Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Monmouth
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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 Monmouth 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
The service is built around the accounting and tax work hospitals and hospital businesses need. That typically covers bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax where it applies and VAT support where relevant. Because hospitals operate differently from most businesses, we look at how your income streams, staffing, equipment, premises and supplier costs come together, then make sure the records and reports reflect that properly. You can take the full package or focus on the areas where you need the most support.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital businesses such as day-case units, diagnostic centres and specialist treatment facilities. The right approach depends on your structure, whether that is a limited company, a group with several entities, a partnership or another arrangement, and on the mix of activities you carry out. Some hospitals are strongly focused on self-pay work, others on insured patients or contracted services, and the accounting has to follow the reality of how you trade. If you are unsure whether your organisation fits, a short conversation will usually make it clear.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees appearing later. The scope depends on factors such as the size of the hospital, the number of entities involved, how many staff are on payroll, the volume of transactions and how much reporting you need. Once we understand your requirements, we set out the scope clearly so you can weigh up the level of support that suits you. As your hospital grows or changes, the arrangement can be reviewed so it still matches what you actually need.
We work within UK accounting and tax rules and prepare accounts and returns in line with the standards and deadlines that apply to your organisation. Depending on your structure and size, that can involve statutory accounts, Corporation Tax returns, VAT returns and payroll reporting such as RTI submissions. We keep records organised and documented so there is a clear audit trail behind the figures. If you would like to understand which compliance obligations apply to your hospital specifically, we can talk that through as part of the initial review.
VAT for hospitals is not a simple yes-or-no question. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams and services can be treated differently, and it should not be assumed that NHS hospitals and private hospitals are in the same position. On the Corporation Tax side, the position depends on your legal structure and how profits arise, and there are reliefs and allowances that may be relevant to equipment and other capital spending. We review your circumstances and explain what applies to you rather than applying a blanket rule.
Yes. Medical equipment and larger capital projects are often among the biggest financial commitments a hospital makes, and how they are recorded and written down affects your accounts, your tax position and your cash flow. We help you plan for significant purchases, reflect them correctly in your financial reporting, and consider whether any capital allowances or reliefs may be available. We also look at how funding a purchase affects working capital, so decisions are not made purely on the headline cost.
Cash flow is often the hardest part of running a hospital, because payroll, supplier payments and equipment costs arrive on predictable schedules while income can vary depending on patient numbers, insurer settlements and contracted work. We build budgets and forecasts that show what is coming in and going out over the months ahead, highlight pressure points before they become problems, and update the picture as circumstances change. Management accounts then give you regular visibility, so you can make decisions about staffing, capacity, pricing and investment with proper information behind them.
The first step is a conversation about your hospital or hospital business, covering how it is structured, how it earns income and what you need from an accountant. We then look at your current accounting and tax position and explain what we would recommend, including the scope and the fixed package that fits. If you are switching accountants, we can liaise with your existing adviser and handle the handover so the transition is straightforward. From there, we agree a start point and take on the ongoing work.