Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Banchory
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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 Banchory 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.
Practical 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 work typically covers bookkeeping and record-keeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, Corporation Tax and VAT support where it applies. We also help with areas that come up specifically in hospitals, such as tracking medical equipment costs, capital expenditure planning, premises and facilities costs, and supplier payments. How that looks in practice depends on the size of your hospital, how it is structured and what you already handle in-house.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital-focused businesses such as treatment centres and facility operators. Their accounting requirements vary considerably depending on whether they are a single-site hospital or part of a larger group, how their income streams are structured, and the level of staffing, premises and equipment involved. If you are unsure whether your organisation fits, it is usually worth a conversation to talk through your situation.
Yes. Payroll is often one of the largest and most complex costs a hospital carries, spanning clinical staff, administrative teams, support roles and shift-based working patterns. We handle payroll processing, payslips, PAYE and associated reporting, and we keep the payroll records aligned with your bookkeeping so the figures in your accounts and management reports actually match. That consistency matters when you are reviewing staff costs month to month or planning for changes in staffing levels.
Management accounts give you a clearer view of how the hospital is performing between year-end reporting, breaking down income and costs so you can see where margins are holding up and where they are under pressure. We use that information to support budgeting and cash flow forecasting, which is particularly valuable for hospitals juggling supplier payments, payroll and equipment purchases at the same time. The goal is to give you enough visibility to plan ahead rather than discovering a cash pressure after it has already arrived.
Corporation Tax applies to many hospital businesses that operate through a limited company, and the position depends on your structure, profits and any reliefs or allowances you may be entitled to claim. VAT is more nuanced: treatment depends on the nature of the supplies involved, the activities being carried out, the organisation's status and the specific circumstances, so it is not a case of all hospital services being treated the same way. We review your particular activities and advise on the appropriate treatment rather than applying a blanket assumption.
Yes. Medical equipment is often a significant investment, and how it is accounted for and funded affects both your reported position and your cash flow. We can help you plan for capital expenditure, understand how purchases and financing affect your accounts, and factor equipment replacement or upgrade cycles into your budgeting. If there are tax allowances or reliefs relevant to what you are buying, we will look at whether they apply to your circumstances.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before the work begins. The package is based on what your hospital or hospital business actually needs, such as the volume of bookkeeping, the size of the payroll, the number of income streams and the level of reporting required. There are no hidden fees, and if your requirements change, we review the arrangement with you rather than letting costs drift.
Switching is usually far less disruptive than people expect. We begin by understanding your hospital, reviewing your current accounting and tax position, and identifying anything that needs attention. From there we agree the services you need and put a straightforward process in place, dealing with the practical handover so you are not left managing the transition yourself. Most hospital businesses find the change settles quickly once the first reporting cycle is complete.