Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Doncaster
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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 Doncaster Choose CruseBurke for Accounting Support
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
It covers the core areas a hospital needs to stay on top of financially. That typically means bookkeeping, annual accounts, management accounts and payroll for clinical and non-clinical staff, alongside budgeting, cash flow forecasting and financial reporting tailored to hospital operations. Corporation Tax support is provided where it applies to your structure and activities, and VAT support is available where relevant, with the treatment of hospital supplies depending on the nature of the supply, the activities involved and your organisation's status. We can also help with supplier payment processes, medical equipment and capital expenditure planning, and reporting across different income streams.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and hospital businesses in and around Doncaster. That includes organisations running a single site as well as those managing multiple locations, and the professional and support businesses whose work is tied to hospital operations. If your organisation delivers hospital services and needs accounting, tax or payroll support, the scope of what we provide is shaped around your structure, activities and income streams rather than a generic template.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before the work begins. The level of support needed depends on factors such as the size of your hospital, the number of staff on payroll, the volume of transactions, how many income streams you have, and whether you need additional services like management accounts or tax support. We set out exactly what is included, with no hidden fees, and review the arrangement as your hospital grows or its requirements change.
Yes. Payroll is one of the biggest ongoing costs and administrative burdens for any hospital, particularly where you have a mix of full-time, part-time, bank and locum staff on different arrangements, along with varied shift patterns. We look after the payroll process, including payslips, deductions, pension contributions and the reporting obligations that come with employing staff, so wages are handled accurately and on time. That also means your staff cost figures feed cleanly into your management accounts and budgeting.
It depends very much on your circumstances. VAT treatment is not uniform across hospital services, and whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific facts. Corporation Tax and other tax obligations also vary with how the organisation is structured and where its income comes from. We review your position in detail and explain the implications clearly rather than applying a blanket assumption that may not fit your hospital.
Yes. Medical equipment and other capital expenditure can involve significant outlay, long lead times and ongoing maintenance or replacement costs, all of which affect cash flow and future profitability. We help you plan for those commitments through budgeting and cash flow forecasting, account for them correctly in your financial records and reporting, and consider the tax implications where relevant. That way major purchases and upgrades do not catch you out financially.
We do, and it is common in hospital settings. Income might come from private patient fees, insurer arrangements, contracted services, consulting rooms, diagnostic work, or a combination of these, and each stream can have its own invoicing, collection and reporting requirements. We help you keep those streams separately visible within your accounts, so the management information you receive shows what is actually driving performance rather than merging everything into a single figure.
It usually starts with a conversation about your hospital or hospital business, what you currently have in place and what you would like to improve. If you are switching accountants, we will review your existing records and let you know what information we need, then handle the transition with your current adviser so the process is as smooth as possible. From there we agree the scope of support that fits your needs and put a straightforward plan in place for ongoing accounting and tax work.