Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Galashiels
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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 Galashiels 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
It depends on your hospital and what you need, but it commonly covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow forecasting, and Corporation Tax and VAT support where these apply. We can take on the full finance function or work alongside your existing team, focusing on the areas that need the most attention. The starting point is always a conversation about how your hospital operates and what you want from your accounting.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that sit behind them. Some operate from a single site, while others run several locations with multiple income streams and larger staffing structures. Because their accounting requirements differ so much, we tailor our support to the structure, activities and scale of each hospital rather than working from a fixed template.
We use fixed, transparent packages so you know what you are paying for and when, with no hidden fees or unexpected extras. The fee reflects the scope of work involved, such as the number of staff on payroll, the volume of transactions, the complexity of your income streams and whether you need management accounts, tax support or VAT assistance. We agree everything in advance so there are no surprises later.
Yes. Payroll is usually one of the largest and most sensitive costs in a hospital, covering clinical, administrative, facilities and support roles across a range of contracts and pay arrangements. We can manage payroll processing, payslips, pension contributions and the associated reporting, keeping your records accurate and your obligations met. This also feeds directly into your management accounts and cash flow forecasting, so you can see the true cost of staffing.
Hospitals can face a range of tax considerations, including Corporation Tax where it applies, employment taxes linked to payroll, and VAT questions that depend on the nature of each supply, the activities involved, the organisation's status and the specific circumstances. There is no single answer that applies to every hospital, and NHS hospitals and private hospitals do not automatically receive identical accounting or tax treatment. We review your position individually and explain clearly what applies to you.
Medical equipment and other capital expenditure can absorb significant funds and affect your cash position for some time, so we look at how purchases are recorded, how they are funded and what they mean for your longer-term finances. Alongside this, we prepare management accounts, budgets and cash flow forecasts that reflect your actual commitments, including premises, suppliers and operating costs. That gives you a clearer view of what is affordable and when.
It helps considerably. Hospitals have financial characteristics that differ from most other businesses, from large payroll commitments and expensive equipment to multiple income streams and complex supplier arrangements. We focus specifically on hospitals and hospital businesses, so we understand the questions to ask and the areas that typically need attention. You should expect your accountant to grasp how your hospital operates, not just how to prepare a set of accounts.
It usually starts with a conversation about your hospital, your current accounting arrangements and what you would like to improve. If you decide to move forward, we can handle the transition and liaise with your existing accountant so the changeover is as smooth as possible, with your records and deadlines kept on track. From there, we agree the scope of support and get to work, reviewing things as your hospital develops.