Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Frome
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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 Frome 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 service is built around what each hospital or hospital business actually needs, but it typically covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow forecasting, Corporation Tax and VAT support where it applies. For hospital organisations, this often means handling staff costs across clinical and non-clinical teams, medical equipment and capital expenditure, premises and facilities, supplier payments and multiple income streams. You can take the full package or focus on the areas causing the most pressure.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the trading and holding businesses connected to them. Their accounting requirements vary considerably depending on how they are structured, the services they provide, their staffing and premises, and how their income is generated. Before any work begins, we look at how the organisation is set up so the accounting and tax treatment reflects the reality of the business rather than a generic template.
Pricing is based on the scope of work required, so it reflects factors such as the number of entities involved, transaction volumes, payroll size, reporting requirements and whether you need annual accounts only or ongoing support throughout the year. We favour fixed, transparent packages with no hidden fees, so you know what you are paying for and why. The starting point is a conversation about your hospital's circumstances, after which you receive a clear outline of what is included.
Any accountant advising a hospital business should be able to explain the professional standards they work to, how they keep their knowledge current, and how they handle confidentiality and client money. You are entitled to ask these questions, and to check the relevant professional body register before appointing anyone. We are happy to talk through how we work, what we are responsible for and what you can expect from us at each stage of the engagement.
VAT for hospitals is not a simple yes-or-no question. The treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, which means different income streams and different services can be treated in different ways. Some supplies may be exempt while others are standard-rated, and private and public sector hospitals may not be in the same position. We review your individual activities and income streams and advise on how VAT should be applied in your case.
Yes. Hospital payrolls often involve a mix of full-time and part-time staff, shift patterns, varying pay rates, overtime, pension contributions and multiple departments, all of which need to be processed accurately and on time. We can manage the payroll process, produce the necessary reporting and keep records organised so staff queries and HMRC obligations are dealt with properly. If you already run payroll in-house, we can also review it or provide support where it is needed.
We do. Equipment purchases, refurbishment and other capital expenditure can be significant for a hospital, and the accounting and tax treatment of those costs needs to be handled correctly. Alongside that, we look at how the spending affects cash flow, particularly where payments and receipts fall in different periods, and use budgeting and forecasting to help you plan ahead. Management accounts give you a clearer picture of how the hospital is performing against those plans.
Getting started usually begins with a conversation about your hospital, your current accounting arrangements and what you would like to improve. If you are switching, we can liaise with your existing accountant to obtain the records and information needed, and we will let you know what is required from your side. From there, we agree the scope of work and the support you need, whether that is compliance-led or a fuller ongoing accounting service.