Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Stonehouse
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Hospitals and Hospital Organisations We Support in Stonehouse
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 Stonehouse 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
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses involved in providing hospital-based services in and around Stonehouse. The right approach depends on your structure, size, services and income streams, so we begin by understanding how your organisation is set up before recommending how your accounts, payroll and tax affairs should be managed.
Our work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, together with Corporation Tax support where applicable and VAT support where relevant. For hospitals specifically, this means accounting for staff and consultant costs, medical equipment, premises and facilities, supplier payments, professional services and the various income streams the business generates. We can provide a full package or focus on the areas where you need the most help.
Pricing is based on the scope of work you actually need, taking into account factors such as the size of your hospital, the number of staff on payroll, the complexity of your income streams and whether you need annual accounts, management accounts or ongoing bookkeeping. We use fixed, transparent packages agreed in advance, so there are no hidden fees and no unexpected invoices. A conversation about your requirements is the quickest way to get a clear picture of the cost.
VAT treatment for hospitals is not a single uniform rule. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some supplies may be treated differently from others. We review your particular situation and advise on how VAT should be applied and reported, rather than applying a blanket assumption across everything you do.
Yes. Hospital payroll often involves a mix of clinical and non-clinical staff, varying hours, overtime, shift patterns and pension arrangements, which makes accuracy and timeliness essential. We can manage payroll end to end, including payslips, RTI submissions and the related reporting, so your team is paid correctly and your obligations as an employer stay up to date.
Medical equipment and other significant purchases need to be accounted for correctly, with the right treatment applied for depreciation, capital allowances and cash flow planning. We help you plan larger purchases sensibly, understand the tax implications where they apply, and reflect them properly in your accounts and management reporting so investment decisions are based on reliable figures.
Cash flow is one of the biggest pressures for hospital businesses, particularly where income arrives at different times from when costs such as payroll, equipment and supplier invoices fall due. We build budgets and cash flow forecasts around your actual operating pattern, then update them as circumstances change, so you can plan ahead with confidence rather than reacting to shortfalls.
Getting started is simple. We will have an initial conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve. From there, we can liaise with your existing accountant to handle the handover of records, review your position and put the right ongoing support in place, with minimal disruption to your day-to-day operations.