Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Gresford Wrexham
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 Gresford Wrexham 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 covers the day-to-day and year-end accounting needs of a hospital, including bookkeeping, payroll, management accounts, annual accounts and financial reporting, along with budgeting and cash flow support. Depending on how your organisation is structured and what it does, we can also help with Corporation Tax and VAT matters, and with the financial information you need for lenders, investors or internal decision-making. The scope is agreed around your hospital rather than taken from a fixed template.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses of varying sizes and structures. That can include organisations operating from a single site as well as those running across multiple premises, and those with different mixes of income such as self-pay, insured and contractual work. Because each of these brings different accounting, payroll and tax requirements, we look at your circumstances before suggesting an approach.
Pricing is based on the work your hospital actually needs, so it reflects factors such as the number of sites, staffing levels, transaction volumes, the amount of bookkeeping and payroll support required and whether you need management accounts or additional tax help. We provide fixed, transparent packages wherever possible, with no hidden fees and no surprise invoices, and we talk through the scope with you before anything is agreed. That way you know what is included before you commit.
It is sensible to ask any accountant about their professional qualifications, the body they are regulated by and their professional indemnity cover before appointing them, and we are happy to confirm those details with you directly. Working with a qualified, regulated firm means your accounts and tax matters are handled to recognised UK standards, with clear processes around compliance and confidentiality. If you have specific requirements, such as a particular filing deadline or a lender's expectations, tell us and we will explain how we can meet them.
VAT for hospitals is rarely straightforward. Whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply itself, the activities involved, the organisation's status and the specific circumstances, so it is not safe to assume that all hospital services are treated the same way. We look at what your organisation actually provides and how it is structured, then help you apply the rules correctly, keep appropriate records and deal with returns and queries as they arise.
Yes. Significant equipment purchases, refurbishment and other capital expenditure can put real pressure on cash flow, so we help you plan for them, understand the financial impact and ensure they are properly reflected in your accounts. That includes looking at how purchases are funded, how they affect your management accounts and financial reporting, and what the tax position is in your circumstances. The aim is to make large commitments manageable rather than a nasty surprise.
Many hospitals earn income from a mix of sources, and keeping those streams clearly separated in your records makes it far easier to see what is profitable and where costs are building up. We help set up bookkeeping and management accounts that distinguish between different activities, track the related costs and give you reporting you can act on. Where relevant, that reporting also supports your tax position and any VAT treatment that applies to particular supplies.
Getting started is straightforward. We begin with a conversation about your hospital, how it is structured and what you need from an accountant, then review your current records and identify any gaps or upcoming deadlines. If you are switching from another firm, we can manage the handover and the communication with your existing accountant, and once everything is in place we move into ongoing support. You will know what happens at each stage.