Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Birmingham
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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 Birmingham 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 privately run hospitals, independent hospitals, hospital operators, hospital groups and smaller specialist hospital businesses, including day-case and surgical facilities that operate as hospital organisations. Every hospital has a different structure, activity mix and income profile, so the support is shaped around the specific business rather than applied as a standard package.
Depending on what the hospital needs, the service can cover bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, Corporation Tax where it applies, and VAT support where relevant to the supplies being made. We can handle the full finance function or focus on the areas where the hospital needs additional capacity, such as payroll for a large mixed workforce or reporting across multiple income streams.
Pricing is based on the size and complexity of the hospital, the number of sites, the volume of transactions, the size of the payroll and the level of reporting required. We use fixed, transparent packages so you know what you are paying for, with no hidden fees and no unexpected billing for routine work. A clear scope and fee is agreed before anything starts.
Yes. Payroll is usually one of the largest and most complex costs in a hospital, covering clinical staff, administrative teams, support roles and sometimes bank or locum arrangements. We can manage the payroll process end to end, including payslips, RTI submissions, pension contributions and the reporting needed to keep staff costs properly reflected in the management accounts.
VAT treatment for hospitals depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so it needs to be looked at rather than assumed. Some activities may be treated differently from others, and mixed income streams can make the position more complicated. We review the supplies being made and advise on how VAT should be applied in your particular case.
Where a hospital business operates through a limited company structure, Corporation Tax can apply to its taxable profits, and this needs to be considered alongside capital allowances on medical equipment and other qualifying expenditure. The exact position depends on the structure of the organisation and how income and costs arise, so it is worth reviewing before deadlines approach rather than afterwards.
Yes. Purchasing or replacing medical equipment is often a significant outlay, and how it is treated in the accounts and for tax purposes affects both the reported position and the cash flow of the hospital. We help plan for that expenditure, reflect it correctly in the accounts and make sure any available reliefs are considered within the relevant rules.
Getting started is straightforward: we have an initial conversation about the hospital, its structure, its current accounting arrangements and what you need from an accountant, then review the existing records and compliance position. If you are switching from another accountant, we can handle the transition and liaise on your behalf so the changeover does not disrupt your reporting or deadlines.