Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Shipston-on-Stour
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 for Hospitals
Why Hospitals in Shipston-on-Stour 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.
A 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, along with hospital businesses that sit alongside those models. What matters most is understanding how your organisation is structured, how it generates income and where its major costs fall. A single-site independent hospital and a multi-site hospital group will have quite different reporting, payroll and tax needs, so we shape the support around your circumstances rather than treating every hospital the same way.
Our work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable and VAT support where relevant. For hospitals specifically, that often means handling complex payroll for clinical and non-clinical staff, keeping track of medical equipment and capital expenditure, monitoring supplier payments and premises costs, and reporting on several income streams in a way that is genuinely readable. We agree the scope with you up front so you know what is being handled.
We work on fixed, transparent packages based on the size and complexity of your hospital or hospital business, the level of bookkeeping and payroll involved, and the reporting you need. That means no hidden fees and no unpleasant surprises partway through the year. Because the requirements of hospitals vary so much, we prefer to understand your setup first and then set out a clear scope and fee before any work begins.
Yes. Payroll is usually one of the largest and most intricate areas for hospitals, covering clinical teams, administrative staff, support roles and potentially agency or bank workers. We can help manage regular payroll runs, varying hours and shift patterns, deductions, pension contributions and the records that sit behind them, so staff are paid accurately and the associated reporting stays in order.
VAT treatment for hospitals is rarely a simple yes or no. Whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances — and different income streams can be treated differently. We review what your hospital actually provides and how it is structured, then advise on the VAT position that applies to you rather than relying on general assumptions.
Where Corporation Tax applies to your organisation, we can prepare and submit returns, work through allowable expenses and reliefs, and help you plan ahead so tax does not come as a surprise. Hospitals often have substantial capital expenditure on equipment and facilities, and timing decisions around those investments can matter. We look at your position as a whole and explain your options in plain language.
The most common pressures are high fixed costs — payroll, premises, facilities and medical equipment — combined with income that arrives through several streams at different times. That makes cash flow forecasting and budgeting especially important, alongside accurate management accounts that show how each area is performing. Capital expenditure planning, supplier payments and getting the tax position right all add to the picture, particularly for hospital groups running more than one site.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax arrangements and the records behind them. If you are moving from another accountant, we can handle the practical side of the transition with you and your previous adviser, then put an ongoing support arrangement in place that fits how your organisation works.