Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Beverley
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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 Beverley 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
Our work for hospital businesses typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where applicable and VAT support where relevant. The exact mix depends on your structure, the size of your operation and how much internal finance capacity you already have. Some hospital operators want a full outsourced finance function, while others want specific areas handled and reviewed properly.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses providing day-case treatment, diagnostics, rehabilitation and specialist care. Their structures may be limited companies, groups with several entities, partnerships or other arrangements, and the accounting requirements differ accordingly. If you are unsure whether your organisation fits, a short conversation is usually enough to establish that.
Pricing is built around the actual scope of work rather than a one-size-fits-all figure, because a single-site hospital and a multi-entity hospital group have very different accounting demands. Once we understand your structure, transaction volumes, payroll requirements and reporting needs, we can set out a fixed, transparent package with no hidden fees. That means you know what you are paying for and why, and the scope can be adjusted as your hospital business grows or changes.
VAT for hospitals is rarely straightforward, because the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be treated differently from others, and mixed or partially exempt positions can create complex calculations around input VAT recovery. We review your particular situation rather than applying blanket assumptions, and we keep records and reporting in line with the position that actually applies to you.
Yes. Hospital payroll often involves a varied workforce, including clinical staff, support staff, bank or locum arrangements and shift-based pay, and each element needs to be processed accurately and on time. We can manage payroll end to end, including deductions, pension contributions and the reporting that goes with it, so your team is paid correctly and your records stay in order. This can be handled alongside your broader accounting work for a more joined-up picture.
Capital expenditure on medical equipment, together with premises costs and supplier payments, can put real pressure on cash flow in a hospital business. We help by preparing budgets and forecasts that reflect those commitments, keeping management accounts up to date so you can see where you stand, and flagging periods where cash may be tighter than expected. That gives you room to plan purchases and investments rather than reacting after the fact.
Switching is usually more straightforward than people expect. We ask for details of your current setup, review your existing records and reporting, and handle the handover communication with your previous accountant so you do not have to manage that yourself. Any gaps or issues we find along the way are explained clearly, and the first step is simply a conversation about what your hospital needs.