Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Swadlincote
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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 Hospitals Face
Why Hospitals in Swadlincote 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
Most hospital clients need a combination of bookkeeping, payroll, management accounts, annual accounts, financial reporting and tax compliance, with budgeting and cash flow support where it is useful. We look at how your hospital or hospital business is structured and which of those areas needs the most attention, then build a package around that. Some clients want a full outsourced finance function, while others simply want their year-end accounts and tax returns handled well and their records kept in good order.
We support private hospitals, independent hospitals, hospital operators, hospital groups and hospital businesses, along with the trading entities, property-holding companies and service companies that often sit within a hospital structure. Suitability is less about size and more about whether you have hospital-specific accounting needs — staff-heavy payroll, medical equipment and capital expenditure, premises costs, multiple income streams or a VAT position that needs careful handling.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the scope of work involved — the number of entities, payroll volume, reporting requirements, the complexity of your income streams and how much bookkeeping support you need. We agree the scope before any work begins and there are no hidden fees added later for things that were already part of the arrangement.
VAT for hospitals is not a single answer. The treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, and different income streams within the same hospital can be treated differently. Rather than assuming everything is exempt or everything is taxable, we look at what you actually provide, how it is charged and who it is provided to, then make sure the position is documented and the returns are prepared on that basis.
Yes. Hospital payroll tends to involve a mix of clinical and non-clinical staff, varied contract types, overtime, shift patterns, pension contributions and statutory payments, and it needs to run accurately every month without fail. We handle the processing, payslips, RTI submissions and the links into your accounting records, so payroll costs feed properly into your management accounts and year-end figures.
That is often where the biggest practical value sits. Management accounts give you a regular view of income, staff costs, equipment and premises expenditure, supplier payments and margins, while cash flow planning shows where pressure points are likely to fall. For hospitals with capital expenditure plans or uneven income patterns, having both in place makes it far easier to plan ahead and to have informed conversations with lenders, investors or other stakeholders.
Yes. We prepare annual accounts and handle Corporation Tax compliance for hospital companies where it applies, including the computations and submissions that sit behind the return. If your structure includes more than one company — for example a trading hospital company alongside a property or equipment entity — we look at the group as a whole so the reporting and tax position are consistent across it.
It usually starts with a conversation about your hospital or hospital business — how it is structured, what your current accounting arrangements look like and where you feel the gaps are. From there we review what is needed, confirm the scope and pricing, and agree a sensible handover if you are switching from another accountant. You do not need to have everything tidy before getting in touch; sorting that out is part of what we do.