Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Daybrook
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 Daybrook 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
We work with privately run hospitals and hospital businesses, including independent hospitals, private hospitals, single-site operators and hospital groups. Their accounting needs vary considerably depending on how they are structured, how many sites they run, the services they provide and whether their income comes from self-pay patients, insurers, contracts or a combination. If you are unsure whether your organisation fits, it is usually easiest to talk it through with us so we can tell you honestly whether we are the right fit.
Our work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow planning, financial reporting, Corporation Tax where it applies and VAT support where relevant. For hospitals, that often means paying close attention to staff costs, medical equipment and depreciation, premises and facilities, supplier payments, professional services and the different income streams feeding into the business. We shape the service around what your hospital actually needs rather than applying a fixed package that ignores how you operate.
We work on fixed, transparent fees that are agreed in advance, so you know what you are paying for before any work begins. The fee reflects the scope and complexity of what is needed — factors such as the number of sites, the size of your payroll, the volume of transactions, how many income streams you have and whether VAT or Corporation Tax reporting is involved all play a part. There are no hidden charges, and if your requirements change over time we will discuss any adjustment with you rather than surprising you with a bill.
Yes. Payroll is one of the biggest and most sensitive costs in any hospital, covering a wide range of roles, shift patterns, overtime and variable hours. We can manage payroll processing, payslips, deductions, pension contributions and the related reporting, along with the records your accounts and management information depend on. Good payroll handling also feeds directly into your budgeting and cash flow planning, which matters when staffing costs make up such a significant share of your outgoings.
VAT treatment for hospitals is not a simple blanket rule. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances in each case, so what applies to one hospital may not apply to another. We review your income streams and cost base in detail and explain how VAT applies to your situation, then help you keep the records and reporting in order. If you are unsure how your particular services should be treated, we can work through it with you.
We do, and for hospitals this is often where the real value sits. Management accounts give you a clearer, more timely view of income against costs, covering staffing, premises, equipment, suppliers and professional services, so you can see how the business is actually performing rather than waiting until year end. Alongside that, cash flow planning helps you prepare for large outlays such as medical equipment purchases, refurbishment or seasonal dips in income, and makes it easier to plan ahead with confidence.
Yes. Where Corporation Tax applies to your hospital business, we can prepare and submit the relevant returns and help you understand what is due and when. Large purchases such as medical equipment and other capital items need to be recorded and treated correctly, and the tax position can depend on the nature of the asset and how it is used within the business. We look at each purchase in context so your accounts and returns reflect it properly.
Getting started is straightforward: we begin with a conversation about your hospital or hospital business, what you need help with and how your current arrangements work. If you are switching from another accountant, we can handle the handover, request the necessary information and make the transition as smooth as possible without disrupting your reporting. From there, we agree the scope and fees up front and put ongoing support in place that fits the way your hospital operates.