Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Drymen
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Drymen 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.
A 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
The service covers the core accounting and tax work most hospitals need, including bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting, alongside Corporation Tax and VAT support where these apply. Because hospitals are not uniform, the mix is tailored to your organisation — a hospital operator with several sites will need different reporting from a single independent hospital, and the scope is built around what genuinely adds value to your finances rather than a fixed template.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses that need reliable accounting and tax support. The common thread is that hospital finances come with real complexity — significant staff costs, medical equipment, premises, supplier arrangements and multiple income streams. We look at how your organisation is set up and what it actually does, then shape the accounting support accordingly.
Pricing is based on the scope of work, so it reflects the services you need, how many entities or sites are involved, transaction volumes and the level of reporting you want. We set out a fixed, transparent fee for the agreed work in advance, so there are no hidden fees or open-ended hourly surprises. If your requirements change — for example, if you take on more staff, add a location or expand a service line — we review the arrangement with you rather than leaving it to drift.
Yes. Payroll is often one of the largest and most sensitive costs in a hospital, so we handle it carefully — processing pay runs, accounting for tax and National Insurance, dealing with starters and leavers, and making sure the numbers flow correctly into your accounting records and management reporting. Accurately recording payroll also supports your budgeting and cash flow planning, which matters when staffing commitments are substantial and spread across different roles and working patterns.
No, and it would be misleading to treat all hospitals as one category. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is worth reviewing rather than assuming a blanket position. Hospitals can have a mix of activities, and different elements may be treated differently. We look at what you actually provide and how it is structured, then advise on the appropriate treatment and help you keep the supporting records in good order.
Medical equipment and other capital items can tie up significant sums, so we help you plan for them rather than react to them. That means building them into your budgeting and cash flow forecasting, ensuring the accounting treatment is correct, and considering how the timing of payments and any available reliefs or allowances affect your tax position. The goal is to give you a clear view of what is affordable, when commitments fall due, and how major purchases fit alongside your other operating costs.
Yes, where Corporation Tax applies to your organisation, we can prepare and submit the relevant filings, consider allowable deductions and reliefs, and tie the figures back to your annual accounts. On the reporting side, we produce management accounts and financial reporting that make sense for a hospital — showing income by stream, staff costs, premises, equipment, suppliers and other major outgoings so you can see where the money is going and make informed decisions.
Getting started is straightforward. We begin by talking through your hospital or hospital business, what you need help with and any deadlines that are approaching, then review your existing records and accounting arrangements. From there we agree the scope and fee, handle the handover from your current accountant on your behalf, and set up an ongoing support arrangement that fits how your organisation works. If you are unsure whether you need a full service or just specific help, it is still worth having the initial conversation.