Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Barnstaple
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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 Barnstaple 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, hospital groups and hospital businesses based in and around Barnstaple and elsewhere in the UK. That includes organisations of different sizes with different structures, whether they are limited companies, partnerships or part of a wider group. Because hospitals vary so much in how they are set up and how they generate income, the accounting approach is tailored to the individual organisation rather than applied as a standard template. If your organisation sits outside those categories, it is still worth a conversation to see whether we are the right fit.
The core of what we do covers bookkeeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, general tax support and VAT support where relevant. In a hospital setting, that often means handling staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier and contractor payments, and several different income streams at once. Support can be scaled up or down depending on how much you want to handle in-house and how much you would rather hand over.
Pricing is based on the scope and complexity of what you need, so we look at factors such as the size of the hospital, the number of staff on payroll, the volume of transactions, the number of income streams and the level of reporting required. We work on fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees appearing later. Before anything is agreed, we explain what is included and what is not, and the price is confirmed in advance. If your requirements change as the hospital grows, the arrangement can be reviewed to match.
Yes. Payroll is often one of the largest and most sensitive cost areas for a hospital, covering clinical staff, administrative teams, support workers and sometimes bank or locum arrangements. We can manage the payroll process end to end, including calculations, deductions, payslips and the relevant reporting obligations, while keeping the payroll records aligned with the rest of your accounting. Getting payroll right matters not just for compliance but for cash flow planning, because staff costs usually sit at the centre of a hospital's monthly outgoings.
Tax and VAT treatment for hospitals depends heavily on the specific circumstances rather than a single blanket rule. VAT treatment can vary according to the nature of the supplies being made, the activities involved and the organisation's status, so it needs to be assessed case by case — some supplies may be treated differently from others, and the position is not automatically the same for every hospital. On the direct tax side, Corporation Tax and related matters depend on how the organisation is structured and what it does. We review your position properly and explain the reasoning, so you understand where you stand.
Medical equipment, facilities and premises costs tend to be large, irregular and difficult to absorb without planning, which is why cash flow forecasting and budgeting sit high on the agenda for most hospitals. We help build a clearer picture of expected income and outgoings so that significant purchases or capital projects do not come as a shock, and so that day-to-day supplier and payroll commitments remain manageable. Management accounts and financial reporting then give you a regular view of how reality compares with the plan, which is far more useful than reviewing the figures after the year has ended.
Yes, switching is usually a straightforward process. We begin with a conversation about your hospital or hospital business, how it is structured, what accounting and payroll arrangements are currently in place and what you would like to improve. From there we review the existing records and compliance position, agree the scope of support, and handle the handover with your previous accountant as needed. You do not need to have everything perfectly organised before getting in touch — part of the value of working with Accountants for Hospitals is sorting out the detail as we go.
Yes. Hospital operators and hospital groups often run across multiple entities, sites or trading arrangements, which brings additional reporting, consolidation and tax considerations into play. We can support that structure with organised bookkeeping, clear management accounts and consistent financial reporting, while keeping an eye on how income streams, staffing costs and capital expenditure are spread across the group. Where relevant, we also look at how VAT and Corporation Tax positions interact across the different parts of the organisation. The aim is to give you a coherent view rather than a set of disconnected sets of numbers.