Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Wetherby
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Wetherby 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
We support a range of hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. That could mean a single-site hospital focused on a defined set of services, or a larger operation running across multiple sites, entities or income streams. Because structures vary so much, we look at how your hospital is organised and how it trades before recommending how the accounting and tax work should be handled.
Most hospital engagements cover a mix of bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow support, financial reporting and tax compliance, including Corporation Tax and VAT where those apply. Which of those you need depends on whether you have an in-house finance function, how many staff you employ and how complex your income streams and cost base are. We agree the scope up front so it is clear what is covered and what is expected.
We work on fixed, transparent packages with no hidden fees, rather than billing by the hour for every email or phone call. The right package depends on the size and structure of your hospital, the volume of transactions, the number of employees on payroll and the level of reporting you need. Once we understand your circumstances, we set out the scope and the fee clearly, so there are no surprises later in the year.
Yes. Payroll is usually one of the largest costs a hospital carries, and it often includes a mix of clinical, administrative, facilities and support staff, along with different working patterns and contract types. We can manage payroll processing, payslips, deductions and the associated reporting so that staff are paid accurately and on time, and so the payroll figures flowing into your accounts and budgets are dependable.
Where a hospital trades through a limited company, Corporation Tax will normally apply to its taxable profits, and the calculation depends on income, allowable expenses, capital allowances and any reliefs that may be available. Capital expenditure on medical equipment, for example, can have a meaningful effect on the tax position, and the treatment of different income streams may not be straightforward. We help make sure the figures are correct and the deadlines are met.
VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — there is no single rule that covers every hospital service. Some supplies may be exempt, others may be taxable or outside the scope, and mixed income streams can make the position more complicated still. We review your particular situation and help you apply the treatment that fits, including how VAT should be recorded and reported.
Medical equipment purchases and other capital expenditure can be substantial and are often irregular, which puts real pressure on cash flow. We can help with budgeting and forecasting so you can see the impact of planned investment in advance, and with management accounts that show how equipment costs and financing affect your margins and reserves. We also make sure the tax treatment of those purchases is considered properly.
Yes. Switching accountants is usually more straightforward than people expect, and we can handle the handover with your existing adviser, including obtaining the records and information needed to pick things up cleanly. To get started, we simply need to understand your hospital or hospital business, your current accounting arrangements and what you want to improve. From there we agree a scope and move into ongoing support at a pace that suits you.