Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Amesbury
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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 Amesbury 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
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them, such as companies providing facilities, staffing or equipment services. The accounting requirements differ depending on how each organisation is structured, what services it provides, how it is funded and how large its cost base is. We shape the work around those factors rather than applying a single approach to every hospital.
The core work usually covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow forecasting, together with Corporation Tax where it applies and VAT support where relevant. For hospitals, that means handling staff costs, supplier payments, medical equipment and capital items, premises and facilities costs, and income from different sources in a way that makes sense operationally. We can take on the full set of services or focus on the areas where a hospital needs the most support.
Pricing is based on the size and complexity of the hospital or hospital business, the volume of transactions, the number of staff on payroll and the range of services you need. We use fixed, transparent packages so you know what you are paying for, and we set out the scope clearly before any work begins. There are no hidden fees, and if your requirements change as the hospital grows or restructures, we review the arrangement with you.
The work is carried out in line with UK accounting and tax rules, and we are happy to talk you through the professional memberships and standards that apply to the team handling your affairs. Compliance matters such as filing deadlines, record keeping and reporting requirements are built into the way we manage each hospital's work. If you have an existing arrangement in place, we can review how it is being handled and flag anything that needs attention.
VAT treatment for hospitals is not a single answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some supplies may be exempt, some taxable and some treated differently again. Where a hospital has a mix of activities, partial exemption and apportionment can come into play, and it is worth reviewing this carefully rather than assuming a blanket position. We look at the actual transactions and advise on the treatment that fits them.
Yes. Payroll is one of the largest and most sensitive cost areas for most hospitals, covering clinical staff, support teams, agency arrangements and varying shift patterns. We handle payroll processing, PAYE and reporting obligations, and make sure staff costs are recorded accurately in the management accounts and year-end figures. That gives hospital management a clearer view of workforce costs alongside the rest of the operating picture.
Medical equipment, facilities and premises work often involve significant capital expenditure, which affects both cash flow and how costs are reflected in the accounts. We help plan for those commitments, account for them correctly, and factor them into budgets and forecasts so large purchases do not come as a surprise. Where capital allowances or tax relief may be relevant, we look at the position and advise accordingly.
It usually begins with a conversation about your hospital or hospital business, what accounting work you currently have in place and where you would like more support. If you are switching accountants, we can manage the handover with your existing adviser and take over the records, payroll and filing obligations in an organised way. From there, we agree the scope, confirm the pricing and put the ongoing service in place.