Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Salisbury
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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 Salisbury 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
It covers the core accounting and tax work a hospital or hospital business needs to stay on top of its finances. That typically means bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, and tax work such as Corporation Tax and VAT where those apply to the organisation. The exact mix depends on your structure, the way you operate and the level of internal finance resource you already have.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital businesses delivering treatment, diagnostics, rehabilitation or specialist care. The common thread is that the organisation operates as a hospital or hospital business and needs accounting support that understands how its income streams and cost base work together. Every hospital's requirements differ depending on its structure, staffing, premises and the services it provides, so the first step is always understanding yours.
We work on fixed, transparent packages, so you know what you are paying for and when, without hidden fees or surprise invoices. The scope is agreed up front based on the services you need — for example bookkeeping and payroll only, or a fuller package including management accounts and tax support. Because hospitals vary so much in size, structure and complexity, we quote according to your circumstances rather than applying a standard figure across the board.
Hospitals often combine several income streams with significant fixed costs across payroll, medical equipment, premises and suppliers, and that can make reporting and planning more involved than in a typical business. We keep records accurate and up to date, produce management accounts that explain performance rather than just restating it, and make sure key deadlines for accounts, payroll and tax compliance are met. Where capital expenditure on equipment or expansion is being considered, we can factor that into budgeting and cash flow planning.
VAT treatment for hospitals is not something that can be assumed one way or the other. It depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, which means different income streams within the same hospital may be treated differently. We review the position carefully and give you a clear view of how VAT applies to what you actually do, rather than applying a blanket assumption.
Yes. Payroll is usually one of the largest and most complex costs a hospital carries, covering clinical and non-clinical teams, varied shift patterns and a range of contractual arrangements. We can handle payroll processing and reporting so staff are paid accurately and on time, and make sure the associated costs are recorded properly in your management accounts and financial reporting. That gives you a reliable view of staff costs as part of your overall cost base.
Yes, switching accountants is a routine part of what we do, and we manage the transition so it does not disrupt your operations. We will look at your existing records, confirm what information we need and work through the handover with your current adviser where necessary. Once everything is in place, we agree the support you need — bookkeeping, payroll, management accounts, annual accounts or tax work — and get on with it.
It starts with a conversation about your hospital or hospital business — how it is structured, how it operates and what finance support you currently have in place. From there we can outline what we would recommend, how the work would run and how pricing would be structured as a fixed, transparent package. If it looks like a good fit, we agree the scope and move into the handover and setup stage.