Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Burntwood
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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 Hospitals Face
Why Hospitals in Burntwood 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.
A 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
The work covers the financial side of running a hospital, including day-to-day bookkeeping, payroll for staff, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting and tax support such as Corporation Tax where it applies and VAT where relevant. It also means keeping track of the costs that are specific to hospitals, such as medical equipment, premises and facilities, maintenance, supplier payments, professional services and the various income streams a hospital generates. The overall aim is accurate records, clear reporting and no nasty surprises at year end or when a tax deadline comes around.
We support private hospitals, independent hospitals, hospital operators and smaller hospital groups. Each of those can have a very different structure and financial profile, so the support is shaped around the organisation in front of us rather than applied from a fixed template. If you are unsure whether your hospital or hospital business fits, it is worth a conversation — the practical questions are usually about how you are set up, how you are funded and what reporting you need.
Yes. Payroll is typically one of the largest and most complex costs in a hospital, particularly where there is a mix of full-time, part-time, bank or contracted staff. We can handle payroll processing, PAYE, deductions and the reporting that goes with it, so staff are paid accurately and the associated obligations are kept up to date. We also make sure payroll figures feed properly into your management accounts and year-end position, which is where a lot of hospital reporting problems actually begin.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before work begins, with no hidden fees added later. The exact package depends on the size and complexity of the hospital, how many staff are on payroll, how many income streams there are and how much reporting you need. We will talk through the scope with you first and explain clearly what is included, so there are no assumptions on either side.
VAT treatment for hospitals is not a single answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — some supplies may be exempt, some may be outside the scope and others may be standard-rated. That is why it is worth reviewing your particular mix of activities and income streams rather than assuming a blanket position. We can help you work through what applies to your hospital and keep your VAT reporting consistent with it.
Yes. We prepare annual accounts and deal with Corporation Tax where it applies, including the computations and filings that sit behind them. For hospitals, that means making sure large cost categories such as payroll, medical equipment, premises and supplier payments are treated correctly, and that capital expenditure on equipment is accounted for properly. We also make sure the numbers in your accounts line up with what has been reported during the year, which reduces the risk of queries or corrections later.
Yes, and these tend to matter a great deal in a hospital environment. Medical equipment and capital expenditure can be significant one-off costs, while payroll, premises and supplier commitments run continuously regardless of how busy a given month is. We can help build budgets and cash flow forecasts that reflect those realities, and produce management accounts that show how the hospital is actually performing against them, so decisions about equipment, staffing or expansion are made with real information rather than guesswork.
Switching is usually far less disruptive than people expect. Once you get in touch, we will talk through your current setup, what you need from an accountant and what is already in place. From there, we can liaise with your existing accountant to obtain the records and information needed for a clean handover, and then put a plan together for the year ahead. The process is handled step by step so nothing falls through the gap during the changeover.