Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Braunton
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Braunton 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.
A 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
Our work for hospital businesses typically covers the essentials of running accurate finances: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax and VAT assistance where they apply to your organisation. Because hospital businesses differ so much in size and structure, the exact mix is agreed with you at the outset, based on your income streams, cost base, reporting obligations and internal set-up, and it can be adjusted as your circumstances change.
We support private hospitals, independent hospitals, hospital operators, hospital groups and related hospital businesses, along with the trading and property entities that often sit alongside them. Their requirements vary widely depending on whether they are a single-site provider or part of a larger group, how they are structured, the range of services and facilities they offer, and how their income is generated. We do not provide accounting services for NHS Trusts or other public-sector organisations.
We work on a fixed, transparent fee basis so you know what you are paying for and why, with no hidden extras. Because hospital businesses vary so much in size, structure and complexity, the fee is based on the scope of work you actually need, such as the volume of payroll, the number of entities involved, your reporting requirements and how much bookkeeping support you want us to take on. We agree the scope and fee in advance so there are no surprises later.
Yes. Payroll is often one of the largest costs for a hospital, covering clinical teams, support staff, administrators and management, frequently across varied shift patterns and pay arrangements. We can manage payroll processing, payslips, PAYE and National Insurance, pension contributions and the reporting that goes with it, helping to keep staff paid accurately and on time while keeping your payroll records compliant and ready for year end.
VAT for hospitals is rarely a simple yes or no. Treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it needs to be reviewed on its own facts rather than assumed. Some income may fall outside the scope of VAT, some may be exempt and some may be taxable, and where a hospital has a mixture of income streams the partial exemption rules can come into play. We can review your position and help you apply it correctly.
Yes. Purchases of medical equipment and other capital items can involve significant outlay and long-term commitments, which makes timing and cash flow planning important. We can help you account for capital expenditure properly, understand how it affects your reported results and tax position, and build a clearer picture of your cash flow so that major purchases, premises costs and supplier payments can be planned for rather than absorbed as a shock.
Switching is usually far less disruptive than people expect, and we can manage the handover on your behalf, including contacting your existing accountant and requesting the information we need. If your records are behind or incomplete, we will help you get them into a workable state as part of the process, then put a routine in place that keeps bookkeeping and reporting current going forward so you are not repeating the same catch-up exercise each year.
Getting started is simple. It begins with a conversation about your hospital or hospital business, how it is structured, the income streams you have and the accounting and tax support you need. From there we review your existing records and requirements, agree the scope of work and the fee, and set out what happens next. Once the handover is complete, we take on the ongoing work and keep in touch as your operations evolve.