Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Glastonbury
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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 Glastonbury 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
Support is tailored to your hospital or hospital business, but it commonly covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting. On the tax side, we can help with Corporation Tax where it applies, along with wider tax and VAT support. Because VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, we look at your particular situation rather than applying a blanket approach.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them. The accounting needs of a single-site independent hospital are usually quite different from those of a group running multiple sites with several income streams. We do not make assumptions that every hospital has the same structure, tax position or reporting requirements.
We use fixed, transparent packages based on the scope of work your hospital actually needs, so you know what you are paying for upfront. A hospital with a large payroll, significant equipment costs and multiple income streams will need a different package from a smaller independent hospital with a simpler setup. There are no hidden fees, and the scope can be reviewed as your hospital grows or its requirements change.
Hospital payroll is rarely straightforward, with a mix of clinical and non-clinical staff, varying hours, overtime and multiple pay arrangements. We manage the payroll process, keep records accurate, and make sure staff costs are reflected properly in your management accounts and financial reporting. That gives you a clearer picture of one of the largest cost areas in any hospital business.
Yes, we can help you understand how VAT applies to your hospital. VAT treatment is not the same for every hospital or every type of supply, and it can depend on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We look at what your hospital actually does and how it is structured rather than assuming a single position applies.
Yes. Medical equipment, facilities and other capital expenditure usually involve significant outlay, and the timing of those payments can put real pressure on cash flow. We help you plan for larger purchases, forecast cash flow more accurately and reflect capital expenditure properly in your accounts. This makes it easier to make equipment decisions without losing sight of everyday running costs.
Multiple income streams are common in hospital businesses, and they make accurate record keeping and reporting more challenging. We help separate and track income sources properly, so your management accounts and financial reporting show where the money is genuinely coming from. That clarity is usually what allows hospital owners and directors to make better decisions about investment, staffing and growth.
Getting started is straightforward. We begin by understanding your hospital or hospital business, then review your existing accounting and tax arrangements to identify what needs attention. If you are switching accountants, we can handle the transition and liaise on your behalf, and from there we put the right ongoing support in place for your hospital's structure, income streams and reporting needs.