Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Shenstone
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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 Shenstone 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
Our work for hospitals and hospital businesses typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies and VAT support where relevant. Because hospital operations differ so much, we agree the scope with you at the outset based on your structure, income streams and internal processes. Some hospitals need help with everything from day-to-day record keeping through to year-end reporting, while others need support in specific areas such as payroll or management information. Either way, you get a clear picture of what is being handled and when.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with businesses whose activities are closely linked to hospital operations. Their accounting requirements can differ significantly depending on how they are structured, the services they provide, how many staff they employ, what premises and equipment they hold, and where their income comes from. We take the time to understand those details before recommending an approach, because a hospital group and a single-site independent hospital will not need identical reporting or the same level of bookkeeping support.
Pricing is based on the work you actually need rather than a one-size-fits-all figure, so it depends on factors such as transaction volumes, the number of staff on payroll, the number of income streams, your reporting requirements and how much of the record keeping you handle internally. We use fixed, transparent packages where the scope is clear, so you know what you are paying for and there are no hidden fees or unexpected invoices. If your requirements change as the hospital grows or restructures, we review the arrangement with you rather than letting it drift.
Yes. Payroll is often one of the largest and most complex cost areas for a hospital, particularly where staff work shifts, variable hours, overtime or different pay rates across departments. We can manage the payroll process, calculate deductions, produce payslips, handle starters and leavers, and report to HMRC under Real Time Information, as well as keeping the payroll figures aligned with your management accounts. Where you have a mix of salaried, hourly and contracted staff, we structure the payroll work so it stays accurate and manageable, and we can liaise on pension duties where those apply.
We do. Depending on how your hospital business is structured, this may involve preparing and filing annual accounts and Corporation Tax returns, advising on allowable costs and capital allowances, particularly where you invest in medical equipment or facilities, and handling VAT returns where registration applies. VAT in a hospital context is rarely straightforward: treatment depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances, so it is worth reviewing your position rather than assuming a particular outcome. We can look at your arrangements and explain how the rules apply to what you actually do.
Medical equipment, fit-out costs and improvements to premises are usually significant items for a hospital, and how they are recorded affects both your reported position and your tax position. We look at what has been purchased, whether it should be treated as capital expenditure or revenue, and whether capital allowances may be available, then make sure the treatment is consistent and properly documented. It also helps to plan larger purchases alongside your cash flow, so a substantial equipment investment does not leave you short of working capital in the months that follow.
Yes, and we handle the practical side of the transition so it does not become a distraction. We ask for details of your existing accountant or bookkeeping arrangements, review the records you have, identify anything that needs tidying up, and manage the correspondence needed to bring your affairs across. It helps to have your latest accounts, VAT returns, payroll records and a current list of assets and liabilities to hand, but if some of that is incomplete we will work through it with you. Once the handover is complete, we set out how the ongoing reporting and deadlines will run.
It starts with a conversation about your hospital or hospital business, how it is currently run and what is causing you difficulty, whether that is late management information, complicated payroll, uncertainty over VAT or cash flow pressure. From there we review your existing accounting and tax arrangements, outline what we would recommend and confirm the scope and cost before any work begins. You are then introduced to the people handling your work, given clear points of contact and told what to expect throughout the year, so the support feels straightforward rather than something you have to chase.