Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Magherafelt
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.
Key Accounting Challenges Hospitals Face
Why Hospitals in Magherafelt 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.
Practical 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 work covers the financial side of running a hospital or hospital business: keeping bookkeeping accurate and up to date, preparing annual accounts, producing management accounts and financial reporting, running payroll for your workforce, helping with budgeting and cash flow, and handling tax matters such as Corporation Tax where it applies and VAT support where relevant. The difference with hospital work is the detail — staff costs, medical equipment, premises, supplier arrangements and multiple income streams all need to be recorded and reported properly, and the support is shaped around those realities rather than a generic template.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital businesses that deliver treatment, diagnostics, rehabilitation or specialist care. Some are single-site operations, while others run several locations or sit within a wider corporate structure. Because accounting needs shift depending on structure, activities, income streams, premises, equipment and staffing, we look at how your hospital operates before agreeing the right level of support. If you are unsure whether your organisation fits, it is worth a conversation.
Most packages bring together the essentials: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, together with tax compliance such as Corporation Tax where it applies and VAT assistance where relevant. What sits in your package depends on the size and complexity of the hospital. A hospital group with several sites and a large payroll will usually need more than a single-site independent hospital, so the mix is agreed with you rather than imposed from a fixed list.
Pricing is built around fixed, transparent packages, so you know what you are paying for and when. The fee reflects the scope of work involved — the volume of bookkeeping, the size of the payroll, the number of sites, the type of reporting you need and the tax work required — rather than a one-size-fits-all figure. You will not find hidden fees or surprise charges bolted on later, and if your requirements change, the package can be reviewed so the fee continues to match the work being done.
Hospital payroll tends to involve a wide range of roles on different pay arrangements, including clinical staff, administrative teams, facilities staff and part-time or shift-based workers. We can manage the payroll process end to end, from payslips and deductions through to the necessary reporting to HMRC, and make sure the payroll figures feed cleanly into your management accounts and financial reporting. That matters because staff costs are usually one of the biggest items in a hospital budget, and errors there cause problems across the rest of the numbers.
VAT in a hospital setting is rarely a simple yes-or-no question. The treatment of a supply depends on what is actually being provided, the activities involved, the status of the organisation making the supply and the specific circumstances surrounding it. Some hospital-related income may be treated differently from other income, and mixed income streams can complicate things further. We look at your individual position and advise accordingly, rather than assuming a blanket rule applies to everything you do.
Yes, and for many hospitals this is where the real value sits. Management accounts give you a regular, readable view of performance — income by stream, staffing costs, equipment spend, premises and supplier costs — so you can spot trends early. Budgeting and cash flow forecasting help you plan for large outgoings such as medical equipment and capital expenditure, and manage the timing gap when income and costs do not line up. The reporting is prepared with hospital operations in mind, so it is genuinely useful for decision-making.
Switching is usually more straightforward than people expect. Once you decide to move, we handle the handover with your existing accountant, obtain the information we need, and build a clear picture of your hospital's accounting and tax position. From there, we agree the services and package that suit you and set up the ongoing reporting, payroll and tax work. If you would like to talk through what is involved for your hospital before making any decisions, we are happy to have that initial conversation.