Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in East Anglia
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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 Hospitals Face
Why Hospitals in East Anglia 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
It depends on what your hospital or hospital business needs, but it typically covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with tax support and VAT assistance where relevant. Many hospitals also want help keeping medical equipment, premises costs, supplier payments and staff costs properly recorded and reported. We agree the scope with you upfront so you know what is being handled and when.
We work with private hospitals, independent hospitals, hospital operators and hospital groups across East Anglia, as well as hospital businesses whose activities sit alongside hospital provision. The common thread is that these organisations have complex cost bases, varied income streams and reporting requirements that go beyond a straightforward trading company. If you are unsure whether your organisation fits, it is worth a conversation.
We work on fixed, transparent packages rather than open-ended hourly billing, so you have a clear idea of the cost before work begins. The fee reflects the size of your hospital business, the volume of transactions, the number of staff on payroll and how much reporting you need. There are no hidden fees, and if your requirements change we discuss any adjustment with you first.
Our team works to professional accounting and tax standards, keeping records accurate, submissions timely and your information handled confidentially. We stay current with UK accounting and tax rules as they apply to your organisation, including reporting obligations and filing deadlines. If you have specific compliance questions about your hospital's structure or activities, we can talk those through with you directly.
Yes. Where Corporation Tax applies to your organisation, we can help with calculations, reliefs that may be available and filing obligations. VAT is more nuanced — treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so we look at your situation in detail rather than assuming a single answer applies. This is particularly relevant where a hospital has a mix of income streams.
Hospital payroll often involves a range of roles, shift patterns, contracted hours and varying pay arrangements, so accuracy matters. We can manage payroll processing, payslips, PAYE and pension-related administration, and make sure the payroll figures feed correctly into your management accounts and annual reporting. This helps keep staff costs visible and reduces the risk of errors building up over time.
Yes. Medical equipment and other capital purchases need to be recorded and treated correctly, which affects both your reported figures and your tax position over time. We can help you keep track of capital expenditure, understand how it flows through your accounts and factor it into budgeting and cash flow planning, particularly where larger purchases are planned or financed.
It usually starts with a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve. From there we agree the scope of support, handle the practical steps of moving across and set up a straightforward way of working together. Switching is generally less disruptive than people expect, and we aim to make the transition smooth for both you and your team.