Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in East Lothian
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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 Lothian 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 typically covers the core financial and compliance work a hospital or hospital business needs, including bookkeeping, payroll for staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Where relevant, we also help with Corporation Tax, VAT support, supplier and cost analysis, and planning around capital expenditure such as medical equipment and premises. The exact mix depends on your structure, the services you provide and how your income streams are made up, so it is shaped around your organisation rather than applied as a fixed template.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses that need dependable accounting and tax support. Their circumstances differ widely, and so do their accounting needs, because a single-site independent hospital faces different pressures to a hospital group with several locations and more complex reporting requirements. If you are unsure whether your organisation fits, it is worth a conversation to establish what you need and how best to support it.
We use fixed, transparent packages so you know what you are paying for and why, with no hidden fees and no vague hourly surprises. Because hospitals vary so much in size, structure and complexity, the right package depends on factors such as transaction volumes, payroll headcount, the number of income streams and the level of reporting you need. Once we understand your circumstances, we will explain the scope and the cost clearly before any work begins.
Yes. Payroll is one of the largest and most sensitive cost areas for any hospital, and we support it as part of our accounting work for hospital businesses. That includes processing payroll accurately, keeping records organised and making sure staff costs are reflected properly in your management accounts and financial reporting. Because staffing arrangements in hospitals can be complex, with different roles, contracted hours and shift patterns, getting the detail right matters for both compliance and for understanding your true cost base.
It depends on your structure, your activities and how you are organised. Corporation Tax may apply, VAT treatment can vary, and the position is rarely a simple one, because VAT depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances rather than on the fact that you are a hospital. Private hospitals and other hospital organisations do not automatically share identical accounting or tax treatment, so the right approach is to look at your own arrangements in detail rather than assume a general rule applies.
That is often one of the most valuable areas of support for a hospital. Large items such as medical equipment and facilities work can absorb significant sums well before the related income arrives, so budgeting and cash flow forecasting help you see pressure points in advance rather than react to them. We also help with financial reporting that separates ongoing operating costs from capital commitments, giving you a clearer view of how the hospital is performing and what it can afford to take on next.
You should expect your accountant to work to recognised professional standards, maintain proper records and keep up to date with UK accounting and tax requirements, including Making Tax Digital and relevant filing deadlines. It is reasonable to ask directly about the professional body your accountant belongs to and how they keep their knowledge current. We are happy to talk through the standards we work to and the compliance obligations that apply to your hospital business.
Getting started is straightforward: we begin with a conversation about your hospital or hospital business, review your current accounting and tax arrangements, and set out clearly what support would look like. Switching accountants part-way through the year is usually perfectly manageable, and we can coordinate the handover of records and information with your existing adviser so nothing is missed. From there, ongoing support is delivered consistently, with reporting that fits around how you run the hospital.