Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Wishaw
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.
Accounting Challenges Hospitals Face
Why Hospitals in Wishaw 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, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies, general tax support and VAT support where relevant. Because hospitals tend to have complex cost structures and multiple income streams, we build the service around what a particular hospital actually needs — whether that is clean, up-to-date records, monthly or quarterly management information, payroll for a sizeable workforce, or help getting compliance and reporting right.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and hospital organisations, along with the businesses that support them operationally. The right approach depends on structure, scale and activity — a single-site independent hospital has different reporting and payroll needs from a group operating across several locations. We focus on understanding how your hospital is set up and what it needs from its accounts before recommending how the work should be handled.
Pricing is based on the scope and complexity of the work involved, so it reflects factors such as transaction volumes, the size of the payroll, the number of income streams, reporting requirements and whether VAT or Corporation Tax matters need ongoing attention. We set out our fees clearly in advance as fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden extras. If your requirements change, the scope and fee are reviewed together rather than adjusted quietly.
Our team works in line with UK accounting, tax and reporting requirements, and we keep our knowledge current as rules and deadlines change. Where a hospital's circumstances raise a technical question — for example around VAT treatment or Corporation Tax — we work through the specifics of that situation rather than applying a blanket assumption. If something sits outside our remit, we will say so clearly and point you towards the right kind of professional advice.
VAT treatment for hospitals is not something that can be decided by category alone. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances of each case — so some supplies may fall outside the scope of VAT, some may be exempt and others may be standard-rated or subject to a different treatment. We look at what your hospital actually provides, how it is invoiced and who it is provided to, then help you apply the correct treatment and keep the supporting records in order. We do not treat NHS hospitals and private hospitals as automatically having identical VAT positions.
Yes. Payroll is usually one of the largest and most sensitive costs in a hospital, spanning clinical, administrative, facilities and support roles, often with varied hours, shift patterns and contract types. We can run payroll and keep the associated records tidy, and we can prepare management accounts that show staff costs alongside other major outgoings, so the financial picture is clear enough to support decisions rather than just satisfy a filing requirement.
Medical equipment and other capital items can be significant purchases, and how they are recorded and written down affects your accounts, your tax position and your cash flow. We help make sure capital expenditure is treated properly, that the impact on profits and tax is understood, and that the resulting cash flow pressures are built into your forecasting. That way, large purchases or replacement cycles can be planned for rather than absorbed as a surprise.
Getting started usually begins with a conversation about your hospital or hospital business — how it is structured, what it does, how it currently handles its accounts and what you want to improve. We then review the existing records and compliance position, agree the scope of support and handle the handover from your current accountant, including any professional clearance needed. From there, we set up an ongoing rhythm of bookkeeping, payroll, reporting and tax deadlines that suits the way your hospital operates.