Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Evesham
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 for Hospitals
Why Hospitals in Evesham 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 areas a hospital or hospital business needs to keep its finances in order. That typically means bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax and VAT support where those apply. We also help interpret the numbers — for example, understanding how staff costs, medical equipment, premises, supplier payments and different income streams are affecting the overall position — so the accounts are useful for decision-making and not just filed and forgotten.
They are built for hospitals and hospital-related organisations rather than healthcare providers in general. That includes private hospitals, independent hospitals, day-case and specialist hospital facilities, hospital operators and hospital groups, whether they are single-site or running several locations and services. If your organisation is structured as a company, partnership or another structure, the accounting and tax work will reflect that, as will your reporting obligations. If you are unsure whether your setup fits, it is worth a conversation before committing to anything.
We work on fixed, transparent packages, so you know what you are paying for rather than watching the clock. The fee reflects the scope and complexity of your hospital's affairs — for instance, transaction volumes, payroll headcount, the number of income streams, VAT position and the level of reporting you need. There are no hidden fees, and if your requirements change as the hospital grows or restructures, the arrangement is reviewed rather than quietly left to drift. We will always explain what is included before you commit.
Hospitals hold sensitive financial and employee data, and they usually need accounts that satisfy lenders, investors, regulators and HMRC, so the standard of work matters. You should expect an accountant that follows recognised professional and ethical standards, maintains appropriate professional indemnity cover, and keeps to anti-money-laundering and data protection requirements. We are happy to talk through how we work, what we need from you, and how records and information are handled, so you can make an informed decision rather than relying on assumptions.
Yes, though the answers are rarely blanket ones. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so what applies to one hospital's services may not apply in the same way to another. Corporation Tax depends on how the organisation is structured and whether it is trading through a company. We review the position properly, identify where reliefs or particular treatments may be relevant, and make sure returns and records are consistent with what is actually happening in the business.
Medical equipment and capital expenditure often represent some of the largest outlays a hospital makes, and they need to be treated consistently across the accounts and any tax claims. We look at how purchases, leases, financing arrangements and replacements are recorded, how they affect profits and cash flow in each period, and how that flows through to reporting and any capital allowances that may be available. Getting this right early avoids awkward adjustments later and gives a clearer picture of how the hospital's assets are performing.
That is usually one of the more demanding parts of hospital accounting, because different income streams arrive on different terms and timetables. We set records up so each stream can be tracked and reconciled properly, whether it relates to treatment fees, contracted work, diagnostic services, consulting arrangements or other activities. That makes management accounts far more informative, supports cash flow planning, and reduces the risk of something being missed or misstated at year end.
Less than most people expect. We start by understanding the hospital or hospital group and reviewing the current accounting and tax position so we know what we are working with. From there, we agree what needs to happen with your existing accountant, collect the records and information required, and set up the ongoing support around your reporting and payroll cycle. Any issues we spot during the review are flagged openly, with practical options rather than jargon, and everything is handled at a pace that suits the hospital's operations.