Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Tiverton
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
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 Tiverton 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.
Practical 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 typically support private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital-based organisations and those in the process of setting one up. The common thread is that they all deal with similar pressures: staffing, premises, medical equipment, suppliers and operating costs, plus income arriving from a number of different sources. Because structures vary so much, the accounting and tax position varies too, so we shape the work around yours rather than assuming one approach fits all.
Most hospital businesses need a combination of bookkeeping, payroll, annual accounts and management accounts, supported by budgeting, cash flow forecasting and financial reporting. Depending on how the organisation is structured, Corporation Tax, VAT and wider tax compliance may also be relevant. What ties it together for a hospital is understanding the cost profile — staff costs, equipment, premises and suppliers — and making sure the numbers reflect the way the organisation genuinely runs.
We work on fixed, transparent packages wherever possible, so you know what you are paying for before the work begins, and there are no hidden fees. The right package depends on the size and structure of your hospital, the volume of transactions, how many people are on payroll and the level of reporting you need. We talk through the scope with you first and then confirm a fee that matches the work involved, rather than trying to squeeze your organisation into a one-size-fits-all price.
Payroll is often one of the largest and most involved areas for a hospital, with clinical and non-clinical teams, varying hours and a mix of pay arrangements to keep track of. We can manage the payroll process, keep the supporting records accurate and make sure the reporting behind it lines up with your management accounts. That means you can see what staffing really costs, plan for it in advance and avoid last-minute surprises at deadlines.
VAT treatment for hospitals is not a simple yes-or-no question. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so blanket assumptions tend to cause problems. Some supplies may be exempt, some may fall outside the scope and others may be standard-rated, and different income streams can be treated differently within the same organisation. We help hospital businesses review their position and deal with VAT returns and record-keeping where VAT applies, so the treatment is properly considered.
Corporation Tax may apply depending on how your hospital, hospital operator or hospital group is structured, and the way income arrives — patient fees, contracts, insurance arrangements and other revenue — can affect how profits are calculated and reported. We work through the figures with you, make sure income and costs are recorded consistently and prepare the necessary computations and returns where applicable. Where the structure includes more than one entity, we help keep the reporting consistent across them.
Significant items such as medical equipment and other capital expenditure can put real pressure on cash flow, particularly when payments and income do not line up neatly. We can help you plan ahead through budgeting and cash flow forecasting, and make sure major purchases are reflected properly in your management accounts and year-end reporting. The aim is to give you a clearer picture of what is affordable and when, instead of reacting after the money has already gone out.
It usually begins with a conversation about your hospital or hospital business — how it is structured, what services you provide and what you need from an accountant. From there we review your current records and obligations, flag anything that needs attention and agree the scope of support that suits you. If you are switching from another accountant, we can handle the handover with you so the transition is straightforward and nothing important gets missed.