Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Coldfield
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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 Coldfield 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 for 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 areas hospital businesses typically need: bookkeeping, annual accounts, management accounts, financial reporting, payroll for clinical and non-clinical staff, budgeting and cash flow planning. Depending on your structure and activities, we can also help with Corporation Tax, wider tax support and VAT considerations where relevant. Because hospitals have distinctive cost profiles — from medical equipment and premises through to supplier contracts and professional services — we adapt the scope to your circumstances rather than working from a fixed template.
They are aimed at hospital businesses of various sizes and structures, including private hospitals, independent hospitals, hospital operators and hospital groups, along with the holding or management entities that sit behind them. Whether you run a single site or several, the focus is on accounting support that fits how your hospital operates. If you are unsure whether your organisation is a good fit, it is worth having a conversation about your structure and activities.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The right package depends on factors such as the size of your hospital, the number of staff on payroll, the complexity of your income streams, your structure and the level of reporting you need. We will talk through your requirements and set out the scope clearly before any work begins, with no hidden fees.
Yes. Payroll is often one of the largest and most complex costs a hospital carries, particularly where staff work varied shift patterns, receive different rates or fall under different contractual arrangements. We can support payroll processing, payslips, PAYE and the related reporting, and we keep payroll figures aligned with your accounts so the numbers agree across the board. That consistency makes budgeting and management reporting far more reliable.
VAT treatment for hospitals is rarely a simple yes-or-no answer. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances, which means two hospitals offering similar services can end up with different positions. We can review your activities, help you understand where VAT may apply and support you with VAT returns and record-keeping where relevant, so your position is properly considered rather than assumed.
These are usually significant items, and how they are treated matters for both your accounts and your tax position. We look at the nature of the expenditure, whether it is capital or revenue in nature, how it affects your cash flow and what reliefs or allowances may be available. Planning ahead matters here, so we prefer to be involved before a major purchase or refurbishment is committed to rather than after the invoices arrive.
Yes, and for many hospitals these are the most useful reports of all. Management accounts give you a clear picture of income and costs by period, while cash flow forecasting helps you plan for payroll, supplier payments, equipment purchases and quieter trading periods. We set these up to reflect your actual income streams and cost base, so the reports are genuinely useful for decision-making rather than simply meeting filing requirements.
The process is usually simpler than people expect. We start with a conversation about your hospital, your current accounting arrangements and what you want to improve, then request the information we need from your existing accountant or from your own records. We handle the handover and make sure deadlines are met along the way. From there, we agree how often you want to hear from us and what reporting you need, and the ongoing support begins.