Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Sidmouth
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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 Sidmouth 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 service is built around what a hospital or hospital business actually needs, so it can include bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where applicable and VAT support where relevant. We can handle the full package or focus on specific areas, depending on whether you have an internal finance function. The scope is agreed with you upfront, so you know what is covered and what is not.
This support is designed for hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups — along with related trading, property or service companies within the same structure. It suits owner-managed hospitals and larger hospital organisations that need dependable accounting, payroll, reporting and tax compliance. If your activities are partly hospital-based and partly something else, we can still look at the whole picture and advise on how each element should be treated.
We work on fixed, transparent fees based on the services you need and the complexity of your hospital's structure and transactions, so there are no hidden extras or surprise invoices. Before anything begins, we set out what is included and confirm the cost with you in writing. If your requirements change — for example, if the hospital expands, takes on more staff or adds a new income stream — we will discuss any adjustment with you rather than simply applying it.
Our work is prepared in line with current UK accounting standards and HMRC requirements, and we keep up to date with changes that affect hospitals and hospital businesses. We file accounts and tax returns within the relevant deadlines and explain the basis on which figures have been prepared, so you understand what has been submitted and why. Where an area is uncertain — VAT treatment, for instance — we set out the position clearly and work through the options with you.
The main ones tend to be the cost structure and the number of moving parts. Payroll is usually the largest expense, medical equipment and capital expenditure bring depreciation, financing and tax relief questions, and premises and facilities costs can be substantial and long-term. Income may arrive through several different streams, each with its own reporting and tax treatment, and VAT depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances rather than following a single blanket rule. Getting these areas recorded and reported consistently makes the year-end process far smoother.
Yes, we can review your VAT position and help you apply the rules correctly. VAT treatment in a hospital setting is rarely uniform — it depends on the nature of each supply, the activities involved, whether the organisation is in the private or public sector and the particular circumstances of the transaction. Some supplies may be treated differently from others, and mixed income streams can make the position more involved. We help you understand what applies to you and keep the records to support it.
Yes. Switching accountants is usually far less disruptive than hospitals expect, and we handle the handover with your current adviser so information transfers cleanly. Once we have reviewed your existing records, accounts and tax position, we will let you know if anything needs tidying up before we take over the ongoing work. You keep continuity of service throughout, and we will agree the timing of the change so it does not land in the middle of a busy filing period.
The first step is a conversation about your hospital or hospital business — how it is structured, how it earns income, who it employs and what your main accounting and tax pressures are. From there we review your current position and set out what support would be most useful, along with a clear, fixed price for the work. If you are happy to proceed, we agree the scope and get started, and you will have a clear point of contact for anything that comes up along the way.