Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Motherwell
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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 Motherwell 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
Our work for hospitals typically covers day-to-day bookkeeping, annual accounts preparation, management accounts, payroll support, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where applicable and VAT where relevant. Because hospital businesses vary so much, we look at your structuring and activities first, then agree which elements you actually need rather than applying a fixed package to every client.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses with their accounting and tax requirements. That can include single-site operations as well as organisations running several locations or service lines. The common thread is that the accounting has to reflect real hospital operations — staff costs, equipment, premises, suppliers and multiple income streams — rather than a simplified trading model.
Fees are based on the scope and complexity of the work, so they reflect what your hospital or hospital group actually needs rather than a blanket figure. We favour fixed, transparent packages with no hidden fees, and we explain what is included before any work begins. If your requirements change — for example if you add a service line or take on more staff — we will discuss the impact on the fee openly.
We are a professional accounting practice and we take our compliance responsibilities seriously. Before we take on any engagement, we confirm the scope of work, what is expected of both sides, and any compliance or regulatory matters that apply to your organisation. If you have existing arrangements in place, we are happy to review these as part of taking over the work.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. Income from different sources can be treated differently, and the same applies to costs such as equipment, premises and professional services. We review the detail before advising and help you apply the correct treatment consistently.
Yes — payroll is often one of the largest costs in a hospital, so getting it accurate and on time matters, and we can support the reporting around it. We also help you track medical equipment purchases, refurbishment and other capital expenditure properly, so the accounting and tax position reflects the timing and nature of those costs rather than treating them as routine spending.
Cash flow is a genuine pressure point for hospitals, particularly where income arrives on varying timescales while payroll, premises and supplier costs fall due on fixed dates. We help build budgeting and forecasting that highlights upcoming commitments and pinch points, so decisions about equipment purchases, staffing or expansion are made with a clear view of the numbers behind them.
It usually starts with a conversation about your hospital or hospital business — how it is structured, what you do and what is currently causing difficulty. From there we review the existing accounting and tax position, identify anything that needs attention, and agree the ongoing support that suits you. Switching is generally straightforward, and we can handle the practical steps of moving records across so the transition does not disrupt your operations.