Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Martock
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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 Martock 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
It covers the core accounting and tax work a hospital or hospital business needs to stay on top of its finances. That typically includes bookkeeping, payroll for staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax and VAT where these apply. Because hospitals deal with substantial staff costs, medical equipment, premises, facilities and supplier payments, we also help make sure those costs are recorded accurately and reported in a way that actually helps you understand performance rather than just meeting a filing deadline.
They are aimed at hospitals and hospital businesses of various shapes and sizes, including private hospitals, independent hospitals, hospital operators and hospital groups. The right approach depends heavily on how the organisation is structured, what services it provides, how it earns income and how many people it employs. If you run a hospital or a hospital-based business and want accounting support that understands those operating realities, we can look at your circumstances and explain how we would work with you.
We use fixed, transparent packages for the work we agree with you, so you know what you are paying for and there are no hidden fees or surprise invoices. The fee reflects the scope and complexity of your requirements, such as the number of staff on payroll, the volume of transactions, whether you need management accounts and how much tax and compliance work is involved. We will talk through your needs first and confirm the arrangement in writing before anything begins.
Yes. Payroll is one of the biggest and most sensitive cost areas for any hospital, and getting it right matters both financially and for staff confidence. We can manage payroll processing, deal with the associated reporting and deadline obligations, and help you keep a clear view of total employment costs across the organisation. If your hospital uses a mix of permanent staff, part-time employees or contractors, we can help ensure the different arrangements are handled consistently and recorded properly.
VAT for hospitals is rarely a straightforward yes-or-no question. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is important not to assume that everything is exempt or that everything is taxable. Because hospitals often have a mix of income streams and activities, the VAT position needs to be reviewed properly. We can look at how your hospital operates and explain what applies in your case, along with how to record and report it correctly.
Corporation Tax applies where the hospital operates through a limited company, and the calculations can be more involved than they first appear once capital expenditure on medical equipment, premises costs, staff costs and different income streams are taken into account. Not every hospital business is structured in the same way, and not all income is treated identically for tax purposes, so the position should be reviewed against your actual circumstances. We can help with the calculations, the reporting deadlines and the planning decisions that affect your tax position.
Switching is usually more straightforward than people expect, even for a hospital with a high volume of transactions and payroll. We can talk you through what information we would need, review your existing records and accounts, and coordinate the handover so the change does not disrupt your reporting or create gaps. Many hospitals come to us because they want more proactive support, clearer communication or a better understanding of their own numbers.
The first step is a conversation about your hospital or hospital business, how it is structured, how it earns income and what you need from an accountant. From there we can review your current accounting and tax position and set out how we would support you, along with a clear, fixed arrangement for the work involved. If you would like practical help with bookkeeping, payroll, management accounts, cash flow or tax compliance, our team is ready to talk it through.