Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Dromore
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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 Dromore 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 support private hospitals, independent hospitals, day-case and inpatient facilities, hospital operators and hospital groups, along with the owners and management teams responsible for their finances. Some are structured as limited companies, others operate through different arrangements, and the accounting and tax work follows that structure. If your organisation provides hospital-level care and treatment, our hospital-focused accounting support is designed to fit the way you operate.
Depending on your needs, support can cover bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, and VAT support where relevant. For hospitals, that usually means handling significant staff costs, medical equipment and capital expenditure, premises and facilities overheads, supplier payments and multiple income streams accurately. We agree the scope with you first so you know exactly what is being handled and how often.
We price on fixed, transparent packages based on the scope of work your hospital actually needs, rather than an open-ended hourly arrangement. The fee reflects factors such as transaction volumes, payroll headcount, the number of income streams and reporting requirements, and we explain what is included before anything begins. You will not be met with surprise charges for work that was never discussed, and the scope can be adjusted as your hospital grows or changes.
Yes. Hospital payroll is rarely simple, with clinical and non-clinical teams, varied shift patterns, overtime, enhancements, starters and leavers, and pension obligations all feeding into the monthly cycle. We manage payroll processing, payslips, PAYE and pension administration so that staff are paid correctly and deadlines are met, and so the payroll figures flow properly into your management accounts and annual accounts rather than being treated as a separate exercise.
Hospitals often earn income from several directions — self-pay patients, settlements from medical insurers, contracted service arrangements, and other sources such as facility hire or ancillary services. Each stream can behave differently in terms of timing, debtor management and how it is reported, so we set up your records to keep them clearly separated. That makes it far easier to see which parts of the hospital are performing well and where cash is being held up.
Corporation Tax applies where a hospital operates through a limited company, while other structures are taxed differently, so the starting point is always the legal and ownership structure of your organisation. Allowable deductions, capital allowances on medical equipment, treatment of various costs and the timing of payments can all affect the position. We review your circumstances rather than applying a one-size-fits-all approach, and we make sure filings and payments are made on time.
VAT treatment for hospitals is not uniform. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances, so some income may be treated differently from other income within the same hospital. We look at what your hospital actually does, review the relevant transactions and advise on registration, reporting and compliance accordingly, rather than assuming a blanket position either way.
Yes. Medical equipment purchases are often substantial and can affect both your tax position through capital allowances and your cash position in the months that follow. We factor significant expenditure into budgeting and cash flow forecasting, so you can see the impact of planned investment before committing to it, and we help structure how those costs are recorded and reported. That gives hospital owners and directors a clearer view of what is affordable and when.
It starts with a conversation about your hospital, your current accounting arrangements and what you want to improve. We then review your existing records, reporting and compliance position, and agree a scope of support that fits, including handling the handover from your current accountant where you are switching. You do not need everything in perfect order before you speak to us — part of the value is sorting out the gaps as we go.