Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Queensferry
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Queensferry 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
It usually covers the essentials a hospital business needs to stay compliant and well informed: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow planning, together with Corporation Tax support where it applies and VAT guidance where relevant. Because hospitals often have complex cost structures and several income streams, we also help make sure equipment purchases, premises costs, supplier payments and staff costs are recorded consistently and reflected properly in your reporting.
We support private hospitals, independent hospitals, hospital operators and hospital groups, including organisations running a single site and those managing multiple locations. Their accounting requirements differ depending on how the business is structured, the services it provides, how it is funded and the scale of its staffing and equipment commitments. If you are unsure whether your setup fits, it is worth a conversation, as the support can be adapted to the way your hospital actually operates.
We work on fixed, transparent packages, so you know what you are paying for and when, with no hidden fees appearing later. The right package depends on factors such as the size of your hospital, the number of staff on payroll, the volume of transactions, the number of income streams and how much reporting you need. We discuss your requirements first and set out the scope clearly, so the arrangement reflects your circumstances rather than a standard rate applied regardless of complexity.
Yes. Payroll is one of the most significant areas for hospitals, given the range of roles involved, the mix of pay arrangements and the need for accurate, on-time payments. We can handle payroll processing, payslips, pension-related administration and the reporting obligations that come with employing staff, while making sure the figures feed correctly into your management accounts and annual accounts. That helps avoid the last-minute scrambling that often accompanies large payroll runs.
Corporation Tax applies to limited companies, and hospital businesses can face particular considerations around capital expenditure on medical equipment, premises costs, treatment of different income streams and the timing of deductions. Getting the treatment right matters, because errors can lead to unexpected liabilities or missed reliefs. Where relevant, we prepare and submit calculations, explain the position in plain English and help you plan ahead for tax obligations rather than reacting to them after the event.
VAT treatment for hospitals is not uniform. Whether a particular 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 needs to be looked at case by case. NHS hospitals and private hospitals do not automatically receive identical treatment either. We help you understand which of your activities fall where, how that affects your VAT position and what records you need to keep to support it.
Yes, and this is often where hospitals feel the pressure most. Large equipment purchases, premises commitments and payroll cycles can put real strain on cash flow, particularly when income arrives on a different timetable to outgoings. We help build budgets and cash flow forecasts that reflect your actual patterns, model the impact of major capital expenditure and give you early warning when a squeeze is developing, so decisions can be made with time to spare.
It starts with a conversation about your hospital or hospital business, what you currently have in place and where you feel the gaps are. From there we review your accounting and tax position, confirm the scope of support that fits and agree the switch or setup process with you. If you are moving from another accountant, we can handle the handover of information and keep disruption to a minimum while your records and reporting continue without interruption.