Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bromyard
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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 Bromyard 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 core accounting and tax work a hospital or hospital business needs to stay compliant and well informed. In practice that usually means bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow support, financial reporting, and tax work such as Corporation Tax where it applies and VAT support where relevant. We also help with the reporting behind medical equipment purchases, premises costs, supplier payments and the different income streams a hospital may generate, so the numbers stay useful for decision-making as well as for filing.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses of different sizes and structures. A single-site independent hospital will have very different reporting and tax needs from a group operating across several locations, so the support is shaped around your organisation's structure, activities, income streams and cost base rather than applied in the same way to everyone. If you are unsure whether your setup fits, it is worth a conversation before you decide.
Pricing is based on the fixed, transparent packages we offer, and the fee reflects the scope and complexity of the work rather than being a flat rate for every hospital. Factors such as the number of sites, payroll size, reporting requirements and the level of VAT or Corporation Tax involvement will all shape the quote. You will know what is included and what is not before any work begins, with no hidden fees added later, and the package can be adjusted if your requirements change.
Yes. Payroll is one of the largest and most sensitive costs in most hospitals, covering clinical teams, administrative staff, support roles and often a mix of contracted and variable hours. We can manage payroll processing, payslips, deductions and the related reporting, and make sure those costs are reflected properly in your management accounts so you can see how staffing affects the wider financial position. Because staff numbers and rotas move around, keeping payroll and reporting joined up matters more in a hospital than in many other businesses.
VAT treatment for hospitals is not a single, straightforward answer. It depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances, so different income streams and services within the same hospital can be treated differently. We look at what your hospital actually provides and how it is structured, then advise on the treatment that applies to your situation rather than assuming a blanket position. Because the rules are detailed, this is an area where getting advice early tends to save time and cost later.
We do, and for hospitals this is often where accounting support adds the most practical value. Management accounts give you a clearer view of income and costs partway through the year, budgeting helps you plan for equipment purchases, premises work and staffing changes, and cash flow forecasting shows whether planned spending fits the money coming in. Given how much of a hospital's cost base is fixed, having that visibility in advance makes a real difference to how confidently you can commit to investment or expansion.
Medical equipment and other capital expenditure need to be recorded correctly, with the right treatment applied for depreciation, timing and the way the cost flows through your accounts. Larger purchases can also affect cash flow and budgeting significantly, particularly where they are financed or phased over time. We look at how equipment purchases sit alongside your income streams and operating costs, so your accounts and management reporting give an accurate picture rather than a misleading one.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, how it is structured and what you need from an accounting service, then review your current records and reporting position. If you are moving from another accountant, we can handle the transition process, including obtaining the information needed to take over the work, so there is minimal disruption to payroll, reporting or deadlines. From there we agree the scope and put the ongoing support in place.