Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in West Lothian
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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 West Lothian 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 support is built around the financial and compliance needs of a hospital business rather than a standard small business package. In practice that usually means maintaining accurate bookkeeping, running payroll for clinical and non-clinical staff, preparing management accounts, producing annual accounts, handling financial reporting and helping with budgeting and cash flow forecasting. Corporation Tax and VAT support are included where they are relevant to your organisation, and VAT treatment is always reviewed in light of the nature of each supply, the activities involved and your organisation's own status rather than being assumed either way.
We work with private hospitals, independent hospitals, day-case and specialist hospital facilities, hospital operators and hospital groups, including organisations that run more than one site or a mix of services. Their accounting needs differ depending on how they are structured, whether they are owner-managed or part of a wider group, how their income streams are made up and how significant their premises, equipment and staffing costs are. Our work is focused on private, independent and commercial hospital organisations, and the support is tailored to the realities of each one.
We use fixed, transparent packages, so you know what you are paying for and why, with no hidden fees or unexpected add-ons. The scope is agreed in advance based on the size and complexity of your hospital or hospital group, the volume of transactions, payroll requirements, the number of income streams and the level of reporting you need. If your requirements change as the hospital grows or takes on new services, we review the arrangement with you rather than simply sending an amended bill.
We work to current UK accounting and tax requirements and keep up with changes that affect hospital businesses, including deadlines, reporting obligations and areas such as Corporation Tax and VAT where they apply. Accounts and returns are prepared with the necessary detail and supporting records, and we flag anything that needs your attention well before a deadline arrives. Where a specialist opinion is needed on a technical point, we will tell you honestly rather than guessing.
Yes. Payroll is often one of the largest and most sensitive areas for a hospital, with a mix of clinical staff, support staff, different working patterns and varying rates of pay. We can handle payroll processing alongside management accounts that show staff costs clearly against income, so you can see how the operation is really performing. Regular management information makes it easier to spot trends, plan rotas and budgets, and make decisions about recruitment or service changes with real numbers behind them.
The main areas tend to be payroll and staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments, professional services and the way income arrives from different sources. Cash flow matters because costs often land before the related income does, and Corporation Tax needs to be planned for rather than discovered at the year end. VAT is a common area of confusion, and rightly so: hospital-related supplies can be treated differently depending on the nature of the supply, the activities involved and the organisation's status, so it should always be assessed on the specific facts.
Yes. Equipment purchases and other capital expenditure can be significant for hospitals and need to be planned around cash flow rather than treated as an afterthought. We can help you budget for major purchases, understand how they affect your accounts and tax position, and build a cash flow forecast that accounts for both the cost and the timing of income. That gives you a much clearer picture before you commit to a purchase or a lease.
Switching is usually simpler than people expect. We start by talking through your hospital or hospital business, what you currently have in place and what you would like to improve, then we review your existing records and identify anything that needs tidying up. From there we agree the scope of support and handle the practical handover with your previous accountant so you are not left chasing paperwork. Once everything is in place, you have a clear picture of what happens, when it happens and who to speak to.