rota cover, medical equipment, premises and facilities, supplier payments and professional services making up a large share of outgoings, and capital expenditure creating its own reporting and cash flow considerations. On the tax side, Corporation Tax applies where the organisation is a limited company and the relevant rules are met, and VAT treatment depends on the nature of each supply, the activities involved, your organisational status and the specific circumstances. Some supplies may be treated differently from others, so we review your position rather than applying blanket assumptions.
Yes. Payroll for hospitals usually involves a mix of roles, varied pay arrangements and shift or rota patterns, along with pension obligations and the usual PAYE requirements. We can run payroll on your behalf, produce payslips, handle the associated submissions and keep records that make it straightforward to see total staff costs within your management accounts. That visibility matters when staffing is such a significant part of a hospital's overall cost base.
No, they do not automatically share the same treatment, and it would be misleading to suggest otherwise. VAT depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, and different arrangements can fall into different VAT categories. We look at what your hospital actually supplies and to whom, then explain how that is likely to be treated and what records you should keep to support the position.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position, and then a clear proposal setting out the services and the fixed fee. If you are switching accountants, we can handle the handover, including contacting your existing adviser for the information we need, so the transition does not disrupt your reporting, payroll or filing deadlines.