Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bath
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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 Bath 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 day-to-day and year-round work that keeps a hospital's finances in order, including bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. We also provide tax support and Corporation Tax assistance where it applies to your organisation, plus VAT support where relevant, because VAT treatment depends on the nature of the supplies you make, the activities involved and your organisation's status, rather than being identical for every hospital.
We support private hospitals, independent hospitals, hospital operators, hospital groups and the hospital businesses connected to them, including those providing inpatient care, day-case procedures, diagnostics, outpatient services and specialist treatment. Every one of these has a different cost profile and income structure, so we take the time to understand how your organisation is set up before recommending how your accounts and tax work should be handled. We do not provide services to NHS Trusts, NHS Foundation Trusts or other public-sector organisations.
We work on fixed, transparent packages, so you know what you are paying for and when. The fee depends on the scale and complexity of your hospital business, including how many staff are on payroll, how many income streams you have, how much bookkeeping is involved and whether you need management accounts, budgeting or additional tax and VAT support. There are no hidden fees, and we will always explain what is included before you commit to anything.
Yes. Hospital payroll tends to be one of the largest and most complicated cost areas, covering clinical teams, administrative staff, support roles and often a mix of full-time, part-time and variable-hours arrangements, plus things like pension contributions and statutory payments. We manage the payroll process so staff are paid correctly and on time, and so the related costs are recorded properly in your accounts rather than being a constant source of queries at year end.
Equipment purchases, replacements and maintenance can absorb significant amounts of cash, and the accounting treatment can vary depending on what is being bought and how it is funded. We help you plan for these outgoings through budgeting and cash flow forecasting, keep track of what has been spent and what is still committed, and make sure the figures in your accounts reflect the reality of your equipment and capital spending rather than an approximation.
Tax and VAT treatment for hospitals is not a single, uniform answer. Corporation Tax, where it applies, depends on how your organisation is structured and how it operates. VAT depends on the nature of the supplies you make, the activities involved, your organisation's status and the specific circumstances of each arrangement, so some income may be treated differently from other income. We review your position properly and explain how the rules apply to your hospital rather than making assumptions based on the sector as a whole.
Hospitals often bring in income from more than one source, with different timings, contract terms and cost allocations attached to each. We set up your bookkeeping and reporting so that income and the related costs are recorded consistently, giving you management accounts that show which activities are performing and which are placing pressure on margins. That clarity makes conversations with owners, boards, lenders and advisers far more straightforward.
Getting started is straightforward. We begin with an initial conversation about your hospital or hospital business, then review your current accounting and tax position to understand what is already in place. From there we agree the scope of support you need, handle the handover with your existing accountant and set up the ongoing bookkeeping, payroll, reporting and tax work. If you are staying with your current accountant, we can still help with specific areas such as management accounts, budgeting or tax and VAT support.