Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bidford-on-avon
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 Hospitals Face
Why Hospitals in Bidford-on-avon 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 work with a range of hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. The common thread is that they need accounting support that reflects the way a hospital actually operates, with significant staff costs, medical equipment, premises, supplier arrangements and income arriving from more than one source. If your hospital has a structure or activity that does not fit neatly into those categories, it is still worth talking through what you need, because the accounting requirements usually come down to the specific detail rather than the label.
Our work typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with tax support and Corporation Tax where it applies. VAT support is available where relevant, and the scope can be adjusted to suit the size and complexity of the hospital. Because hospitals often have several income streams and a heavy cost base, we pay particular attention to how those elements are recorded and reported, so the accounts give a genuine picture of trading rather than a rough summary.
Pricing is based on the scope of work, which depends on factors such as the size of the hospital, the number of staff on payroll, the volume of transactions and the level of reporting you need. We work on fixed, transparent packages so you know what you are paying for, with no hidden fees and no surprise invoices arriving partway through the year. Once we understand your hospital's requirements, we set out a clear scope and a clear cost before any work begins.
Corporation Tax applies where a hospital operates through a company and meets the relevant conditions, so the position depends on how the business is structured rather than on the type of work it does. VAT is similarly dependent on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, which means hospital-related income and costs can be treated in different ways. We look at your particular situation in detail and explain what applies, rather than applying a blanket rule to everything a hospital does.
Yes, payroll is one of the most important areas for hospitals, since staff costs usually represent the largest single outgoing. We can manage payroll processing, take care of the associated reporting and obligations, and help you plan for the impact of staffing changes on your cash flow. Given how much of a hospital's cost base payroll represents, keeping it accurate and predictable matters a great deal to both your accounts and your ability to plan ahead.
Management accounts are particularly useful for hospitals because they show how the business is performing between year-end reporting cycles, covering income streams, staff costs, equipment, premises and supplier payments. Alongside those, we help with cash flow planning, which is often the area where hospitals feel the most pressure, especially when large payments fall in the same period as uneven income. Together, management accounts and cash flow forecasting give hospital operators a clearer view of what is coming and what needs attention.
Switching is usually more straightforward than people expect. We ask for details of your current accountant and arrange the handover of records on your behalf, then review the information we receive to make sure nothing is missing or unclear. You do not need to manage the transition yourself, and if there are loose ends from previous periods, we can address them as part of getting your hospital's accounting up to date. Once the records are in place, we agree the scope of ongoing support and get started.
The first step is a conversation about your hospital or hospital business, covering how it is structured, how it generates income, the main costs it carries and what you need from accounting support. From there, we review the accounting and tax requirements and explain what we would recommend. If you are happy to proceed, we set out the scope and pricing clearly, arrange the handover of records and begin the ongoing work.