Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Broughton
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Broughton 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
The work covers the core accounting and tax functions a hospital or hospital business needs to stay compliant and well-informed. That typically includes bookkeeping, payroll for clinical and administrative staff, annual accounts, management accounts, financial reporting, budgeting and cash flow planning, Corporation Tax where applicable, and VAT support where it is relevant to your activities. Alongside the compliance side, we help you understand what the numbers mean, so you can make informed decisions about staffing, equipment, premises and future investment.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, including organisations running single sites and those managing multiple locations. Their accounting needs differ depending on structure, activities, income streams, staffing, premises, medical equipment and operating costs, so support is shaped around the specific organisation rather than a fixed package. Hospitals operate within different ownership and regulatory structures, and the accounting and tax treatment can vary accordingly.
Yes. Payroll is often one of the largest and most complex cost areas for a hospital, covering clinical teams, administrative staff, support functions and potentially a mix of shift patterns, overtime and varying contractual arrangements. We can manage payroll processing, payslips, PAYE and pension obligations so staff are paid accurately and on time, while also giving you clear visibility of staff costs in your management accounts. That visibility matters when you are planning rotas, recruitment or budget changes.
Pricing is based on the scope and complexity of the work rather than a one-size-fits-all figure, since a single-site independent hospital and a multi-site hospital group have very different requirements. We use fixed, transparent packages wherever possible so you know what to expect, with no hidden fees and no surprises appearing later. Before anything is agreed, we discuss what you need — bookkeeping, payroll, management accounts, annual accounts, tax or a combination — and set out clearly what is included.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so some income may be treated differently from other income within the same organisation. Because of this, it is worth reviewing your income streams and cost base properly rather than assuming a blanket position applies. We can help you understand how VAT is likely to apply to what you do, and how that interacts with your reporting and record-keeping.
Yes. Medical equipment and other capital expenditure are significant commitments for hospitals, and they need to be planned alongside day-to-day running costs such as payroll, premises and suppliers. We help you build budgets and cash flow forecasts that show how purchases fit into your wider finances, and we make sure capital costs are recorded and reported properly in your accounts. That gives you a clearer basis for deciding when to invest and how to fund it.
Switching is usually more straightforward than hospitals expect. We review your existing records, identify anything outstanding, and coordinate the handover of information so the transition does not disrupt payroll, reporting or compliance deadlines. Once we have a clear picture, we agree a way of working that suits your organisation and take over the relevant accounting and tax responsibilities from there.
It starts with a conversation about your hospital or hospital business — how it is structured, what income streams you have, how staff are paid and which areas of accounting or tax are causing the most pressure. From there, we review your current position and outline the support that would be most useful, whether that is a single service or a broader ongoing arrangement. There is no obligation at that stage, and you will have a clear picture of what working together would involve before making any decision.