Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Broadstone
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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 Broadstone 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 core of the service usually covers annual accounts preparation, day-to-day bookkeeping, management accounts, financial reporting, payroll support, budgeting, cash flow forecasting and tax compliance. Depending on your hospital or hospital business, that may extend to help with Corporation Tax where applicable and VAT support where relevant, along with practical advice on medical equipment purchases, premises costs, supplier payments and staffing. We agree the scope with you up front so it reflects how your organisation is structured and what you need from an accounting partner.
We support private hospitals, independent hospitals, day-case and diagnostic facilities, specialist hospital operators and hospital groups, along with other hospital businesses that provide inpatient, outpatient or treatment-based services. What these organisations have in common is the need for accounting and tax support that understands hospital operations — significant staff costs, expensive equipment, complex premises, multiple suppliers and a range of income streams. The exact support we provide depends on your structure, your activities and the way your income and costs are arranged.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for rather than receiving an unpredictable hourly bill. The fee reflects the size and complexity of your hospital business — the volume of transactions, the number of staff on payroll, the number of sites, whether management accounts and financial reporting are needed, and how much tax and VAT support is involved. There are no hidden fees, and if your requirements change we will discuss any adjustment with you before any work is done.
You can either move your accounting across to us or ask us to work alongside your existing arrangements, depending on what suits you best. If you do decide to switch, we can contact your current accountant on your behalf to request the relevant records and information, and we will work through the handover in a structured way so nothing is missed. Most hospital businesses find the transition less disruptive than they expect, particularly when the records are already reasonably well maintained.
Hospital payroll often involves a mix of full-time staff, part-time employees, bank or sessional workers and contractors, sometimes across several departments or sites, so accuracy and consistency matter. We can manage the payroll process, help keep records organised and make sure the figures feed correctly into your accounts and management reporting. That gives you a clearer view of total staff costs, which is typically one of the largest and most important figures in any hospital's accounts.
VAT for hospitals is rarely a simple yes-or-no question. The treatment depends on the nature of the particular supply, the activities involved, the organisation's status and the specific circumstances in which the service is provided, so different income streams and activities within the same hospital can be treated differently. Rather than assuming that hospital-related supplies are all exempt or all taxable, we look at what you actually provide, how it is structured and who it is provided to, then advise on the appropriate treatment and record-keeping.
Yes. Large purchases such as medical equipment, imaging technology, facility upgrades and other capital expenditure can put real pressure on cash flow, and those costs often need to be planned well in advance. We can help with budgeting, forecasting and management accounts that show how these commitments sit against your income and day-to-day operating costs, so decisions about timing and funding are based on figures you can rely on rather than guesswork.
It starts with a conversation about your hospital or hospital business — how it is set up, what it does, how income comes in and where the main costs sit. From there we review your current accounting and tax position, outline the support that would suit you and confirm the scope and fixed fee before any work begins. If you are moving from another accountant, we can manage the handover, and if you simply want advice on a specific issue such as management accounts, payroll or VAT, we can help with that too.