Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Eye
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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 Eye 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.
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
Support is built around the accounting and tax needs of hospitals and hospital businesses, and typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, and Corporation Tax and VAT support where those apply to your organisation. Because hospitals carry substantial staff costs, premises overheads, medical equipment spending and supplier commitments, we also help with the reporting and planning that sits behind those costs. The exact scope depends on your structure, activities and internal set-up, and we agree that with you at the outset so there are no surprises.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses whose activities and structures vary considerably from one organisation to the next. Some operate from a single site, while others run across several locations or sit within a wider corporate group. What matters most is understanding how your hospital earns income, what its main costs are and how it is legally structured, because those factors shape the accounts, the reporting and the tax position. If your organisation has an unusual structure or income model, it is worth a conversation to confirm how we can help.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for before the work begins. The fee reflects the size and complexity of your hospital business, including the number of sites, payroll volumes, income streams and reporting requirements, rather than a one-size-fits-all figure. There are no hidden extras, and if your circumstances change during the year we discuss any adjustment with you rather than applying charges without explanation.
Yes, payroll forms a central part of the support we provide, and it is one of the largest cost areas for most hospitals. We can manage payroll processing, paye and related reporting obligations, and the associated accounting entries so staff costs are recorded accurately and consistently in your books. Because hospital payrolls often involve varied shift patterns, multiple roles and changing headcount, keeping this area well organised makes management accounts and cash flow planning far more reliable.
Hospitals may face Corporation Tax where they operate through a company, along with a range of other tax and reporting obligations depending on their structure and activities. VAT treatment in particular is not straightforward: it depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so it should be assessed case by case rather than assumed. Private hospital activities and other hospital services can be treated differently, and there is no single rule that applies across the board. We help you work through what applies to your organisation and keep the position properly documented.
Hospitals tend to carry high fixed costs alongside significant one-off spending on medical equipment, facilities and other capital items, which makes forward planning important. We help by preparing management accounts and cash flow forecasts that show where money is going, when supplier and payroll commitments fall due, and how planned expenditure affects your position over the coming months. That gives you a clearer basis for decisions about equipment purchases, staffing and service expansion, rather than reacting to pressure after the fact.
Yes, switching accountants is a routine process, and we handle the practical side of the transition with your existing adviser, including obtaining the records and information needed to pick things up cleanly. We begin by understanding your hospital or hospital business, reviewing your accounting and tax requirements, and identifying what needs attention. From there we set out how we will support you on an ongoing basis and agree the scope and fee in advance, so you know exactly where you stand before any work begins.
Our work is focused on hospitals and hospital businesses in the private and independent sectors, along with hospital operators and groups. We do not present ourselves as specialists in NHS Trusts, NHS Foundation Trusts or other public-sector organisations, and we would be glad to be upfront about that if your organisation falls into that category. If you are unsure whether your hospital's structure is something we can support, get in touch and we will give you a straight answer.