Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Newnham On Severn
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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 for Hospitals
Why Hospitals in Newnham On Severn 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 private hospitals, independent hospitals, hospital operators and hospital groups, along with similar hospital businesses such as day-case and multi-site providers. What matters most is that the accounting is tailored to how the hospital actually operates. Because structure, activities, income streams, staffing, premises, medical equipment and supplier arrangements vary so much between hospitals, we start by understanding your specific setup rather than applying a standard template.
Typically this covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting and tax support, including Corporation Tax where applicable and VAT support where relevant. For hospitals, we pay particular attention to staff costs, medical equipment, premises and facilities, suppliers, professional services and the different income streams the business generates. The mix is agreed around what your hospital needs, so you are not paying for work that adds nothing to your financial picture.
We price on a fixed, transparent basis, so you know what you are paying for and why before any work begins. The fee reflects the size and complexity of the hospital business, the number of sites, payroll volumes, the level of reporting you need and the amount of bookkeeping involved. There are no hidden fees, and if your requirements change, we discuss any adjustment with you rather than surprising you with an unexpected bill.
Yes. Payroll is often one of the largest and most intricate costs a hospital carries, particularly where there is a mix of clinical, administrative and support staff, varied shift patterns, and different contract arrangements. We can handle payroll processing, payslips, pension considerations and the associated reporting, and make sure the payroll figures flow through properly into your management accounts and year-end position rather than sitting in isolation.
Corporation Tax can apply to a hospital business depending on how it is structured and how it operates, so the position needs to be looked at individually rather than assumed. VAT is equally dependent on circumstances: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific facts, so it would be wrong to treat all hospital services as exempt or all hospital-related supplies as taxable. We review your position and explain it in plain English.
Yes. Medical equipment and other capital purchases can significantly affect a hospital's finances, from cash flow and financing through to how the costs are treated in the accounts and what relief may be available. We help you plan for these commitments sensibly, keep the accounting treatment consistent and reflect the impact properly in your budgets, management accounts and financial reporting.
Switching is usually far less disruptive than hospitals expect. Once you decide to move, we can handle the handover with your existing accountant, obtain the information we need, and pick up your records in an organised way so continuity is maintained. If there are gaps or historic issues, we flag them early and deal with them methodically, so you are not left trying to piece everything together yourself.
It starts with a straightforward conversation about your hospital or hospital business: how it is structured, how it earns income, what your current accounting looks like and where you feel least confident. From there, we set out what support would be most useful and how it would work in practice. You can then decide whether to proceed, with no pressure and no obligation.