Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Westhill
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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 Westhill 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
Support is usually built from the areas a hospital actually needs. That commonly means bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies, and VAT support where relevant. Some hospital businesses want the full package, while others need help with specific areas such as payroll for a growing clinical and support team, or reporting that separates out different income streams and cost centres. We agree the scope with you before anything begins.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses behind them. Their accounting needs vary considerably depending on whether they operate as a limited company, a partnership or another structure, and on the mix of activities they carry out. What tends to matter most is getting the structure, records and reporting right from the outset, so the numbers reflect how the hospital is genuinely performing.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The right package depends on the size and complexity of your hospital business — how many staff are on payroll, how many income streams there are, whether you hold stock or significant equipment, and how much reporting you need. Once we understand your circumstances, we set out the scope and cost clearly so you can decide with confidence.
Yes. Payroll is often one of the largest and most complex costs for a hospital, covering clinical staff, support teams and part-time or shift-based workers. We can manage payroll processing, payslips, PAYE and the associated reporting, along with the records that feed into your management accounts. Because staff costs have such a direct impact on margins, keeping payroll accurate and well reported makes budgeting and cash flow planning considerably easier.
Corporation Tax applies to hospital businesses that trade through a limited company, and it depends on profits, allowable costs and any reliefs available, so accurate records and sensible timing around capital purchases both matter. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so hospital services are not automatically exempt or automatically taxable. We look at your particular position rather than applying a blanket rule.
Yes, and these often go hand in hand. Medical equipment and other capital expenditure can tie up significant funds, while income may arrive from several streams at different times, which puts pressure on cash flow. We help by building budgets and forecasts that reflect your real cost base, planning for equipment purchases and other major outlays, and producing management accounts that show where cash is going and where it may need attention.
Switching is usually far less disruptive than people expect. We review your existing records, confirm what information is needed, and coordinate the handover with your current accountant so that deadlines and compliance obligations are not missed. Once everything is in place, we set up the reporting rhythm that suits your hospital — monthly management accounts, quarterly reviews or annual accounts with ongoing support around them — and take it from there.
It starts with a conversation about your hospital or hospital business: how it is structured, how it generates income, what your main costs are and what you need from an accountant. From that, we outline the services that fit your situation and set out the scope clearly. If you are happy to proceed, we agree next steps, gather what we need and put the ongoing support in place, with no obligation to continue until you are comfortable.