Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Tenby
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Hospitals and Hospital Organisations We Support in Tenby
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 and Hospital Businesses
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 Tenby 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.
Practical 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 depends on what the hospital or hospital business needs, but the core areas usually covered are bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax where applicable and VAT support where relevant. We can also help with matters that come up regularly in hospital settings, such as tracking medical equipment and capital expenditure, monitoring supplier payments and reporting on multiple income streams. You can take a full package or targeted support in the areas where you need it most.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital-based organisations that need accounting and tax support. Their set-ups vary widely — some operate a single site, others run several, and the mix of services, staffing, equipment and income streams can differ significantly. We take the time to understand how your hospital actually operates before recommending any approach.
We use fixed, transparent pricing based on the scope of work, so you know what you are paying for before anything begins. The fee reflects factors such as your structure, the number of staff on payroll, transaction volumes, reporting requirements and any tax or VAT work involved. There are no hidden fees, and we explain what is included so there are no surprises later.
Staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and cash flow are usually the biggest areas of pressure, particularly when income comes in from several different streams at different times. On the tax side, Corporation Tax may apply depending on how the business is structured, and VAT treatment depends on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances. Reliable reporting and forward planning make all of this easier to manage.
VAT is rarely a simple yes-or-no question for hospitals. Treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so different services and income streams can be treated differently. We review your position, explain what applies to you, and keep the treatment under review as your activities change.
Yes. Payroll is often one of the largest and most complex costs for a hospital, with clinical and non-clinical teams, varied pay arrangements, overtime, pension contributions and starters and leavers to track. We can handle payroll processing and the associated reporting so payments are accurate and submissions are made on time, and we can feed the results into your management accounts so staffing costs stay visible.
Switching is usually more straightforward than people expect. Once you decide to move, we liaise with your existing accountant to obtain the records and information we need, review your current position and identify anything that needs tidying up. There is no need to wait for a particular date in the year, and we explain each stage so you know what is happening.
Get in touch and tell us about your hospital or hospital business — how it is structured, what services you provide, how income is generated and what accounting support you have in place now. We will review your requirements and come back with a clear picture of what we can do and how the pricing would work. From there, you can decide whether to go ahead, with no pressure and no jargon.