Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Belvedere
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Hospitals and Hospital Organisations We Support in Belvedere
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.
Accounting Challenges Hospitals Face
Why Hospitals in Belvedere 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
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses involved in providing inpatient, outpatient and related clinical services. Because hospitals can be structured as limited companies, partnerships or other arrangements, the accounting and tax work involved varies from one organisation to the next. We take the time to understand your structure, activities and income streams before agreeing how your accounts, payroll and tax affairs should be managed.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, with Corporation Tax and VAT support provided where they apply to your organisation. We also help with the practical detail that matters in a hospital setting, such as tracking medical equipment and capital expenditure, premises and facilities costs, supplier payments and professional services. The exact mix of services is agreed with you so it reflects the size and complexity of your hospital, rather than a one-size-fits-all package.
Yes. Hospitals often run large, varied payrolls covering clinical staff, administrative teams, support functions and contracted workers, with different pay rates, shift patterns and allowances to account for. We can manage the payroll process, keep records organised and help ensure the right deductions and submissions are dealt with on time. Because staffing is usually one of the biggest costs a hospital carries, keeping payroll accurate and well documented also supports your management accounts and cash flow planning.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees or unexpected invoices. The level of support you need depends on the size of your hospital, the number of staff, the complexity of your income streams and how much of the bookkeeping and reporting you would like us to handle. We will discuss your requirements first and then set out a clear scope and fee before any work begins.
VAT treatment for hospitals is not a simple yes or no answer. It depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances — so some supplies may be treated differently from others. Rather than applying a blanket rule, we look at what your hospital actually provides, how it is structured and how transactions are recorded, then help you apply the appropriate treatment and keep suitable records to support it.
Yes, and this is often where hospital businesses find the most value. Management accounts give you a clearer view of income and expenditure during the year, while budgeting and cash flow forecasting help you plan for major outlays such as medical equipment, facilities work and seasonal staffing pressures. Because hospital income can arrive through several streams at different times, having regular, reliable figures makes it far easier to make confident decisions about investment, expansion and day-to-day spending.
Where a hospital operates through a limited company, Corporation Tax will generally apply to its taxable profits, and the rate and reliefs available depend on the specific circumstances. Other structures are taxed differently, and there are various allowances and treatment points that can affect the final position. We can prepare the relevant computations and returns, explain what applies to your organisation and help you plan ahead so tax does not come as a surprise at the end of the year.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business — how it is structured, how it earns income, how many staff you employ and what you currently have in place for bookkeeping, payroll and reporting. From there we outline the support that fits, agree the scope and fees, and then handle the transition, including liaising with your previous accountant where needed. You can stay as hands-on or as hands-off as you prefer once things are up and running.