Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Durham
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 Durham 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 for 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 typically covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow planning, Corporation Tax where applicable, and VAT support where relevant. For hospitals, the emphasis tends to be on handling high volumes of payroll and supplier transactions accurately, tracking significant equipment and premises costs, and producing reporting that reflects multiple income streams clearly. The exact mix depends on your structure, size and how your hospital or hospital group operates.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses with accounting and tax needs. The right approach depends heavily on legal structure, ownership, the services provided and how income is generated. Every hospital is different, which is why we begin by understanding how yours is set up before recommending anything.
Pricing is based on the work your hospital actually needs, so it reflects factors such as transaction volumes, payroll headcount, reporting requirements and the complexity of your structure rather than a one-size-fits-all figure. We use fixed, transparent packages wherever possible, with no hidden fees, so you know what you are paying for and why. The best starting point is a conversation about your circumstances so the scope can be agreed clearly.
Yes, we can support both, although the treatment is never as simple as a blanket rule. VAT depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so hospital services are not uniformly exempt or taxable, and private and NHS hospitals should not be assumed to be treated identically. Corporation Tax applies where it applies to your structure and activities. We look at your particular position before advising.
Payroll is one of the biggest financial areas for most hospitals, covering clinical staff, administrative teams, shift patterns, overtime and varying contract types. We can run payroll, calculate the associated tax and National Insurance where applicable, and make sure staff costs are recorded accurately in your management accounts and annual accounts. That gives you a clearer picture of your largest cost base and how it affects cash flow.
These are significant, long-term commitments for most hospitals, so they need to be reflected properly in your accounts and your cash flow planning. We help you record equipment purchases and premises costs correctly, plan for capital expenditure, and understand how those outgoings affect your overall financial position. It also helps to see reporting that separates ongoing operating costs from one-off investments.
Yes, switching accountants is usually a straightforward process, and we can handle much of the transition work on your behalf, including liaising with your existing accountant and obtaining the records we need. We review your current position as part of getting started, so nothing important is missed and any issues are identified early. From there, we set up a clear ongoing routine for bookkeeping, reporting and compliance.
It starts with a conversation about your hospital or hospital business, what you need help with and how your finances are currently managed. From there, we review your accounting and tax requirements and outline how support would work in practice, including which services are relevant and how pricing would be structured. You do not need to have everything perfectly organised beforehand — that is part of what we help with.