Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Sherborne
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 and Hospital Businesses
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 Sherborne 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
The role covers the accounting and tax work a hospital or hospital business needs to run smoothly, including bookkeeping, payroll, management accounts, annual accounts, financial reporting, budgeting, cash flow forecasting, Corporation Tax where applicable, wider tax support and VAT support where relevant. What makes it hospital-specific is the context: staff costs and rota patterns, medical equipment and capital expenditure, premises and facilities, supplier payments, professional fees and multiple income streams all shape how the numbers need to be recorded and reported. The output should be accurate records, clear reports and compliance handled on time.
We work with private hospitals, independent hospitals, day-case and specialist hospitals, hospital operators and hospital groups, along with businesses whose activities sit within a hospital setting. Their accounting needs differ depending on how the organisation is structured, whether it operates from a single site or several, how many people it employs, what equipment and facilities it maintains and where its income comes from. Support is therefore shaped around the individual hospital rather than assumed from its sector.
Pricing is generally built around fixed, transparent packages, with the fee reflecting the scope of work your hospital actually needs — for example, which services are included, the volume of transactions, the size and complexity of payroll, the number of income streams and whether VAT or Corporation Tax reporting is involved. We set out what is covered before work begins so there are no hidden fees or unexpected charges, and the arrangement can be reviewed as your hospital grows or its requirements change.
Yes. Payroll for a hospital is rarely simple, often involving a mix of full-time and part-time staff, varying shift and rota patterns, overtime, unsocial hours or other enhancements, pensions and the usual PAYE obligations. We can manage payroll processing, payslips, pension contributions and the associated reporting so payments are made accurately and deadlines are met, and we can reflect the specific pay structures your hospital uses.
Corporation Tax applies where it is relevant to how the hospital business is structured and how its profits arise, and planning ahead can help avoid unnecessary surprises. VAT is more nuanced: the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to say that everything a hospital does is exempt or that everything is taxable. A hospital may be dealing with a mix of supplies with different VAT treatments, which can lead to partial exemption considerations. We review your position and explain how the rules apply to your particular activities.
Large purchases such as medical equipment and facility improvements usually need planning well in advance, both because of the cash flow impact and because of how the cost is recognised and relieved over time. We help hospitals budget for significant expenditure, structure the purchase sensibly, maintain accurate asset records and account for depreciation and any available capital allowances. We also look at how spending decisions affect management accounts and cash flow, so equipment investment does not put unnecessary strain on day-to-day operations.
In most cases, yes. Switching typically involves a short handover: we confirm what you need, obtain the relevant records and information from your existing accountant, and pick up the compliance and reporting work from an agreed point. We can usually deal with the practical side of the transition on your behalf, and we will talk you through the timing so that ongoing deadlines such as payroll, VAT returns and year-end accounts are not disrupted.
It usually begins with a conversation about your hospital or hospital business — how it is structured, how it operates and what you need from an accountant. From there we review your current accounting and tax position, identify any gaps or areas that need attention, and set out a clear scope of work with transparent pricing. Once that is agreed, we get the necessary records in place and begin providing ongoing support.