Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Wotton-under-Edge
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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 Wotton-under-Edge 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 core of the service is keeping your financial records accurate and your compliance in order. In practice that usually means bookkeeping, payroll for hospital staff, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax where it applies and VAT where relevant. Because hospitals carry substantial staff costs, medical equipment, premises, supplier and professional services costs alongside several income streams, we apply these services in that context rather than treating your hospital like any other business.
We work with private and independent hospitals, hospital operators, hospital groups with multiple entities and specialist hospital businesses such as treatment or diagnostic providers. The right approach depends heavily on structure, activities and how income is generated, so a single-site independent hospital and a multi-site hospital group will need different levels of reporting and support. If you are unsure whether your organisation fits, it is worth a conversation about how you are set up and what you need.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and when. The scope is based on the size of your hospital or hospital group, the number of entities, payroll headcount, the volume of transactions and the level of reporting and tax support you need. There are no hidden fees, and because the arrangement is agreed up front, you are not left dealing with unexpected invoices later in the year.
Yes — accounting and tax work needs to be handled by properly qualified professionals who understand compliance obligations and keep their knowledge current. That matters particularly for hospitals, where payroll is large and complex, VAT treatment can vary from one supply to the next, and reporting often has to stand up to scrutiny from lenders, investors or other stakeholders. We can talk you through our qualifications and how we work during an initial conversation.
It depends on your circumstances. Corporation Tax applies to companies, with deductions and capital allowances available on qualifying expenditure such as medical equipment, and the treatment of hospital income and costs can raise questions that need looking at individually. VAT is not straightforward either: whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific facts. We look at your actual activities rather than applying blanket assumptions.
Hospitals tend to have high fixed costs — payroll, premises and facilities, equipment finance and supplier payments — so timing matters as much as totals. We use management accounts and cash flow forecasts to show when money is coming in and going out, flag pressure points early, and help you plan for equipment purchases and other capital expenditure. That gives you a clearer basis for decisions on staffing, investment and growth.
Medical equipment and other capital items need to be recorded correctly and treated appropriately for accounting and tax purposes, including any capital allowances available on qualifying expenditure. Larger purchases also affect cash flow and borrowing, so it helps to plan them alongside your management accounts and forecasts rather than looking at them in isolation. We can advise on how the figures should be reflected and what options are open to you.
Yes, switching is usually straightforward and can be done at any point in the year rather than waiting for a year end. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, then agree the scope and take over the relevant records and filings from your existing accountant where needed. From there we put ongoing support in place and adjust it as your requirements change.