Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Tewkesbury
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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 Hospitals Face
Why Hospitals in Tewkesbury 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 support is built around your hospital rather than a standard package. In practice it usually covers bookkeeping and record keeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, budgeting and cash flow forecasting, financial reporting, and Corporation Tax and VAT support where those apply. Because hospitals tend to have several income streams and a wide range of costs — staff, medical equipment, premises, suppliers and professional services among them — we agree the scope with you first so the reporting you receive is genuinely useful for decision making.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller specialist hospital businesses. Their accounting requirements vary widely depending on legal structure, the services they provide, how many sites they operate from, their staffing model and the mix of income they receive. If you are unsure whether your setup is a good fit, it is worth a conversation — we can talk through what you do and how your accounts and tax position are likely to be handled.
Pricing is based on the work involved, so it reflects factors such as the number of transactions, the size of your payroll, whether you operate from more than one site, the level of reporting you need and how complex your tax position is. We favour fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. Rather than quoting a figure before we understand your hospital, we prefer to review your circumstances and set out the scope and cost clearly.
They can differ significantly. VAT treatment depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to assume that all hospital-related supplies are treated the same way. Corporation Tax, capital allowances on medical equipment and the tax treatment of various costs can also vary depending on structure and activity. We look at your actual arrangements and explain how the rules apply to you, rather than applying blanket assumptions.
Yes. Hospital payroll often involves rotas, shift patterns, variable hours, different pay rates, overtime and a mix of clinical and non-clinical roles, which makes accurate and timely processing important. We can handle payroll runs, payslips, statutory deductions and pension contributions, and make sure the figures feed correctly into your management accounts and year-end reporting. Getting payroll right also supports your budgeting, because staff costs are usually one of the largest outgoings a hospital has.
Medical equipment and facilities investment can be substantial, and the timing of that spending has a real effect on cash flow. We can help you plan for capital expenditure, review how purchases and financing are treated in your accounts and tax reporting, and build forecasts that show what your commitments look like over the coming months. That gives you a clearer picture when deciding whether to invest, replace equipment or spread costs differently across the financial year.
When choosing accountants for hospitals, it is sensible to check that the firm is properly regulated, that the team holds appropriate professional qualifications and memberships, and that robust anti-money laundering, data protection and professional indemnity arrangements are in place. It is also worth asking how they keep up to date with accounting and tax changes affecting hospitals. We are happy to talk through our own credentials, how we handle confidentiality and how we approach compliance, so you can make an informed decision.
Getting started is usually straightforward. We begin with a conversation about your hospital, your current accounting arrangements and what you would like to improve. If you decide to move forward, we can liaise with your existing accountant to obtain the records and information needed for a smooth handover, then review your position and agree a scope of support. From there, ongoing bookkeeping, payroll, reporting and tax work can be scheduled to suit your financial calendar.