Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Brixham
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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 Brixham 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
Accountants for Hospitals handle the financial side of running a hospital business, which typically includes bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Alongside that sits tax work — Corporation Tax where it applies to your structure, and VAT guidance where relevant to your supplies and activities. Because hospitals tend to carry significant staff, premises, equipment and supplier costs, the emphasis is usually on keeping records accurate, reporting timely and cash flow visible.
We support hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and smaller hospital groups. The right approach depends on your structure, the services you provide, your income streams, your staffing model, your premises and the equipment and suppliers you rely on. If you are unsure whether your organisation fits, it is worth a conversation — we will tell you honestly whether we are the right fit for your circumstances.
Pricing is based on the scope and complexity of the work rather than a flat rate applied to every hospital. A single-site hospital with straightforward bookkeeping has very different requirements from a group with multiple income streams, larger payrolls and significant equipment costs. We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees or surprise bills along the way.
Yes. Hospital payroll often involves a mix of clinical and non-clinical staff, varied contracts, shift patterns, overtime and pension arrangements, which makes accuracy and consistency important. We can manage payroll processing, handle the associated reporting obligations and help make sure staff costs are recorded properly in your accounts so management reporting reflects the true cost of your workforce.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — there is no single rule that applies to everything a hospital does. Different services and different income streams can be treated in different ways, and the position for one hospital may not match another. We can review your activities and help you understand how VAT applies to your particular situation.
Yes, and for most hospitals this is one of the most useful parts of the service. Management accounts give you a clearer picture of income by stream, staff and premises costs, equipment expenditure, supplier commitments and overall cash flow, usually on a regular cycle. That makes it easier to spot pressure points early, plan capital spending with more confidence and make decisions based on current figures rather than guesswork.
Equipment is often one of the largest outlays a hospital faces, and the timing of those purchases can have a real effect on cash flow and on your reported position. We can help you plan for capital expenditure, reflect it properly in your accounts and consider how it fits with your wider budgeting and tax position, so significant purchases do not come as a financial shock.
Switching is usually more straightforward than people expect. We begin with a conversation about your hospital or hospital business and what you need from an accountant, then review your existing records and accounting arrangements. If you are happy to proceed, we handle the handover with your previous accountant and agree the ongoing support that suits you. From there, the focus shifts to keeping your bookkeeping, payroll, accounts and tax work running smoothly.