Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Dursley Glos
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 Hospitals Face
Why Hospitals in Dursley Glos 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 support private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them. Every hospital is different in how it is set up, how it earns income and how it manages costs, so the accounting support we provide is shaped around those specifics rather than applied as a standard template. If you are unsure whether your organisation fits, the simplest approach is to get in touch and describe how you operate — we can then explain plainly how we would help.
It typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax and VAT where those apply to your hospital. For many hospital businesses, the most valuable parts are reliable management information and a payroll function that copes with complex staffing arrangements, because those underpin almost every other financial decision. The exact mix is agreed with you, so you are not paying for work you do not need.
We work on fixed, transparent packages, so you know what you are paying for and when. Pricing reflects the size and complexity of your hospital business — things such as the number of staff on payroll, the volume of transactions, whether you operate one site or several, and how much reporting and tax work is involved. There are no hidden fees and no surprise invoices; if your requirements change, we review the arrangement with you first so the cost always reflects the work being done.
Yes. Hospital payroll often involves a wide mix of roles, shift patterns, overtime and varying pay arrangements, which makes accuracy and timeliness essential. We handle payroll processing, deductions, statutory payments and the associated reporting, and we can align payroll information with your management accounts so staff costs are visible and properly accounted for. Given how large a proportion of hospital expenditure payroll usually represents, getting this area right tends to have a significant effect on the reliability of your overall financial picture.
Corporation Tax generally applies to companies, so it depends on how your hospital or hospital group is structured, and it is calculated on taxable profits after allowable deductions and reliefs. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. We review your particular position and advise accordingly, including on medical equipment purchases, premises costs, supplier arrangements and the different income streams a hospital may have.
Medical equipment and other capital items need to be recorded and treated correctly, and their cost often has to be planned for over a longer period rather than absorbed in a single month. We help you account for capital expenditure properly, keep it reflected accurately in your management accounts and financial reporting, and factor it into budgeting and cash flow forecasting. That way, major purchases and planned investments are easier to prepare for rather than something that catches the hospital off guard.
Switching is usually straightforward. We ask for some basic information about your hospital or hospital business, then handle the handover with your existing accountant, including requesting the records and information we need to take over the work. Once that is complete, we review your accounting and tax position and confirm how the ongoing support will work. You do not need to reorganise your own records beforehand; we will tell you clearly what is required at each stage.
The first step is a conversation. Tell us about your hospital or hospital business — how it is structured, how it earns income, where the main costs sit and what you need from an accountant. From there we can review your accounting and tax requirements and set out how we would support you, including the level of bookkeeping, payroll, management accounts, tax and reporting work involved. There is no obligation at that stage, and you will have a clear picture of what the service would look like before deciding anything.