Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Hessle
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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 Hessle 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
The scope is built around your hospital or hospital business. In most cases it covers bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where it applies. VAT support is also available, with the treatment of individual supplies considered on the facts rather than assumed. If you need help with medical equipment purchases, capital expenditure, supplier payments or multiple income streams, those areas can be incorporated into the work too.
We work with private hospitals, independent hospitals, hospital operators and hospital groups. That includes single-site hospitals as well as organisations running more than one location or service line. The right approach depends on your legal structure, how your income is generated, how staff are engaged, what premises and equipment you hold, and how many suppliers and professional services you deal with. We do not provide accounting services for NHS Trusts or other public-sector organisations.
Fees are based on the shape and complexity of your hospital business rather than a one-size-fits-all figure. A single-site independent hospital with straightforward staffing will need a different level of work from a hospital group with several sites, multiple income streams and a larger payroll. We set out what is included in fixed, transparent packages, agree the scope in advance so there are no hidden fees, and review it as your requirements change.
Hospital payroll usually involves a variety of contracts, shift patterns, overtime and variable hours, which makes accuracy and timing important. We can manage the payroll process end to end, including payslips, deductions, pension contributions and the relevant HMRC reporting, so staff are paid correctly and on time. Keeping payroll records organised also feeds neatly into your management accounts and helps you see the true cost of staffing month to month.
Corporation Tax applies to companies and is calculated on taxable profits, so the position depends on your structure, your income streams and the costs you can properly claim. VAT is more nuanced: whether a supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be assumed either way. We look at your particular situation and advise accordingly, including on VAT registration and returns where relevant.
Yes. Medical equipment and other capital expenditure can tie up significant funds, so it helps to see the effect on your cash position before you commit. We can build equipment and capital spending into your budgets and forecasts, show how it affects your monthly cash flow, and make sure the accounting treatment and any tax relief available are handled correctly. Where finance or staged payments are involved, we can reflect that in your reporting as well.
The work is carried out in line with UK accounting standards and HMRC requirements, including Making Tax Digital rules for VAT. If you would like more detail about the qualifications, professional memberships and compliance arrangements behind the practice, we are happy to provide that as part of your initial conversation, along with a clear explanation of who will be handling your file.
Switching is usually more straightforward than hospital owners expect. We contact your existing accountant to request the handover of records and accounts history, review what we receive, and flag anything that needs clarifying before we take over the ongoing work. From there we agree the scope, set out the fee structure clearly, and confirm how and when information should be sent to us. If you would prefer to stay where you are and simply discuss a specific issue first, that is fine too.