Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Ludlow
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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.
Accounting Services Built 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 Hospitals Face
Why Hospitals in Ludlow 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.
A 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
The service is built around the accounting and tax needs of hospitals and hospital businesses. In practice that usually covers bookkeeping, payroll for staff of all types, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where applicable and VAT support where relevant. Because hospitals have unusual cost profiles — heavy staffing costs, medical equipment, premises and facilities, supplier contracts and professional services — we structure the reporting so you can see how each of those areas is performing, rather than just receiving a set of figures at the end of the year.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, plus the hospital businesses that support them. The right approach depends on your structure: a single-site independent hospital has a different set of priorities from a group operating across several sites with complex intercompany arrangements. We take the time to understand how your organisation is set up, what it does, how it earns income and where the costs sit, then build the accounting support around that rather than assuming every hospital operates the same way.
We use fixed, transparent packages so you know what you are paying for and when. Pricing is based on the scope of work involved — for example, the size of your payroll, the number of entities within a hospital group, the volume of transactions, whether VAT returns are required and how much management reporting you need. There are no hidden fees and no surprise invoices for work you did not agree to. The simplest way to establish costs for your situation is to talk through your requirements with us, and we will set out clearly what is included.
The main ones tend to be payroll and staffing costs, capital expenditure on medical equipment and how that is accounted for, premises and facilities costs, supplier payment terms and the timing of income across different service lines. Cash flow is usually the area that needs the most attention, because costs are often steady or front-loaded while income arrives in varying patterns. On the tax side, Corporation Tax applies where relevant depending on how the organisation is structured, and VAT treatment needs proper consideration because it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — not a single blanket rule that covers everything a hospital does.
VAT for hospitals is not a simple yes-or-no question. Treatment depends on what is being supplied, the activities involved, the status of the organisation and the specific circumstances of each arrangement, and different income streams within the same hospital can be treated differently. That means it needs reviewing properly rather than assumed. We look at your supplies and activities in detail, explain what applies to your organisation and help you keep VAT returns accurate and on time, flagging areas where you may need to take a closer look.
Yes. Payroll is one of the largest and most time-consuming costs in most hospital businesses, and it often involves a mix of full-time staff, part-time staff, bank or casual workers, and different pay arrangements across departments. We can manage the payroll process end to end, including payslips, deductions and reporting obligations, and make sure payroll costs are reflected accurately in your management accounts. Having payroll run properly alongside your bookkeeping and reporting means you can see the true cost of your workforce at any point in the year.
Switching is usually more straightforward than people expect. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, including your records, reporting and compliance status. From there we agree the scope of support that suits you and coordinate the handover from your existing accountant, so the transition happens without disruption to your payroll, reporting deadlines or compliance obligations. You do not need to have everything perfectly organised before you get in touch — that is part of what we help with.
Get in touch with us and tell us about your hospital or hospital business — how it is structured, what it does and what you need help with. We will arrange a conversation to understand your situation and outline the accounting and tax support that would be appropriate, along with how our fixed, transparent packages work. If you are happy to proceed, we agree the scope and get the handover and onboarding moving so your bookkeeping, payroll and reporting continue without gaps.