Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Romford
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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 Romford 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 typically covers the areas most hospital businesses need on an ongoing basis: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax and VAT help where these apply. The exact mix depends on your structure, how you earn income and how much you want to handle in-house. Some hospitals want a full outsourced finance function, while others want specific pieces handled for them while keeping the rest internal.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide treatment, diagnostics or related services from their own premises. The accounting requirements can differ quite a lot between a single-site hospital and a group with several locations, so we look at your structure, activities, income streams, staffing and cost base before recommending an approach.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee depends on the work involved — the size of the hospital business, the number of staff on payroll, the volume of transactions and the level of reporting you need. There are no hidden fees, and if the scope changes we discuss it with you before anything is adjusted.
Yes. Hospital payroll often involves a mix of salaried staff, hourly and shift-based workers, overtime, enhanced rates and different contractual arrangements, which makes accuracy and timing important. We can run payroll on an ongoing basis, handle the associated submissions and keep the wage costs properly reflected in your management accounts, so staffing costs are visible and comparable month to month.
Corporation Tax applies where the hospital operates through a limited company and makes taxable profits, and the available reliefs and allowances depend on your circumstances and what the business invests in. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should never be assumed either way. We review your position properly and explain what applies to you.
Medical equipment and other capital items can represent significant outlay, and the timing of those purchases affects both your cash position and how the costs are treated in your accounts. We can help you plan for major expenditure, reflect it correctly in your financial reporting and budget around it, so a large purchase does not put unexpected pressure on day-to-day cash flow or supplier payments.
Accounting and tax work is carried out in line with UK professional and regulatory requirements, and the figures we prepare are based on the records and information you provide. We keep the compliance side — filings, deadlines and submissions — clearly on the radar, so you are not left chasing dates. If you would like to understand how we work in more detail, we are happy to talk it through before you commit to anything.
It usually starts with a conversation about your hospital business — how it is structured, what you need help with and what is currently in place. If you are switching accountants, we can handle the practical side of the handover, including requesting the relevant information from your existing adviser. From there we review what you have, agree the support that fits and get things moving.