Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Broxburn
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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 Broxburn 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
It covers the core accounting and tax work a hospital or hospital business needs to stay on top of its finances. That typically means bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, and tax support such as Corporation Tax where it applies and VAT where it is relevant. Many hospitals also want periodic reporting that breaks down income streams against staff costs, medical equipment, premises and supplier payments, so ownership and management can see what is driving performance. The exact mix is built around your hospital rather than delivered as a fixed one-size-fits-all package.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses such as those running day-case or specialist facilities. Their accounting requirements vary considerably depending on structure, activities, income streams, staffing levels, premises, medical equipment and the suppliers and professional services they rely on. We do not assume that all hospitals have the same accounting or tax treatment, and we do not provide specialist services for NHS Trusts, NHS Foundation Trusts or other public-sector organisations.
Pricing is based on the work your hospital actually needs, so it reflects factors such as the number of sites, the size of the payroll, transaction volumes, equipment purchases, VAT considerations and the level of management reporting required. We offer fixed, transparent packages with no hidden fees, and the scope is agreed upfront so there are no surprises later. If your requirements change — for example if you take on more staff, add a new income stream or expand your facilities — the arrangement can be reviewed and adjusted accordingly.
Accounting and tax work is carried out in line with UK accounting standards and HMRC requirements, with the appropriate filings and deadlines managed on your behalf. Where a service requires a specific qualification or regulatory registration, we will be clear about that from the outset rather than making assumptions. If you would like details of the specific professional body memberships or registrations relevant to your hospital's needs, we are happy to talk those through directly before you appoint us.
The big ones are usually payroll and staff costs, capital expenditure on medical equipment, premises and facilities costs, supplier and professional services payments, and matching those against income that may come from several different streams. Cash flow and budgeting matter too, because equipment and refurbishment spending can be lumpy while payroll tends to be steady. On the tax side, Corporation Tax may apply depending on how the hospital business is structured, and VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — it is not a case of all hospital services being exempt or all hospital-related supplies being taxable.
Hospitals often have a mix of activities, and each one can be treated differently for VAT purposes, so the starting point is understanding exactly what is being supplied, to whom, and in what circumstances. We review the nature of your supplies, your activities and your organisation's status, then map out how VAT should be applied and reported. That includes making sure returns are accurate, spotting where VAT may be recoverable or where it represents a real cost, and flagging situations where the treatment is less clear-cut so you can make an informed decision.
Yes. Many hospital businesses come to us with records that have fallen behind, often because operational demands leave little time for admin. We can review what exists, bring the bookkeeping up to date, reconcile bank and supplier accounts, and rebuild a clear picture of income and costs. Once the backlog is cleared, we put a routine in place so records stay current and management information is available when you need it, rather than being scrambled together at year end.
It starts with a conversation about your hospital — how it is structured, where income comes from, what your main costs are and what you need from an accountant. If you are switching from another accountant, we can handle the practical side of the transition, including requesting the relevant records and information. From there we agree the scope of support, put the right services in place and get on with the work, keeping you updated as your hospital's requirements evolve.