Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Coleby
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 for Hospitals
Why Hospitals in Coleby 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
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital-based organisations that provide treatment, procedures and related services. Because each of these can be structured differently — as a limited company, a group with several entities, or a partnership — the accounting and tax work is shaped around that structure. We do not assume that two hospitals have identical needs, and we do not treat every hospital business as though it had the same income streams or cost profile.
Our work typically covers bookkeeping, annual accounts preparation, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, and tax support including Corporation Tax where it applies and VAT support where relevant. Which of those you need depends on the size and structure of your hospital, whether you have an internal finance function, and how often you need financial information. Some hospital clients want a full outsourced approach, while others need support in specific areas such as payroll or management reporting alongside their existing processes.
We work on fixed, transparent packages rather than open-ended hourly billing wherever possible, so you know what you are paying for and why. The fee reflects the scope of the work — the number of entities, the volume of transactions, payroll size, reporting frequency and the complexity of your tax and VAT position. We set that out clearly before any work begins, and there are no hidden fees added later. If your requirements change as the hospital grows, we review the arrangement with you.
Yes. Hospital payroll tends to be one of the largest and most sensitive cost areas, covering clinical staff, administrative teams, support roles and often a mix of salaried and variable pay arrangements. We can manage payroll processing, payslips, pension contributions and the associated reporting, and make sure the payroll figures flow through correctly into your management accounts and annual accounts. Getting payroll right also matters for budgeting, because staff costs usually represent a significant proportion of a hospital's overall expenditure.
Corporation Tax applies to companies and depends on the structure of the organisation, its activities, its income and any allowable deductions, so the position needs to be reviewed against your specific circumstances rather than assumed. VAT is similarly fact-dependent: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so we look at what is actually being provided and to whom before advising. We would not apply a blanket assumption that hospital services are exempt or that hospital-related supplies are always taxable.
Yes. Medical equipment, refurbishment and facilities investment often involve substantial outlays, and how those are recorded and funded has a direct effect on your accounts and your cash position. We help you plan for capital expenditure, understand the impact on cash flow, and report on it clearly in management accounts so decisions about timing and funding are based on real numbers. Budgeting and forecasting around larger purchases is a common part of the support we provide to hospital businesses.
We can prepare annual accounts for statutory purposes and regular management accounts for internal decision-making, covering income, direct costs, overheads, staffing, premises and supplier expenditure. For hospitals with more than one income stream, breaking that down clearly is often the most useful step, because it shows which services or sites are performing and which are absorbing cost. We can also produce cash flow reports, budget comparisons and other reporting that helps directors and managers see what is happening before the year-end.
Getting started usually begins with a conversation about your hospital, how it is structured, what accounting and tax work you currently have in place and where you feel the gaps are. If you are moving from another accountant, we can handle the practical side of the transition, including obtaining the information needed to take over your records and making sure deadlines are not missed. From there we confirm the scope of support, agree the fee and put a simple plan in place, with no long, complicated onboarding process.