Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Cambridge
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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 Cambridge 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
Support is built around what your hospital or hospital business actually needs. In most cases that means bookkeeping, preparation of annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, and support with Corporation Tax and VAT where those apply. We also help with the practical detail that matters to hospitals, such as tracking medical equipment purchases, premises costs, supplier payments and professional fees, and making sure different income streams are recorded consistently so your figures are reliable.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as day-case units and diagnostic or treatment facilities. The right fit depends on your structure, activities and the complexity of your finances rather than on size alone. If your organisation delivers hospital services, carries a mix of staffing, premises and equipment costs, and needs accounts and tax work handled by people who understand that environment, this service is designed for you.
We work on fixed, transparent packages rather than hourly billing wherever possible, so you know what you are paying for and there are no hidden fees. The level of investment depends on the scope of work involved, which is influenced by factors such as the number of income streams, the size of your payroll, the volume of transactions and whether you need management accounts or additional tax support. We will talk through your requirements first and set out clearly what is included before anything begins.
We can talk you through our team's professional qualifications, memberships and compliance arrangements as part of your initial conversation, so you know exactly who is handling your affairs. Your accounts and tax work is prepared and reviewed in line with current UK accounting and tax requirements, and we keep up to date with changes that affect hospital businesses. If you have specific compliance questions around your own structure or activities, we will answer them directly rather than in general terms.
VAT for hospitals is not a one-size-fits-all area. The treatment of a supply depends on its nature, the activities involved, the organisation's status and the specific circumstances, and different income streams within the same hospital can be treated differently. NHS hospitals and private hospitals do not automatically share the same accounting or tax position, and mixed income can bring partial exemption issues into play. We review how your supplies and activities actually work before advising on the right approach.
Yes. Hospital payroll often involves a mix of clinical and non-clinical staff, varied shift patterns, overtime, and different contractual arrangements, all of which need to be processed accurately and on time. We can handle payroll end to end, including payslips, PAYE, National Insurance, pension contributions and the reporting that goes with them, so your team is paid correctly and your obligations as an employer are met. We can also help make sure payroll costs feed into your management accounts and budgets in a way that is meaningful.
Medical equipment and other significant purchases usually need to be treated as capital expenditure rather than day-to-day costs, which affects both your reported figures and your tax position. We help identify what should be capitalised, how it should be recorded and written down, and what relief may be available. Because equipment spending can be substantial and irregular, we also factor it into cash flow planning so planned purchases do not put avoidable pressure on your finances.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, what you need and what is currently in place, then review your accounting and tax requirements to establish the right scope of support. If you are moving from another accountant, we can handle the handover and liaise with your existing adviser to obtain the records and information needed. Once everything is in place, we agree how and when we will work together so it fits around your operations.