Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Torquay
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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 Torquay 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 depends on what your hospital or hospital business needs, but the core work usually covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax and VAT where these apply. We can take on the full finance function or support your existing team with specific areas, so you are not paying for work you already handle in-house.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that support them. Because these organisations differ widely in size, structure and the services they provide, their accounting requirements vary too — a single-site independent hospital has a very different cost and reporting profile from a hospital group running multiple locations. We shape the support around your structure, activities and income streams rather than applying a one-size-fits-all approach.
We use fixed, transparent packages, so you know what you are paying for and when. The fee reflects the scope and complexity of the work — the number of staff on payroll, the volume of transactions, the number of income streams, reporting requirements and whether VAT or Corporation Tax work is involved. There are no hidden fees, and we will always explain what is included before anything is agreed, so there are no surprises later.
Accounts, tax returns and other filings are prepared in line with current HMRC rules and Companies House requirements, and we keep up to date with changes that affect hospital businesses, including reporting and digital record-keeping requirements. We work from accurate, well-maintained records, which is why bookkeeping sits at the centre of what we do. If a deadline or a rule changes, we will tell you what it means for your hospital rather than leaving you to work it out.
Hospitals bring a particular set of financial pressures: large payrolls across clinical and support roles, significant spending on medical equipment and capital items, premises and facilities costs, supplier and professional service payments, and income arriving from several different sources. We help keep those elements properly recorded and reported, and we look at the tax position that flows from them. Where relevant, that includes Corporation Tax and VAT, alongside budgeting and cash flow work that helps you plan around lumpy costs and uneven income.
VAT for hospitals is not a simple yes-or-no question. The treatment of a supply depends on its nature, the activities involved, the organisation's status and the specific circumstances, so different income streams and cost items can be treated differently. That means NHS hospitals and private hospitals do not automatically receive identical VAT treatment, and assumptions in this area can be costly. We review your particular situation and explain how VAT applies to what you actually do.
Yes. Medical equipment and other capital expenditure often create large, irregular outflows that are difficult to absorb without planning, particularly when income does not arrive on the same schedule. We help by maintaining accurate records of those costs, reflecting them properly in your management accounts and financial reporting, and building budgeting and cash flow forecasts that show what is coming and when. That gives you a clearer basis for decisions about purchases, finance and timing.
Switching is usually more straightforward than people expect. We ask for a bit of information about your hospital or hospital business, then liaise with your current accountant to obtain the records and information we need, so you are not caught in the middle. Once everything is in place, we review your position, confirm what ongoing support looks like and take it from there. The aim is a clean handover with no disruption to your payroll, reporting or filing deadlines.