Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Ely
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Ely 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
Every hospital business is different, but most of our hospital clients need a combination of bookkeeping, payroll, management accounts, annual accounts and financial reporting, along with tax support and VAT help where it is relevant. We can also help with budgeting, cash flow forecasting and reporting on different income streams, so you can see how each part of the hospital is performing. Where capital spending on medical equipment or premises is involved, we make sure those costs are recorded and treated correctly rather than sitting in a spreadsheet somewhere. The exact scope is agreed with you up front, so you always know what to expect.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that sit alongside them. Their structures vary widely — some trade through a limited company, others operate as part of a wider group, and staffing, premises and income arrangements differ from one site to another. Because of that, the accounting and tax work is shaped around each organisation rather than applied from a template.
We work on fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees. The right package depends on the size of the hospital, the number of staff on payroll, the volume of transactions, the number of income streams and how much reporting you need. Rather than quote a figure before we understand the business, we discuss your requirements first and then set out the scope and cost clearly.
Hospital accounting follows the same core UK framework as any other business, but the practical detail — payroll for clinical and non-clinical teams, capital expenditure on medical equipment, VAT on mixed supplies and reporting across several income streams — is where a specialist understanding really helps. It is always sensible to confirm an accountant's professional membership and how they are regulated before appointing them, and we are happy to answer those questions directly. What matters most is that your accountant understands how a hospital operates and can turn that into accurate records and useful reports.
Corporation Tax applies where the hospital trades through a limited company, so it is important that income, allowable costs, capital allowances on equipment and any available reliefs are correctly identified and reported. VAT treatment can be more nuanced: it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so not every hospital income stream is treated the same way. Private and independent hospitals can also have different considerations from one another, which is why a blanket assumption rarely works. We review your position and explain what applies to you.
Yes. Hospital payroll often covers clinical staff, administrative teams, bank or locum arrangements and a range of shift patterns, overtime and enhancements, which makes accurate and timely processing particularly important. We can handle payroll processing, payslips, PAYE and National Insurance, and reporting, and we can link payroll into your management accounts so staff costs are visible by team or department. That makes budgeting for one of a hospital's largest costs far more manageable.
We start by looking at what each income stream actually is and how it is structured, because VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. That might mean reviewing private patient fees, ancillary services, facility charges, retail or catering activity, or supplies to other organisations, and checking that each is being treated correctly. Where partial exemption or mixed supplies are involved, good records make a real difference, so we help put sensible processes in place.
It usually begins with a conversation about your hospital, how it is structured and what you need help with — whether that is catching up on bookkeeping, improving management reporting, sorting out payroll or reviewing your tax position. If you are moving from another accountant, we can talk you through what information we need and how the handover typically works, so the transition stays smooth. From there we confirm the scope, agree a fixed package and put the ongoing support in place.