Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Wigston Leicester
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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 Wigston Leicester 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
The service covers the accounting and tax work hospital businesses typically need, including bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow work, Corporation Tax where it applies and VAT support where relevant. It is not limited to year-end filing: the practical day-to-day records and reporting that help you understand staff costs, equipment spending, premises and supplier commitments sit at the heart of it.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses of different sizes and structures. Their needs differ widely depending on how they are set up, which services they provide, how income arrives and what their cost base looks like. We take the time to understand those differences before recommending how the accounting work should be handled.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and when. The level of work involved depends on factors such as your size, transaction volume, payroll headcount, the number of income streams and whether you need management reporting or tax planning alongside the core compliance work. There are no hidden fees, and we will always explain what sits inside the scope before anything is confirmed.
Yes. Payroll is usually one of the most significant costs for a hospital, covering clinical and non-clinical staff, and often a mix of full-time, part-time and variable-hours arrangements. We can manage payroll processing, payslips, pension contributions and the associated reporting, helping to keep payments accurate and deadlines met.
Yes. Medical equipment and other capital purchases raise questions about how spending should be recorded, how it affects your reported position and what tax relief may be available. We help you track capital expenditure properly, reflect it accurately in your management information and factor it sensibly into cash flow planning, since these items are often large and irregular.
VAT for hospitals is not a simple yes-or-no question. Treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, and different income streams can be treated differently. We review your situation on its own merits and explain what applies to you, rather than assuming a blanket position.
Where Corporation Tax applies to your hospital business, we handle the calculations and the supporting records needed to get the position right, and we plan ahead rather than leaving everything to the last minute. Alongside that, we prepare financial reporting that gives a clear view of income, operating costs and overall performance, so decisions are based on reliable figures.
Getting started is simple. We begin with an initial conversation about your hospital business, its structure, services and current accounting arrangements, then review what you already have in place. If you are switching accountants, we can help coordinate the handover of records. From there we agree the scope, set up the ongoing support and take it from there.