Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Dungiven
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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 Dungiven 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
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital-based services that form part of a wider hospital organisation. We do not act as accountants for NHS Trusts, NHS Foundation Trusts or other public-sector bodies. Because hospitals differ so much in structure and activity, we start by understanding how your organisation is set up, how it generates income and what its main cost pressures are before recommending how we can help.
The core work typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, alongside Corporation Tax and VAT support where these apply to your circumstances. For hospitals, that often means handling sizeable payroll runs, tracking medical equipment and capital expenditure, accounting for premises and facilities costs, and reporting on several different income streams. The exact mix depends on the size and structure of your hospital business, and we can scale our involvement up or down as needed.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees. Pricing is based on the scope of work involved — factors such as the number of sites, payroll size, transaction volumes, whether management accounts are required and how much tax and VAT support you need. Once we understand your hospital's requirements, we will set out clearly what is included so you can compare options with confidence.
Yes. Payroll is often one of the most demanding parts of hospital accounting, given the mix of clinical, administrative, facilities and support staff, and the variety of working patterns involved. We can manage payroll processing and the associated reporting so that staff are paid accurately and on time, and so that payroll costs feed correctly into your management accounts and year-end figures. This also helps when you need to understand how staffing costs are affecting cash flow and overall financial performance.
Corporation Tax applies to many hospital businesses depending on how they are structured, and we prepare and file the necessary returns while planning ahead for liabilities. VAT is less straightforward: the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances. Some income streams may be treated differently from others, so we review your position in detail rather than applying a blanket rule, and we keep that position under review as your activities change.
Medical equipment and other significant purchases are usually not simply expenses of the year in which they are bought. We account for capital expenditure properly, consider how assets should be treated over their useful life, and factor the timing of major purchases into your budgeting and cash flow planning. This gives you a clearer view of affordability, helps avoid surprises, and means your financial reporting reflects the real cost of running and equipping a hospital.
Yes, and this is one of the areas where hospital accounting benefits most from specialist attention. Hospitals often generate income in a number of ways, and each stream can carry its own reporting, tax and VAT implications. We set up your bookkeeping and management accounts so income is recorded clearly by source, giving you a much better understanding of which activities are performing well and where margins are tighter. That visibility is usually the starting point for better financial decisions.
It usually begins with a conversation about your hospital, followed by a review of your current accounting and tax arrangements. If you are moving from another accountant, we can liaise with them to obtain the relevant records and information, and we will confirm what you need to provide and when. From there we agree the scope of support, put the necessary processes in place and take over the day-to-day work, so the transition feels managed rather than disruptive.