Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Chepstow
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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 Chepstow 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
The core of the service covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, broader tax support and VAT support where relevant. In practice, much of the value comes from organising hospital finances in a way that reflects how the business runs, so medical equipment costs, premises and facilities, staff payroll, supplier payments and different income streams are all captured clearly and consistently. You can take the full package or focus on the areas where you need the most help.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the trading and property companies that often sit alongside them. Their accounting needs vary enormously depending on structure, services offered, facilities, workforce arrangements, equipment investment and how income is generated, so support is tailored to the individual organisation rather than applied from a fixed template. If you are unsure whether your hospital business fits, it is worth a conversation to work that out.
Pricing is built around fixed, transparent packages, so you know what you are paying for and why, with no hidden fees and no surprise invoices. The right package depends on factors such as the size and structure of the hospital business, the number of staff on payroll, the volume of transactions, the complexity of income streams and the level of reporting you need. Once those details are understood, the scope and fee are set out clearly before any work begins.
Yes. Hospital payroll is often one of the largest and most complicated cost areas, particularly where there is a mix of full-time, part-time, bank, locum or contracted staff, plus varied shift patterns and pay arrangements. We can manage the payroll process end to end, including the calculations, the reporting obligations and the record keeping, so the numbers feeding into your accounts and budgets are accurate. That also makes it much easier to see how staffing costs are affecting overall financial performance.
VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so there is no single answer that applies to every hospital or every transaction. Some supplies may be exempt, others may be standard-rated, reduced-rated or outside the scope entirely, and mixed income streams usually need careful review. We look at what your hospital actually provides and how it is structured, then advise on the treatment that applies to your situation and how to record it correctly.
It depends on how the hospital or hospital business is structured. Companies are generally liable to Corporation Tax on their taxable profits, while other structures may be subject to different rules, and not-for-profit or charitable arrangements can work differently again. Allowances and reliefs may also be available on qualifying expenditure, including certain equipment and capital investment, so it is worth reviewing rather than assuming. We look at your specific structure and circumstances before advising on what applies.
Yes, and this is often where hospital businesses feel the pressure most. Large items such as medical equipment, facilities upgrades and other capital expenditure can place significant demands on cash, while income may arrive unevenly across the year. We can help you build budgets and cash flow forecasts that take those commitments into account, so you can plan purchases and payments with a clearer picture of what is affordable and when. That kind of forward visibility tends to reduce the need for reactive decisions.
Switching is usually far less disruptive than people expect. The first step is a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve, followed by a review of your existing records and tax position. From there, we agree a scope and a fixed package that fits, and handle the handover with your previous accountant as part of getting set up. Ongoing support then begins, with the level of involvement adjusted as your needs change.