Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Shetland
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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 Shetland 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
Most hospital clients need a combination of bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax where it applies and VAT support where relevant. We build the package around your organisation rather than a fixed checklist, so a hospital operator running several sites may need something quite different from a single-site independent hospital. What stays consistent is accurate record-keeping, clear reporting and support with the tax obligations that apply to your circumstances.
These services are aimed at hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups — along with organisations running hospital-style facilities. If your work involves inpatient or day-case care, clinical teams, medical equipment and treatment or theatre facilities, the accounting and tax questions you face tend to have a great deal in common. We focus on organisations whose needs fit that profile rather than trying to be all things to everyone.
We use fixed, transparent packages based on the work your hospital actually needs, so you know what you are paying for and when it is due. Fees reflect factors such as transaction volumes, payroll headcount, the number of income streams, reporting requirements and whether you need annual accounts, management accounts or both. There are no hidden fees or surprise invoices, and if your requirements change we talk that through with you before anything shifts. The aim is predictable, sensible pricing you can plan around.
Yes — the accounting and tax work we carry out is delivered in line with the professional standards and regulations that apply to accountants in the UK, including anti-money laundering obligations and the relevant reporting requirements. We will need the usual identification and business information to take you on as a client, and we are upfront about what is needed and when. If any part of your situation falls outside what we can handle, we will say so rather than take on work we cannot do properly.
Corporation Tax is usually relevant for incorporated hospital businesses, and it depends on your structure, your profits and the reliefs or allowances you may be entitled to — including on qualifying capital expenditure such as medical equipment. VAT is more nuanced than many people expect: the treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so it is not simply a case of everything being exempt or everything being taxable. Getting this right matters, because VAT errors can be costly and time-consuming to unwind.
Yes. Payroll is often one of the largest and most complex costs a hospital carries, particularly where clinical, administrative and support staff sit on different contracts, shift patterns or rotas. We can handle payroll processing, pay and deductions, pension contributions and the reporting that goes with it, so your team is paid accurately and on time and your records stand up to scrutiny. Keeping payroll tidy also makes your management accounts and budgeting far more dependable.
Large purchases such as medical equipment, facility fit-outs and improvements usually need to be looked at carefully in both accounting and tax terms. Depending on the item and the circumstances, there may be capital allowances available that affect your Corporation Tax position, and the way an asset is recorded and depreciated affects your reported results. We look at capital expenditure alongside your cash flow, so a significant purchase does not create an unwelcome surprise elsewhere in the business.
It is usually simpler than people expect. Let us know you would like to move, and we will explain what information we need and handle the professional handover with your existing accountant on your behalf. We then review your current records, flag anything that needs attention and set up the bookkeeping, payroll and reporting that suit your hospital. From there you have a clear picture of what is happening, what is due and who to speak to when a question comes up.