Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Chippenham
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Chippenham 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
We work with hospitals and hospital businesses of different shapes and sizes, including private hospitals, independent hospitals, day-case and specialist facilities, single-site hospitals and hospital operators running more than one location. Some are companies, some operate within wider groups, and some have additional income streams beyond their core clinical activity. Because of that variety, we start by understanding your structure, services and income streams so the accounting and tax support matches your circumstances.
The core of the work usually covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, Corporation Tax where applicable and VAT support where relevant. For hospitals specifically, that often means getting to grips with clinical and administrative payroll, medical equipment and maintenance costs, premises and facilities overheads, supplier and contractor payments, and several different income streams feeding into the same set of accounts. The exact scope is agreed with you up front and can be widened or narrowed as your needs change.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees or surprise invoices. The fee reflects the scope of the work, the size and complexity of your hospital business, the volume of transactions, the number of staff on payroll and the level of reporting and tax support you need. We will discuss this with you openly before anything is agreed.
We work to recognised professional accounting and tax standards, and we can talk you through the relevant qualifications, memberships and compliance arrangements for your engagement when we speak. If your hospital has particular regulatory, reporting or lender requirements, tell us early so we can confirm exactly how we will meet them and what information you will need to provide.
Yes. Hospital payroll tends to be one of the largest and most complex costs in the business, with full-time and part-time staff, variable hours and shift patterns, overtime, pensions and sometimes consultants or contractors engaged on different terms. We can take on the payroll processing, deal with PAYE and auto-enrolment obligations, and make sure payroll figures flow through properly into your management accounts and year-end reporting so staff costs are recorded accurately and consistently.
VAT for hospitals is rarely a simple picture. The treatment of a supply depends on what is actually being provided, the activities involved, the status of the organisation and the specific circumstances — so it is not accurate to assume that all hospital services are exempt or that everything is standard-rated. Hospitals with mixed activities, including private patient work, retail, catering, property or equipment-related supplies, often need a closer look at registration, partial exemption and how VAT is recorded and reported. We can review your position and help you apply the rules correctly.
Medical equipment and facilities are significant commitments, and the way they are financed and recorded affects both your tax position and your cash flow. We can help you plan for equipment purchases, servicing and replacement costs, consider capital allowances where they apply, and build a cash flow picture that shows how major expenditure fits alongside payroll, supplier payments and incoming revenue. That gives you a clearer basis for deciding what to buy, when to buy it and how to fund it.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business and what you need help with, then review your current accounting and tax position. If you are moving from another accountant, we can handle the practical handover steps, including obtaining the information we need to take over records and ongoing compliance. From there we agree a scope of support and a clear start date, so the transition does not disrupt your reporting or deadlines.