Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Backworth
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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 Backworth 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 provide annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax support where applicable, and VAT support where relevant to a hospital’s activities. Each service is delivered with hospital operations in mind, so things like clinical and non-clinical staff costs, medical equipment purchases, premises costs, supplier payments and multiple income streams are reflected in how your records and reports are put together. You can use as much or as little of that support as your hospital business needs.
Our support is designed for hospitals and hospital businesses — for example private hospitals, independent hospitals, day-case and inpatient facilities, hospital operators and hospital groups. It also suits organisations running hospital-based activities that need accounting and tax support tailored to a hospital cost structure rather than a generic service business. If you are unsure whether your organisation fits, a short conversation about how you are set up and how you generate income is usually enough to establish that.
We work on fixed, transparent packages based on the scope of what you need, so you know what you are paying for rather than facing open-ended hourly billing. The scope depends on factors such as transaction volumes, payroll headcount, number of income streams, reporting requirements and whether VAT or Corporation Tax work is involved. We set that out clearly before any work begins, with no hidden fees, and we review the arrangement as your hospital’s needs change.
Our work is carried out by accountants who operate within recognised UK professional and regulatory standards, and we keep pace with current accounting, reporting, Corporation Tax and VAT rules. That means your records are maintained properly, your filings are made on time, and your financial information stands up to scrutiny from banks, funders, suppliers or anyone else who needs to see it. If you would like to understand how we handle compliance for your particular hospital structure, we are happy to talk it through.
The big ones tend to be staff payroll, medical equipment and capital expenditure, premises and facilities costs, supplier and professional service payments, cash flow timing, and the reporting of multiple income streams. Corporation Tax applies where it is relevant to the organisation, and VAT treatment depends on the nature of the supplies being made, the activities involved, the organisation’s status and the specific circumstances — it is not a case of everything being exempt or everything being taxable. We review your position individually rather than applying blanket assumptions.
VAT for hospitals is rarely a simple yes-or-no question. Treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances surrounding each transaction, and different hospitals can have different positions depending on what they do and how they are structured. We review your income streams and costs carefully, identify where VAT applies and where it may not, and help you keep accurate records and returns so you are not caught out later.
Yes. Medical equipment and other capital expenditure often involve significant outlay that needs to be planned around, and cash flow can be squeezed when income and costs do not line up neatly. We help you record and report those purchases correctly, factor them into budgets and forecasts, and understand the effect on your cash position, so decisions about new equipment, facilities or staffing are made with a clear picture of the numbers.
Getting started is simple. We begin by understanding your hospital or hospital business, then review your existing accounting and tax arrangements before recommending the most suitable ongoing support. If you are switching from another accountant, we can usually handle the handover and request the information we need on your behalf, keeping disruption to a minimum. Once everything is in place, you will have a clear point of contact for questions as they arise.