Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bexleyheath
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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 Bexleyheath 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 support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses such as day-case and specialist hospital providers. The common thread is that they all operate in a hospital environment, which brings its own cost structures, staffing patterns and reporting needs. If you are not sure whether your organisation fits, it is worth a conversation — we will tell you honestly whether we are the right fit for what you need.
Most hospital clients need a combination of bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where it applies, and VAT support where relevant. Which of those you need depends on the size of the hospital, how it is structured and how much of the finance function sits in-house. We agree the scope up front so you know what is covered, and we can adjust it as the hospital grows or its activities change.
Yes. Hospital payroll is rarely simple, because it often spans clinical, nursing, administrative and support roles with different pay rates, shift patterns, overtime and pension arrangements. We can manage the full payroll cycle, including starters and leavers, payslips, and the associated reporting obligations, so that staff are paid accurately and on time and the underlying records stay in good order.
We use fixed, transparent packages based on the scope of work you actually need, rather than charging by the hour for every email and phone call. The fee reflects factors such as the number of entities, payroll size, transaction volumes and the level of reporting required. There are no hidden fees, and we will set out clearly what is included before anything begins so you can budget with confidence.
VAT treatment for hospitals is not a simple yes-or-no answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and some supplies may be treated differently from others. We review what the hospital actually provides, how income streams are structured and what input tax is being incurred, then advise on the most appropriate approach for your situation.
Where a hospital operates through a limited company, Corporation Tax will generally apply to its taxable profits, although the exact position depends on the organisation's structure, activities and any reliefs or allowances available. Hospitals with significant capital expenditure on medical equipment may also have allowances worth considering. Where a hospital is structured differently — as a partnership, for example — the tax treatment will differ, and we can talk you through how it applies in your case.
Yes. Large equipment purchases, premises costs and other capital expenditure can put real pressure on cash flow if they are not planned for, particularly when income arrives unevenly across the year. We can help build budgets and forecasts that reflect your actual operating costs, so you can see the impact of planned spending before committing to it and make decisions with better information in front of you.
Switching is usually more straightforward than people expect, and you do not have to wait until your year end to make the change. We review your current accounting and tax position, agree what information is needed, and with your authorisation can liaise with your existing accountant to obtain the relevant records. From there we set up the bookkeeping, payroll and reporting support that suits the hospital, and keep things running from that point onwards.