Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Severn
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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 Severn 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
In practice, the work covers both compliance and day-to-day financial management. That typically includes preparing annual accounts, keeping bookkeeping up to date, producing management accounts, running payroll for clinical and non-clinical staff, and handling Corporation Tax where applicable along with VAT support where relevant. Alongside that, many hospital businesses want help with budgeting, cash flow forecasting and financial reporting so they can see how the organisation is performing and plan for equipment purchases, premises costs or changes in activity.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as businesses whose central activity is running hospital facilities or delivering hospital-based services. What these organisations have in common is that their accounting needs are shaped by their structure, the services they provide, their income streams, their staffing model, their premises and their equipment. Because those factors differ so much from one hospital to another, the support we provide is adapted to the individual organisation rather than applied as a standard package.
We work on fixed, transparent packages rather than open-ended hourly billing, because hospitals generally prefer to know where they stand. The fee depends on the size and structure of the organisation, the volume of transactions, the number of staff on payroll, how many income streams there are and the level of reporting and advisory support required. Once we understand your circumstances, we set out clearly what is included and what is not, so there are no hidden fees or unexpected invoices along the way.
Yes. Hospital payroll tends to be more complex than in many sectors, with a mix of clinical and non-clinical roles, different contract types, variable hours, overtime, enhanced rates for unsocial hours and pension arrangements to administer correctly. We handle the calculations, payslips, RTI submissions and associated record keeping, and we can factor payroll costs into your management accounts so you can see how staffing costs are affecting the overall position. That visibility is particularly useful when rotas and patient demand fluctuate.
VAT is rarely straightforward in this sector, and the treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances rather than on a single blanket rule. Some hospital-related supplies may be treated differently from others, and organisations can also have a mix of business and non-business activities that affects how VAT is handled. We review how VAT applies to your particular services and transactions so the position is documented and handled correctly, rather than assuming everything is treated the same way.
The main pressure points tend to be staff costs, medical equipment and capital expenditure, premises and facilities overheads, supplier payments and the cash flow timing that sits behind all of them. Multiple income streams can also make it harder to see which services are genuinely contributing and which are draining resources, and financial reporting can become difficult to interpret without consistent records. Good bookkeeping, well-prepared management accounts and realistic budgeting and forecasting go a long way towards making those challenges manageable rather than overwhelming.
Where Corporation Tax applies to your organisation, we handle the preparation and submission of returns and make sure the figures reflect your actual activity and structure. Capital expenditure is an area that often raises questions, particularly around medical equipment, fit-out costs and premises improvements, and how those costs are treated for tax purposes depends on the nature of the spend and the circumstances of your business. We work through those points with you so the treatment is appropriate and properly supported.
Getting started begins with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position. If you are switching accountants, we can manage the handover process, including requesting the relevant records and information from your existing adviser, so the transition is handled without unnecessary disruption to your operations. From there we agree an appropriate level of ongoing support and keep it under review as your organisation develops.