Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Strabane
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 Strabane 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 for 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
We work with private hospitals, independent hospitals, day-case and specialist hospital facilities, hospital operators and hospital groups, as well as the hospital businesses connected to them. Because these organisations differ so much in structure, services and scale, we look at each one individually rather than applying a standard approach. If you are unsure whether your hospital would be a good fit, it is worth a conversation to talk through your circumstances.
Our support typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax and VAT support where these apply to your hospital business. We also help make sense of the costs that are specific to hospitals, such as staff wages and shift patterns, medical equipment, premises and facilities, supplier payments and professional services. The exact mix depends on your structure and what you need, and we can scale the support as your requirements change.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect and there are no hidden fees. The fee reflects the scope of work involved — for example, the volume of bookkeeping, the size of the payroll, the number of income streams and whether management accounts or additional tax support are needed. Once we understand your hospital's circumstances, we will explain the basis clearly before any work begins.
Yes. Payroll is one of the most significant and complex costs for most hospitals, particularly where staff work varied shifts, part-time hours or fluctuating rotas. We can manage the payroll process, handle the associated deductions and reporting obligations, and help keep staff cost information accurate so it feeds properly into your management accounts and budgeting. That makes it easier to see how staffing costs are tracking against your plans.
VAT treatment for hospitals is not a simple yes-or-no matter. It depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances, so different income streams and services can be treated differently. We review how your hospital operates and advise on the treatment that applies to your situation, helping you keep records and returns in order and avoid surprises.
Yes. Purchasing or upgrading medical equipment is often a major outlay for a hospital, and the accounting and tax treatment can affect both your reported position and your cash flow. We can help you plan for capital expenditure, understand how it interacts with your profitability and budgeting, and consider any tax reliefs that may be available for qualifying expenditure. This is particularly useful where equipment purchases are spread over several years or funded through borrowing.
Yes, switching accountants is more straightforward than many hospital businesses expect. We will review your existing records and tax position, liaise with your current accountant to obtain what we need, and make sure there is no gap in your compliance obligations during the transition. Once everything is in place, we provide ongoing support suited to your hospital's structure and reporting needs.
It begins with a conversation about your hospital or hospital business — how it is structured, how it generates income, where your main costs sit and what you need from an accountant. We then review your accounting and tax position to establish what support would be most useful, and put that support in place on an ongoing basis. From there, you have a clear point of contact for your bookkeeping, payroll, reporting and tax matters.