Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Belmont
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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 Belmont 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
Accountants for Hospitals in Belmont handle the day-to-day and year-end financial work that keeps a hospital running smoothly. That includes bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax where it applies and VAT assistance where relevant. Just as importantly, it means interpreting those numbers in a hospital context, understanding staff costs, medical equipment, premises, supplier payments and the different income streams your services generate.
We support hospitals and hospital businesses of different sizes and structures, including private hospitals, independent hospitals, hospital operators and hospital groups, along with related hospital businesses. Whether you run a single site or several sites as a group, the accounting requirements tend to vary with your structure, activities, income streams, staffing, premises, equipment, suppliers and operating costs. If you are unsure whether your organisation is a good fit, it is worth a conversation, as we will tell you honestly whether we are the right choice.
We work on fixed, transparent fees agreed in advance, so you know what you are paying for before any work begins. The fee reflects the scope and complexity of what you need, so a hospital with several income streams and a large payroll will have different requirements from a smaller independent hospital. There are no hidden extras, and if your needs change we will discuss any adjustment openly rather than presenting you with an unexpected bill.
Look for an accountant who is properly regulated, who can explain their professional qualifications and memberships clearly, and who takes the time to understand hospital operations rather than treating you as a generic client. It also helps to ask how they handle hospital-specific areas such as payroll for varied shift patterns, equipment and capital expenditure, multiple income streams and VAT. We are always happy to talk through our credentials, how we work and the compliance obligations that apply to your particular structure.
It depends entirely on the organisation and the activity. VAT treatment of hospital-related supplies is not uniform, because whether something is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so blanket assumptions are risky. On the direct tax side, whether Corporation Tax, income tax or another treatment applies will depend on how the hospital or hospital business is structured. Part of our role is to look at your circumstances and set out clearly what applies to you.
Yes. Hospital payroll often involves a mix of full-time, part-time, bank and locum staff, with varying hours, overtime, enhancements and shift patterns, alongside the usual deductions and pension contributions. We can manage payroll processing and the associated reporting so staff are paid accurately and on time, and so the payroll figures flowing into your management accounts and annual accounts are reliable.
Medical equipment purchases and other capital expenditure affect your cash flow, your balance sheet and your tax position, and the accounting treatment depends on the nature and value of what you buy. We help you plan for significant purchases, record and depreciate assets appropriately, and understand how the spend feeds into your management accounts, annual accounts and any reliefs that may be available. It also helps to look ahead, so equipment investment is built into your budgets and cash flow forecasts rather than treated as a last-minute surprise.
Getting started is usually simple. We begin with an initial conversation about your hospital or hospital business, what you need help with and how your current accounting arrangements work, then review your existing records and reporting. If you are switching accountants, we can liaise with your current firm and handle the handover of information, and we agree the scope and fixed fee before any work begins, so everything is clear from the outset.