Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bargoed
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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 Bargoed 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
The core of the service is bookkeeping, annual accounts, payroll, management accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax and VAT support where those apply to your hospital or hospital business. In practice that means keeping the day-to-day records clean, handling staff costs and supplier payments correctly, producing accounts that reflect your income streams and cost base, and making sure the compliance deadlines are met. Because hospitals vary so much, the mix is agreed around your organisation rather than applied as a fixed template.
It is designed for hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators, hospital groups and the trading or property entities that sit alongside them. If your organisation provides hospital services, employs clinical and non-clinical staff, invests in medical equipment and premises, and deals with multiple income streams, the accounting and tax work will have hospital-specific features that we are set up to handle.
Pricing is set out in fixed, transparent packages based on the work your hospital actually needs, so you know what you are paying for and when. The fee depends on factors such as transaction volumes, payroll headcount, the number of income streams, whether VAT and Corporation Tax returns are involved, and how much management reporting you want. There are no hidden fees, no surprise invoices and no charge for a straightforward conversation about what your hospital requires.
We work as professional accountants providing accounting, tax and payroll services to businesses, including hospitals and hospital organisations, and we handle your affairs within the applicable UK accounting and tax rules and professional standards. Where a piece of work requires a specific disclosure, filing or treatment, we explain the basis on which it is prepared so you understand what has been done and why. If you would like details of our regulatory and professional arrangements before appointing us, just ask and we will confirm them directly.
Corporation Tax applies where the hospital or hospital business is a limited company, and the treatment of capital expenditure, equipment, premises costs and allowable expenses all feed into the taxable position. VAT is more nuanced: hospital-related VAT treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. NHS hospitals and private hospitals can also be treated differently, so we review your own situation rather than making assumptions.
Yes. Medical equipment, fit-out costs, premises works and other capital expenditure can tie up significant cash, so we help you plan for these rather than react to them. That includes budgeting, cash flow forecasting and management accounts that show the impact of planned investment, along with guidance on how expenditure is recorded and treated for accounting and tax purposes so the timing and structure make sense for your hospital.
Hospital payroll tends to be one of the largest and most complex costs, often involving a mix of clinical and non-clinical staff, varied shift patterns, overtime, enhancements and pension arrangements. We run payroll in line with UK requirements, produce payslips and handle the associated reporting and payments, and we make sure the payroll figures feed properly into your management accounts and year-end position so staff costs are visible and understood.
Getting started is deliberately simple. We begin with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position, records and reporting. If you decide to proceed, we can deal with the handover from your existing accountant and confirm what information we need from you. From there, support continues on an agreed basis, with the paperwork and deadlines managed consistently so nothing drifts.