Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Corby
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Hospitals and Hospital Organisations We Support in Corby
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 Corby 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
Most of the work we do for hospitals covers the essentials: bookkeeping, annual accounts, management accounts, payroll, financial reporting, budgeting and cash flow support, along with tax and VAT support where it applies to your circumstances. Because hospital businesses differ so much in structure and activity, the exact mix is agreed with you rather than sold as a fixed bundle. A private hospital with a small clinical team will not need the same thing as a hospital group running multiple sites and several income streams.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses whose activities sit alongside patient services. The common thread is that their accounting and tax requirements are shaped by their structure, the range of services they deliver, how income is generated and how costs are incurred across staff, equipment, premises and suppliers. If you are unsure whether your organisation fits, a quick conversation is usually enough to establish whether we are the right fit.
Pricing is based on the scope of work involved, so it reflects the size and complexity of your hospital business, the volume of transactions, payroll numbers and the level of reporting you need. We work on fixed, transparent packages where possible, so you know what you are paying for in advance, with no hidden fees and no surprise invoices for routine work. Where something falls outside the agreed scope, we will talk it through with you first.
Yes. Payroll is one of the most significant costs in any hospital, so it gets proper attention. We can manage payroll processing for clinical and non-clinical teams, including the deductions, pension contributions and reporting obligations that come with employing staff. If you have a mix of full-time, part-time, bank or locum arrangements, that complexity can be reflected in how the payroll is set up and run.
VAT treatment for hospitals is not a single answer, because it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be treated differently from others, and the position can vary between organisations. Rather than assuming a blanket rule, we look at what your hospital actually does and advise on how VAT should be treated in your case. It is also worth noting that NHS hospitals and private hospitals do not automatically receive identical accounting or tax treatment.
Where Corporation Tax applies to your hospital business, we handle the compliance side and make sure the figures reported are accurate and properly supported. Capital expenditure on medical equipment is an area worth getting right, because the way purchases, financing and depreciation are treated affects both your reported position and your tax position. We keep that recorded clearly so the information is there when it is needed, rather than having to reconstruct it later.
Yes, and for hospitals this is often the most useful part of the service. Management accounts give you a regular view of income and costs across different streams, while budgeting and cash flow support help you plan around payroll cycles, equipment purchases, premises costs and supplier payments. Good reporting means fewer surprises, particularly in months where spending and income do not line up neatly.
Getting started is straightforward. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, then agree the scope of support you need. If you are moving from another accountant, we can handle the practical side of the transition, including obtaining the information needed from your previous adviser, so the change happens without disrupting your day-to-day operations. From there, ongoing support is set up around your reporting cycle.