Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Madeley
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Madeley 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 what your hospital or hospital business needs, but most clients ask us to cover bookkeeping, payroll, annual accounts and management accounts, along with financial reporting, budgeting, cash flow support and tax matters such as Corporation Tax and VAT where they apply. We can take on the whole finance function or work alongside an existing internal team. The starting point is always your structure, income streams and cost base, so the service reflects how your hospital actually operates rather than a fixed package that ignores the detail.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running services such as day-case, diagnostic or outpatient facilities on a commercial basis. As Accountants for Hospitals in Madeley, our focus is on privately run hospitals and hospital businesses, and requirements vary widely depending on whether you operate a single site or a group, how you are structured, and whether income comes from self-paying patients, insurers, contracted arrangements or a mix of these.
We use fixed, transparent packages based on the scope of work involved, so you know what to expect before we begin. The fee reflects factors such as transaction volumes, the number of staff on payroll, how many sites you operate, the level of reporting you need and whether you require support with specific tax or VAT matters. There are no hidden fees, and if your requirements change — for example if you expand a service line or add a site — we review the scope with you rather than leaving you with unexpected costs.
Your accounts and tax work should be handled by people who understand current UK accounting standards, tax rules and filing deadlines, and who keep pace with changes affecting hospitals and their cost bases. We work to professional standards and can explain exactly how compliance is managed for your business. If you need to verify specific qualifications or professional memberships as part of your own due diligence or lender requirements, just ask and we will confirm the details directly.
VAT for hospitals is rarely straightforward. Whether a particular supply is exempt, standard-rated, reduced-rated or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — and it can differ between services within the same organisation. We help you review your income streams and cost base closely, identify where VAT is being treated correctly and where there may be risk or opportunity, and make sure returns are prepared on a properly considered basis.
Yes. Hospital payroll tends to involve a mix of clinical and non-clinical staff, varied shift patterns, overtime, enhancements and different contractual arrangements, which makes accuracy and timeliness important. We can handle the payroll process, coordinate with pension obligations, and ensure the figures feeding into your management accounts and annual accounts are consistent. Because payroll is usually one of the largest costs in a hospital, getting it right affects almost everything else in your reporting.
Medical equipment and other capital items need to be recorded and treated correctly, whether they are purchased outright, leased or financed, and that affects your accounts, tax position and cash flow planning. We can help you track those costs, understand the reporting and tax implications, and factor upcoming purchases into budgets and forecasts. That way major spending is planned rather than a surprise, and your balance sheet tells an accurate story about the assets your hospital depends on.
Switching is usually simpler than people expect. We begin by understanding your hospital, your current accounting arrangements and what you want to improve — better management information, tighter cash flow visibility, more responsive tax support, or simply less time spent on admin. From there we agree the scope, manage the transition with your existing accountant where needed, and put a clear plan in place. You do not need everything in perfect order to start the conversation.