Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Newcastle upon Tyne
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Newcastle upon Tyne 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.
A 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 support private hospitals, independent hospitals, hospital operators, hospital groups and smaller hospital businesses with a clinical or treatment focus. Accounting requirements differ from one hospital to the next, depending on whether the organisation is a limited company, a partnership, part of a group or structured in another way, and on the mix of services it provides. We take the time to understand that structure before recommending how the accounting work should be handled, so the support fits your hospital rather than a generic template.
The core work usually covers bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting and general tax support, plus Corporation Tax where the organisation is liable and VAT support where relevant. Because hospital finances involve a wide range of costs, from staffing and professional services to medical equipment, premises and supplier payments, we make sure the records are organised in a way that gives you a clear view of how the hospital is performing. Additional support can be added if your requirements change.
We work on fixed, transparent packages, so you know what you are paying for and when, with no hidden fees or unexpected extras appearing later. The scope of your hospital's accounting needs, such as the number of payroll employees, the volume of transactions, whether VAT returns are needed and whether management accounts are prepared regularly, will influence the package that suits you best. We set this out clearly in advance so there are no surprises, and the arrangement can be reviewed as your hospital grows or its needs change.
AccoTax and CruseBurke are professional accounting practices working with businesses across a range of sectors, and we approach compliance and record-keeping with the care you would expect for an organisation of a hospital's size and complexity. That includes keeping proper records, meeting filing and reporting deadlines, and handling payroll, tax and VAT obligations accurately. If you have specific requirements around professional body membership or oversight, just ask and we will explain exactly where we stand before you commit to anything.
Tax treatment for a hospital depends on how the organisation is structured and what it actually does, so there is no single answer that applies to everyone. Corporation Tax is relevant for many hospital companies, while VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, meaning some supplies may be treated differently from others. We review your particular position and help you apply the right treatment rather than working from assumptions.
Yes. Medical equipment purchases and other capital expenditure can be significant commitments for a hospital, and they often affect both cash flow and how the accounts and tax position are presented. We can help you plan for those outlays, reflect them properly in your financial records and management accounts, and understand how they interact with your overall cash flow and reporting. That makes it easier to decide when a purchase is realistic and how to fund it without straining day-to-day operations.
Hospitals frequently receive income through several different routes, each with its own timing, and that can make cash flow genuinely unpredictable even when the business is performing well. Using regular management accounts and cash flow forecasting, we help you see what is coming in, what is going out and where the pressure points are likely to appear, including staff costs, premises, supplier payments and equipment spending. Budgeting then becomes a practical planning tool rather than a document that sits unread.
The first step is a conversation about your hospital or hospital business, covering how it is structured, how it earns income and what you need from an accountant. If you are switching accountants, we can talk you through what information is needed and how the handover is managed, including anything outstanding with your current adviser. From there we confirm the scope and the fixed package that fits, and put the ongoing support in place so you can get on with running the hospital.