Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in St Austell
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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 St Austell 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 private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses whose activities sit within the sector. The exact support depends on how the organisation is structured, what it does, how many sites or facilities it operates and how its income arrives. A single-site independent hospital and a multi-site hospital operator will have quite different reporting and compliance needs, so we start by understanding the shape of the business before recommending anything.
Typical support covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax support where applicable, general tax advice and VAT support where relevant. For hospitals, that often means keeping a close eye on staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and professional services. The mix is tailored to the organisation, so you are not paying for work that does not apply to your hospital.
We work on fixed, transparent packages, with the scope agreed in advance so there are no hidden fees or unexpected invoices. The fee reflects the size and complexity of the hospital or hospital business, the volume of transactions, payroll requirements, the number of income streams and the level of reporting you need. Before anything begins, we set out what is included and what is not, so you can see exactly what you are committing to.
Yes. Payroll is often one of the largest and most complex cost areas in a hospital, particularly where there are varied shift patterns, different contract types, overtime and a mix of clinical and non-clinical roles. We handle payroll processing alongside the wider accounting work, so staff costs feed correctly into management accounts and year-end reporting. That keeps your payroll records, financial reporting and tax position consistent rather than pulling in different directions.
Both depend heavily on the specific circumstances. VAT treatment varies according to the nature of the supply, the activities involved, the organisation's status and the facts of each case — some hospital-related supplies may be exempt while others are taxable, so a blanket assumption in either direction is risky. Corporation Tax depends on how the organisation is structured and what it does. We review your position properly and explain where the obligations sit rather than applying a one-size-fits-all answer, and we do not assume that different types of hospital are treated identically.
Yes, and it is a common pressure point. Medical equipment and other capital expenditure can be significant and irregular, while staff costs, premises and supplier payments tend to be steady and unavoidable. We help build budgets and cash flow forecasts that show when money is going out, when income is expected and where the pinch points are likely to appear, so major purchases can be planned rather than absorbed as a surprise.
We can prepare annual accounts and management accounts, with supporting reporting on income streams, staff costs, supplier payments, operating costs and capital expenditure. For hospital groups and operators with more than one site or entity, reporting can be structured so each part of the organisation is visible, which makes it easier to see where performance is strong and where costs need attention. The goal is information you can use to make decisions, not just a compliance document.
It starts with a conversation about your hospital or hospital business and what you need from an accountant. We then review your current accounting and tax position, including records, payroll, reporting and any outstanding filings, and handle the handover from your existing accountant as part of the process. Once everything is in place, we confirm the scope, the fixed fee and how ongoing support will work, so the transition is straightforward rather than disruptive to your operations.