Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Dawlish
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Dawlish 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
We work with hospitals and hospital organisations such as private hospitals, independent hospitals, hospital operators and hospital groups. The right approach depends on how the organisation is set up, the services it provides, how it is funded and what reporting is required. If you are unsure whether your hospital or hospital business fits, it is usually worth a conversation to establish what you need before anything is put in place.
Our work for hospitals typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies, and tax and VAT support where relevant. Because hospitals often carry significant staff costs, medical equipment, premises and supplier commitments, we shape the service around those specific areas rather than applying a standard package. You can take the full range of support or focus on the areas where you need the most help.
Pricing is based on the scope of work, the size and structure of the hospital or hospital business, and the level of support you need, such as whether payroll, management accounts or VAT work is included. We use fixed, transparent packages with no hidden fees, so you know what you are paying and what it covers. The exact fee is agreed before any work begins, once we understand your requirements.
Yes. Staff costs are usually one of the largest outgoings for a hospital, so accurate payroll and well-maintained bookkeeping are essential. We can manage payroll processing, keep records organised and reconcile the figures so that wages, employer costs and related liabilities are properly reflected in your accounts. That makes management reporting more reliable and reduces the risk of errors or missed deadlines.
Not automatically. VAT treatment for hospitals depends on the nature of the supply being made, the activities involved, the status of the organisation and the specific circumstances, and different income streams can be treated differently. Private hospitals and other hospital businesses may also have different considerations from one another rather than sharing identical treatment. We review your particular position and help you apply the correct VAT approach to your activities.
Hospitals often face significant upfront spending on medical equipment and capital items while income arrives on a different timetable, which can put pressure on cash flow. We help by preparing regular management accounts, forecasting cash flow, planning for larger purchases and budgeting around premises, facilities, supplier payments and operating costs. That gives you a clearer view of what is affordable and when, rather than reacting to whatever the bank balance shows.
Yes. Where a hospital or hospital group has multiple income streams, departments or sites, management accounts and financial reporting become much more valuable for understanding performance. We can prepare regular reporting that separates key cost areas, highlights trends and gives directors or owners the information they need to make decisions. The format is tailored to how your organisation is structured and what you actually need to monitor.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, its structure and what you need from an accountant, then review your existing accounting and tax arrangements. If you are switching accountants, we can handle the transition and liaise with your previous adviser so records and deadlines are not disrupted. From there, we put the appropriate support in place and keep it under review as your requirements evolve.