Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Felixstowe
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 Felixstowe 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
We work with privately run and independently owned hospitals, hospital operators and hospital groups, along with hospital businesses that support them. That includes organisations with different structures, service offerings and income streams, so the exact accounting and tax needs can differ quite a bit from one hospital to the next. We look at each hospital's circumstances before recommending how the support should be set up.
The services typically cover bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting, plus Corporation Tax support where applicable and VAT support where relevant. For hospitals, this often means keeping a close eye on staff costs, medical equipment, premises, supplier payments, professional services and various income streams. The mix is tailored to the hospital rather than offered as a fixed template.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees or unexpected additions. The level of pricing reflects the scope and complexity of the work, which varies depending on the size of the hospital, the number of staff, the range of income streams and how much bookkeeping, payroll, reporting and tax support you need. We will talk through the options openly before anything is agreed.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not something we approach with a blanket rule. Some supplies may be treated differently from others, and the position can change as services and activities evolve. We review the detail and help you apply the right treatment, keeping records and reporting in order along the way.
Yes. Payroll is often one of the biggest and most time-consuming areas for hospitals, particularly where there are varied contracts, shift patterns, rotas and different staff groups. We can manage the payroll process, handle the associated reporting and deductions, and make sure the numbers feed cleanly into your management accounts and cash flow planning. That way staff costs stay visible and manageable rather than becoming a year-end surprise.
Hospitals tend to carry significant fixed costs, from premises and facilities to medical equipment, supplier payments and payroll, so planning ahead matters. We help build budgets and cash flow forecasts that reflect how income actually arrives, including the timing differences between different income streams. That gives you a clearer view of what is coming in and going out, which makes it easier to plan equipment purchases, capital expenditure and day-to-day spending.
We work to the standards expected of UK accounting professionals, keeping your records, filings and tax reporting accurate and up to date. Compliance covers annual accounts, Corporation Tax where applicable, payroll obligations and VAT returns where relevant, with deadlines tracked so nothing slips through. If you would like more detail on how we work and what we can offer, we are happy to talk it through with you.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, what you need and what you would like to improve, then review the current accounting and tax position. If you are switching from another accountant, we can help with the handover so the transition is smooth and your records stay in good shape throughout.