Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Driffield
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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 Driffield 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
Our work typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, along with tax and VAT support where these apply. For hospital businesses, that often means keeping a close eye on staff costs, medical equipment spending, premises and facilities, supplier payments, professional fees and the different income streams the hospital generates. We can take on as much or as little of that as you need, depending on whether you have an in-house finance function or not.
These services are aimed at hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. They suit owner-managed hospitals, established hospital businesses with a finance team, and growing hospital organisations that need more structure in their reporting. If your organisation delivers hospital services and needs accounting, tax or VAT support that reflects how those services are delivered, this is the right fit.
We work on fixed, transparent packages rather than open-ended hourly billing, with the fee based on the size and complexity of your hospital business and the level of support you need. A hospital with multiple income streams, a large payroll and significant equipment spending will naturally need a different package from a smaller independent hospital. We set out exactly what is included before any work begins, so there are no hidden fees or unexpected invoices later on.
VAT treatment for hospitals is not a simple yes-or-no answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different services and income streams within the same hospital can be treated differently. We look at what your hospital actually provides and how it is structured before advising, rather than assuming a blanket position. Where VAT applies, we can handle registration, returns and record-keeping as part of your package.
Yes. Payroll is often one of the largest and most complex cost areas in a hospital, covering clinical, administrative, support and shift-based staff across different pay arrangements. We can manage the payroll process, including payslips, PAYE, pension contributions and reporting obligations, while making sure the staff cost figures that come out of it feed properly into your management accounts and annual accounts. That keeps the numbers consistent across the financial reporting you rely on.
Medical equipment and other capital purchases have a lasting effect on a hospital's balance sheet and tax position, so they need to be treated correctly rather than simply written off as day-to-day costs. We can help record capital expenditure properly, consider how it affects your annual accounts and tax position, and factor it into budgeting and cash flow planning. For hospitals planning significant equipment investment, that forward view matters as much as the accounting itself.
Switching is usually straightforward. We ask for details of your current arrangements, liaise with your existing accountant where needed, and take over the records, filing obligations and deadlines so nothing is missed. We review the accounting and tax requirements of your hospital business as part of the handover, which is often a useful opportunity to spot anything that needs tidying up. Once the transition is complete, we handle the ongoing bookkeeping, payroll, reporting and compliance work.
Get in touch and tell us a bit about your hospital or hospital business, including how it is structured, how many staff you employ and the kind of support you are looking for. We will arrange an initial conversation to understand your accounting and tax requirements and explain how we would work with you. From there, we set out a suitable package and the next steps, so you know exactly what happens and when.