Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Rainworth
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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 Rainworth 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 covers the core areas a hospital or hospital business needs to keep its finances in order, including bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, and tax support such as Corporation Tax where it applies. Where VAT is relevant, we help you work through how it applies to your particular supplies and activities, since VAT treatment depends on the nature of the supply, the organisation's status and the specific circumstances rather than one fixed rule for everyone. The mix is shaped around your hospital, so you are not paying for services you do not need.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses behind day-case units, diagnostic facilities and specialist treatment centres. Because these organisations differ in structure, activities and ownership, their accounting needs vary too, particularly around income streams, staffing, premises, medical equipment and supplier arrangements. If you are unsure whether your organisation fits, it is worth a conversation so we can confirm what support would be appropriate.
We use fixed, transparent packages rather than open-ended hourly billing wherever possible, so you know what you are paying for and when. The exact package depends on the size and complexity of the hospital business, the number of staff on payroll, the volume of transactions, whether VAT and Corporation Tax support are needed, and how much management reporting you want. There are no hidden fees, and we will always explain what is included before anything begins. If your requirements change as the hospital grows, the package can be reviewed to match.
Yes. Payroll is often one of the largest costs a hospital carries, covering clinical and non-clinical staff, varied shift patterns, overtime and different contract types. We can manage the payroll process end to end, including payslips, real-time reporting to HMRC, pension-related administration and year-end requirements, while keeping the cost clearly reflected in your management accounts. Accurate payroll records also feed into budgeting, so you can see the real staffing cost of running your services.
VAT for hospitals is not a simple yes-or-no answer. Treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so some supplies may be treated differently to others. We review how your hospital operates, what it charges for and to whom, then explain how VAT is likely to apply and what that means for pricing, invoicing and record keeping. Where the position is not clear-cut, we will tell you honestly and help you plan around it.
Yes, and this is where good management information really earns its keep. Large purchases such as medical equipment, refurbishments or facility upgrades usually mean significant outlays before any return is felt, so we help build budgets and cash flow forecasts that show the impact over time rather than just in the month of purchase. We also consider how the spend sits in your annual accounts and any tax treatment that may be available, so decisions can be made with the full financial picture in front of you.
Usually we ask for your latest annual accounts, recent management accounts if you have them, bookkeeping records or access to your accounting software, payroll details, VAT returns where applicable and any Corporation Tax correspondence. If records are incomplete or behind, that is not a barrier, it is often exactly why hospitals come to us in the first place. We will work through what exists, flag any gaps and agree a sensible plan for getting everything up to date before moving forward.
Switching is usually far less disruptive than people expect. Once you decide to move, we contact your existing accountant to request the relevant records and information, handle the professional clearance process on your behalf and pick up the accounting and tax work from an agreed point. You do not need to manage those conversations yourself. We will also confirm what needs to happen around deadlines such as accounts filing, VAT returns and payroll runs, so nothing slips through while the changeover takes place. Getting started is simply a matter of arranging an initial conversation about your hospital and its current position.