Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Exeter
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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 Exeter 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.
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
We work with private hospitals, independent hospitals, day-case and specialist hospital facilities, hospital operators and hospital groups. That includes single-site hospitals as well as organisations running several sites or trading entities. Because the accounting and reporting needs of a hospital business differ from those of most other companies, we focus the support on the areas that matter most to hospitals, such as staffing costs, equipment, premises, supplier payments and multiple income streams.
The core work usually covers bookkeeping, management accounts, annual accounts, payroll for clinical and non-clinical teams, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax support where applicable and VAT support where relevant. Many hospitals also need help with capital expenditure planning for medical equipment, supplier and professional services costs, and reporting that separates different income streams. We agree the scope with you so you know exactly what is covered.
We work on fixed, transparent packages, so you know what you are paying and when, with no hidden fees or surprise invoices. The fee reflects the size and complexity of your hospital business — for example the number of sites, staffing levels, transaction volumes, payroll headcount and reporting requirements. We will discuss your circumstances and confirm the scope before any work begins, and the package can be adjusted as your hospital grows or changes.
Yes. Payroll is often one of the largest and most complex costs in a hospital, covering clinical staff, support teams, shift patterns, overtime and varying contract arrangements. We can handle payroll processing, payslips, RTI submissions, pension contributions and the associated record keeping, and make sure payroll costs feed correctly into your management accounts and annual accounts. If your hospital uses rotas or variable hours, we build the reporting around how your teams are actually paid.
Corporation Tax applies to most limited companies, including many private and independent hospital operators, though the exact position depends on your structure and the way the business is set up. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not simply a case of everything being exempt or everything being standard-rated. We review your particular arrangements and advise on the appropriate treatment, and we do not assume that every hospital organisation should be treated the same way.
Hospitals and hospital groups often earn income through several different routes, and each one can behave differently in terms of timing, invoicing and reporting. We set up your bookkeeping and management accounts so those streams are recorded clearly and can be reviewed separately, which makes it much easier to see what is profitable and where cash is tied up. That clarity also helps when it comes to financial reporting, budgeting and planning future investment in equipment or facilities.
You do not need to organise everything yourself — we can help manage the transition. In practice, it helps to have your latest annual accounts, current bookkeeping records, payroll information, VAT and Corporation Tax correspondence, and details of any outstanding filings or deadlines. We will review what you have, identify anything missing or overdue, and liaise with your previous accountant where needed so the changeover is as smooth as possible.
It starts with a conversation about your hospital or hospital business — how it is structured, how it operates, what accounting and tax support you currently have and where the gaps are. From there we review your position and recommend an appropriate package of services, whether that is full bookkeeping and payroll, management accounts, annual accounts, tax and VAT support or a combination. Once the scope is agreed, we put the support in place and work with you on an ongoing basis.