Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Tavistock
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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 Tavistock 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 the hospital businesses that sit behind them. Because hospital structures vary so much, from single-site independent hospitals to multi-site operators and group companies, the accounting support is shaped around your specific setup, income streams and cost base rather than being applied in a standard way. If you are unsure whether your organisation fits, it is worth a conversation, as the deciding factor is usually whether you need accounting and tax support built around hospital operations.
The core package typically covers the essentials a hospital needs to stay compliant and in control: annual accounts, bookkeeping, payroll, management accounts, budgeting, cash flow monitoring, financial reporting, Corporation Tax where applicable, and tax and VAT support where relevant. Alongside that, we look at the specifics of hospital trading, such as staff costs, medical equipment and capital expenditure, premises, suppliers, professional services and multiple income streams, so the reporting you receive reflects how your hospital genuinely operates. The exact mix is agreed with you up front so there are no surprises later.
We use fixed, transparent packages agreed in advance, so you know what you are paying for before any work begins. Pricing reflects the size and complexity of your hospital, the volume of transactions, payroll numbers, the number of entities involved and the level of support you need, which is why we would rather discuss your circumstances than quote a generic figure. There are no hidden fees, and if your requirements change, we will talk it through with you rather than simply adding charges.
We operate as regulated accounting professionals, working to current UK accounting and tax standards and keeping pace with changes that affect hospitals and hospital businesses. We handle compliance work properly, from statutory accounts and Corporation Tax where applicable to payroll obligations and payroll-related reporting, and we are clear about what we can and cannot advise on. If a hospital's circumstances require specialist input beyond our remit, we will tell you rather than overreach.
VAT treatment in the hospital sector is rarely a simple yes or no. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, which means different income streams within the same hospital can be treated differently. We review how your hospital generates income and what it purchases, identify where VAT applies and where it may not, and help you keep records that support the position you take. Where your situation is complex, we will explain the considerations clearly so you can make informed decisions.
Yes. Payroll tends to be one of the largest costs in any hospital, particularly where rotas, varying shift patterns and multiple staff groups are involved, so we handle payroll processing alongside the reporting that keeps staff costs visible and predictable. Medical equipment purchases and other capital expenditure can put real pressure on cash, so budgeting and cash flow forecasting work alongside your accounts to show what is affordable and when. The goal is to help you plan ahead rather than react to whatever the bank balance happens to show.
Switching is usually more straightforward than people expect, but it helps to plan it. We will talk through your current setup, confirm what information and records we need, and coordinate the handover with your existing accountant so deadlines are not missed. It also helps to think about what you want to improve, whether that is clearer management accounts, better cash flow visibility, payroll support or more proactive tax guidance, so the transition delivers something meaningful rather than simply changing the name on the accounts.
It begins with a straightforward conversation about your hospital, how it is structured, how it earns income and what is currently causing you the most difficulty. From there we review your accounting and tax requirements and outline the support that would suit you, including scope and pricing, so you can decide with full clarity. There is no pressure and no obligation, and if we are not the right fit for your hospital, we will say so.