Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Solihull
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 Solihull 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
Accountants for Hospitals in Solihull handle the financial and compliance work that hospital businesses need to keep running properly. In practice, that usually means maintaining accurate bookkeeping records, running payroll for clinical and non-clinical staff, preparing annual accounts and management accounts, supporting budgeting and cash flow planning, and taking care of tax and VAT matters where they apply. The emphasis is on producing figures that reflect how your hospital really operates, so you can make decisions with confidence rather than working from guesswork.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and the wider hospital businesses that support them. A single-site independent hospital with a small management team will have very different accounting needs from a multi-site hospital group with complex payroll, equipment financing and several income streams. Because of that, we look at your structure, services, staffing, premises and funding arrangements before deciding how your accounts and tax work should be approached.
Most hospital clients need a combination of bookkeeping and record keeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where it applies, and VAT guidance where relevant. Alongside those core services, we can help you keep on top of supplier payments, monitor medical equipment and premises costs, and understand the performance of different income streams. What you actually receive depends on the size and complexity of your hospital, so the service is agreed around your needs rather than sold as a fixed bundle.
Pricing is based on the scope and complexity of the work, so it reflects factors such as your turnover, number of staff on payroll, number of sites, transaction volumes and the level of reporting you need. We favour fixed, transparent packages with no hidden extras, and we agree the scope with you in advance so there are no surprises. If your requirements change as your hospital grows, we review the arrangement with you rather than letting costs drift.
Yes. Hospital payroll often involves a mix of full-time, part-time, bank and shift-based staff, with varying hours, overtime and different pay rates, which makes accuracy essential. We can manage the payroll cycle for you, calculate deductions, handle statutory payments, and produce the reporting you need for your records. We can also help you understand how staff costs feed into your management accounts and cash flow planning, since payroll is usually one of the largest ongoing costs a hospital carries.
VAT treatment for hospitals is not a single straightforward answer. It depends on the nature of each supply, the activities involved, the status of the organisation and the specific circumstances, so some income and costs may be treated differently from others. Rather than applying a blanket rule, we review what you actually provide, how it is charged for and how it sits within your wider operations, then advise on the appropriate treatment and help you keep the supporting records in order.
Yes, where it applies to your organisation. Corporation Tax support can cover preparing computations and returns, reviewing what is allowable, and making sure deadlines are met, alongside planning that takes account of significant costs such as medical equipment, premises and professional services. On the reporting side, we prepare annual accounts and management accounts that give a clear picture of trading performance, margins and cash position, which is particularly useful when income comes from several different streams.
Switching is usually far less disruptive than people expect. Once you decide to move, we can liaise with your existing accountant to obtain the records and information we need, then carry out a review of your current position so nothing important is missed. Getting started simply begins with a conversation about your hospital, what is working well and where you feel less confident, and from there we can outline the support that would suit you best.