Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Holywell
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Hospitals and Hospital Organisations We Support in Holywell
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 Holywell 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
Most hospital clients need a combination of core services rather than a single product. That typically means 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 and VAT support where relevant. We agree the scope with you at the outset based on your structure, your income streams, the number of sites you operate and how much of the day-to-day record keeping you want to keep in-house.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses whose operations sit directly within the sector. That includes single-site hospitals run by their owners or a small management team, and larger organisations with multiple locations, departments or service lines. If your organisation provides hospital services and needs reliable accounting, payroll, reporting and tax support, the approach is designed to fit that environment.
Pricing is based on the work involved, so it reflects factors such as the size of your payroll, the number of income streams you handle, the volume of transactions, whether you operate from more than one site and how much reporting you need. We provide fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. Once we understand your requirements, you receive a clear proposal before any work begins.
Yes. Payroll is one of the largest and most time-consuming cost areas for any hospital, particularly when staff work variable shifts, overtime, bank hours or a mix of clinical and non-clinical roles. We manage payroll processing, payslips, starter and leaver administration and the associated reporting, working from the hours and rates you provide. Accurate payroll records also feed directly into your management accounts, which gives you a clearer picture of staffing costs against income.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams within the same hospital can be treated differently. Some supplies may be exempt while others are standard-rated, and the position can change as services develop. We review your activities and income streams individually and explain how the rules apply to your situation, rather than assuming one blanket treatment covers everything.
We can. Whether Corporation Tax applies, and how it applies, depends on how your hospital or hospital business is structured, and we review that alongside your overall tax position. Medical equipment, facilities upgrades and other capital expenditure often involve significant sums, so we help you record and report those costs properly and factor them into your budgeting and cash flow planning. That gives you a clearer view of how major purchases affect your finances over time, not just in the year they are made.
Yes. Multi-site hospital groups often need clearer financial reporting than single-site operations because income, staffing and costs are spread across locations and service lines. We can help you consolidate records, report on performance by site or activity, manage payroll across teams and keep track of supplier and premises costs. The aim is to give you consistent, comparable figures so you can see where margins are being made and where costs need attention.
Getting started is straightforward. We begin with an initial conversation about your hospital or hospital business, then review your current accounting and tax position and agree the support you need. If you are moving from another accountant, that is perfectly normal and can usually be managed at any point in the year — we help coordinate the handover of records and information so nothing falls through the gap, and we keep you informed at each stage of the transition.