Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Livingston
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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 Livingston 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 businesses need a combination of annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, plus Corporation Tax support where it applies and VAT support where relevant. Because hospitals differ so much in structure and activity, we agree the scope with you first, then build a routine that covers your records, compliance deadlines and the reporting you need to run the business — whether that is monthly, quarterly or annually.
We support private hospitals, independent hospitals, hospital operators and hospital groups, including organisations running more than one site or trading through a group structure. Their accounting requirements vary depending on how they are set up, the services they provide, their income streams, staffing, premises, medical equipment and supplier arrangements. If you are unsure whether your organisation fits, it is worth a conversation — the practical test is simply whether you need reliable accounting, tax and payroll support for a hospital business.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the size and complexity of your hospital business — the number of entities, sites, staff on payroll, transaction volumes, income streams and the level of reporting you need. We set this out clearly before any work begins, with no hidden fees, and we review it as your requirements change.
We work to UK accounting and tax requirements, keeping your records accurate, complete and organised so that filings and deadlines are met without last-minute scrambling. That includes maintaining bookkeeping to a consistent standard, preparing accounts and supporting schedules, and keeping the information behind your tax and VAT positions properly documented. If your current records are behind or inconsistent, we can help bring them up to date before moving forward.
Not necessarily, and it is not a simple yes or no. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so two hospitals offering similar services can have different positions. Some supplies may be exempt, some may be taxable, and others may sit outside the scope of VAT altogether. We look at what your hospital actually provides and how it is structured, then help you apply the correct treatment and keep the supporting records.
Yes. Medical equipment and larger capital projects are often among the biggest financial decisions a hospital makes, so it helps to plan for them properly. We can help you budget for purchases, understand how they affect your accounts and cash position, and time expenditure sensibly alongside your other commitments. Combined with cash flow forecasting and management accounts, this gives you a clearer picture of what is affordable and when.
We can, and payroll is often one of the largest and most time-consuming areas for a hospital business to manage in-house. We handle payroll processing for clinical and non-clinical teams, including the associated deductions, reporting and record-keeping, and we can work with the pay frequencies and staff structures your hospital uses. That takes pressure off your internal team while keeping the figures consistent with your accounts and management reporting.
It usually starts with a short conversation about your hospital or hospital business, followed by a review of your current accounting and tax position. If you are moving from another accountant, we can handle the practical side of the transition — including contacting your existing adviser for the relevant information once you have authorised it — and then set up a routine that fits your reporting cycle. From there, the support continues on an ongoing basis and adapts as your hospital develops.