Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Pontesbury
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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 Pontesbury 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
It covers the core areas most hospital businesses need: bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow support, financial reporting, Corporation Tax where applicable and VAT support where relevant. Because hospitals differ so much in size and structure, the mix is agreed with you rather than fixed in advance. If you already have an in-house finance function, we can work alongside it and handle the areas where you need extra capacity.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses. That includes single-site hospitals as well as organisations running more than one location or a portfolio of services. Their accounting requirements vary depending on legal structure, activities, income streams, staffing arrangements, premises, medical equipment and supplier arrangements, so the first step is always understanding how your organisation is set up and what it needs.
We work on fixed, transparent packages wherever we can, so you know what you are paying for and when. The fee reflects the scope of work — for example, whether payroll covers a large clinical and administrative team, whether you need monthly management accounts, and how complex your income streams and VAT position are. There are no hidden fees, and we set out the basis of the fee clearly before any work starts.
Yes. Hospital payroll is rarely simple, with a mix of clinical and non-clinical staff, shift patterns, variable hours, overtime and different contractual arrangements. We can manage the payroll process, deal with the associated tax and National Insurance considerations, and produce the payroll reporting your hospital needs. If you use payroll software already, we can work with it rather than forcing a change.
VAT for hospitals is rarely a simple yes-or-no answer. Treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so some supplies may fall outside the scope of VAT while others are standard-rated or subject to a different treatment. Because hospital businesses can have a mix of income streams and cost types, it is worth reviewing your position properly rather than assuming a blanket rule applies.
We can support hospital businesses with their Corporation Tax obligations where these apply, along with the financial reporting that sits behind them. That includes making sure income, staff costs, equipment purchases, premises costs and supplier payments are recorded and treated correctly, and that the figures you report reflect what has actually happened in the business. Clear reporting also makes it easier to plan ahead, particularly when equipment or facilities investment is on the horizon.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your existing accounting arrangements, deadlines and records. From there we agree the scope of support, the fee basis and how the transition will work — including handling the handover from your current accountant where that is needed. Once everything is in place, we take on the ongoing work and keep you informed along the way.