Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in North Parade
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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 North Parade 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.
Practical 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
Support is built around the hospital's needs, but it commonly covers annual accounts and statutory filings, bookkeeping, management accounts, payroll, budgeting and cash flow planning, and financial reporting. Corporation Tax support is included where the hospital operates through a limited company or another structure that falls within its scope, and VAT support is available where relevant, based on the nature of the supplies, the activities involved and the organisation's status. Many hospitals combine several of these, with the exact mix reflecting their size, structure and internal accounting resources.
It is designed for private hospitals, independent hospitals, hospital operators and hospital groups, and for the individuals responsible for their finances such as owners, directors, finance managers and hospital management teams. It suits single-site facilities as well as organisations running several locations, and it works whether you have an in-house finance function that needs additional support or no dedicated accounting resource at all. If you are unsure whether your organisation fits, a short conversation is usually enough to clarify things.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect before work begins. The fee reflects the scope involved, which depends on factors such as the number of locations, the volume of transactions, payroll headcount, the complexity of income streams and any additional reporting requirements. There are no hidden fees or unexpected extras added later. Once we understand your hospital's circumstances, we can set out a clear proposal so you can weigh up the costs against the support included.
Our work is carried out in line with UK accounting and tax rules, and we keep up to date with changes that affect hospital businesses, including areas such as employment costs, capital expenditure and VAT treatment. We handle filings and deadlines as part of the ongoing service, so returns, accounts and payments are submitted on time and to the required standard. If you would like details about the team handling your work and the accreditations involved, we are happy to talk that through directly.
Hospitals face a particular combination of pressures: large payroll obligations, expensive medical equipment and its depreciation or financing, significant premises and facilities costs, supplier and professional services payments, and several different income streams to reconcile. We help make sense of all of this through management accounts, budgeting, cash flow forecasting and financial reporting, so you can see how the hospital is performing and plan capital spending with better information. Where Corporation Tax applies, we look at how costs, allowances and profits are treated, and VAT support is provided case by case because treatment depends on the specific supplies and activities involved.
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 particular circumstances, so some services may be exempt, some may fall outside the scope of VAT, and others may be taxable. Because NHS hospitals and private hospitals do not automatically have identical treatment, the position has to be assessed for each organisation and each income stream rather than assumed. We review your arrangements and help ensure the treatment applied is consistent and properly documented.
Yes. Bookkeeping is kept organised around hospital activity so that income and costs are recorded in a way that reflects how the organisation actually operates, including multiple income streams and regular supplier commitments. Payroll support handles the employment side of a hospital, from regular staff costs to the deductions and pension obligations that come with them. Management accounts then pull this together into reporting on margins, costs and cash position that hospital management can act on during the year rather than only reviewing after the period has closed.
Getting started is straightforward. We begin with a conversation about your hospital, its structure, how it is performing and what you need from an accountant, then review your current records, reporting and tax position to identify anything outstanding or overdue. If you are moving from another accountant, we can liaise with them directly to obtain the information needed and manage the handover so it does not disrupt your operations. From there, we set out the services that suit your circumstances and the timing for each piece of work, so responsibilities and deadlines are clear from the outset.