Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Criccieth
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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 Criccieth 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
Most hospital clients come to us for a combination of bookkeeping, annual accounts, management accounts and financial reporting, alongside payroll for clinical and administrative staff, budgeting, cash flow forecasting and tax support. Depending on your circumstances, this may also include Corporation Tax work where applicable and VAT support where relevant. The exact mix is agreed with you, so the service fits your hospital or hospital business rather than following a rigid package that ignores how you operate.
This service is aimed at hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups — along with the organisations that run or manage hospital facilities. Their accounting needs differ considerably depending on structure, activities, staffing, premises and equipment, so we approach each engagement individually. If you are unsure whether your organisation fits, we are happy to talk it through and tell you honestly whether we are the right fit.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect before work begins. The fee reflects the scope and complexity of what you need — for example the number of income streams, the size of your payroll, the volume of transactions and the level of reporting required. There are no hidden fees, and if your requirements change over time we will discuss any adjustment with you first.
Yes, we can review your VAT position and help you apply the rules correctly. VAT treatment for hospitals is not a simple yes or no: it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams can be treated differently. We look at what you actually provide and how it is structured rather than assuming a blanket position, and we help you keep the supporting records in order.
It depends on how the hospital or hospital business is structured and how it operates. Companies are generally within the scope of Corporation Tax on their taxable profits, while other structures are taxed differently, and certain organisations may have specific positions depending on their activities and status. We review your structure and profit position, prepare the relevant calculations and returns where applicable, and make sure deadlines and filings are handled properly.
Yes. Hospital payroll is often one of the largest and most complex costs in the business, spanning clinical roles, administrative teams and support staff, sometimes with varied hours, overtime, shift patterns and pension arrangements. We can manage the payroll process end to end, including payslips, deductions and the associated reporting, so your team is paid accurately and on time and your records stay reliable for both management reporting and compliance purposes.
Medical equipment purchases and other capital expenditure need to be recorded and treated correctly, and that has knock-on effects for your accounts, your tax position and your cash flow planning. We help you distinguish between capital and revenue spending, track depreciation and asset values sensibly, and factor larger purchases into your budgeting and forecasting. That gives hospital owners and directors a clearer picture of what investment is affordable and when.
Getting started is straightforward: an initial conversation about your hospital or hospital business, what you need and where the current pain points are. If you are moving from another accountant, we can handle the practical side of the transition, including the handover of records and correspondence with your previous adviser, so the change happens without disruption to your payroll or reporting cycle. From there we agree the scope of support and get on with the work.