Accountants for Private Hospitals, Clinics & Care Homes

Accountants for Hospitals in Bexley

Practical accounting and tax support for private hospitals, independent hospitals and hospital groups in Bexley — from bookkeeping and payroll through to annual accounts, management reporting, Corporation Tax and VAT.

Instant Quote

Call Me Back

4.9/5.0

Google Reviews

⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

      EXCELLENT  
   Based on 300 reviews 
    
 
 
 
   
 
 
       Posted on Google  
   
   Jamie Fletcher 
 
 
 
 Trustindex verifies that the original source of the review is Google. It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
  
 
      Posted on Google  
   
   Mansur Liman 
 
 
 
 Trustindex verifies that the original source of the review is Google. Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
  
 
      Posted on Google  
   
   Muna Mohamoud 
 
 
 
 Trustindex verifies that the original source of the review is Google. I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail.

Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable.

I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
  
 
      Posted on Google  
   
   Sergey M 
 
 
 
 Trustindex verifies that the original source of the review is Google. I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
  
 
      Posted on Google  
   
   Ebba Qureshi 
 
 
 
 Trustindex verifies that the original source of the review is Google. Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
  
 
      Posted on Google  
   
   Mael Leboucher 
 
 
 
 Trustindex verifies that the original source of the review is Google. We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did.

Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly.

Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible.

Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow.

I would 100% recommend them.
  
 
      Posted on Google  
   
   3rd Hub 
 
 
 
 Trustindex verifies that the original source of the review is Google. Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
  
 
      Posted on Google  
   
   Martin Tyrrell 
 
 
 
 Trustindex verifies that the original source of the review is Google. I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free.

A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently.

I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
  
 
      Posted on Google  
   
   Matthew Lyon 
 
 
 
 Trustindex verifies that the original source of the review is Google. Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
  
 
  
  
 
     Verified by Trustindex  Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Hospitals and Hospital Organisations We Support

We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that sit behind them. Their accounting requirements vary considerably depending on how they are structured, the services they provide, their income streams, staffing levels, premises, equipment, supplier arrangements and operating costs. That is why the work always starts with understanding how your hospital actually runs before any figures are prepared.

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

As Accountants for Hospitals, we handle the core financial work that keeps a hospital business on track: bookkeeping, payroll for clinical and non-clinical teams, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. We also support on Corporation Tax where it applies and on VAT, which depends on the nature of your supplies and your organisation’s status rather than a single blanket rule. Staff costs, medical equipment, premises, supplier payments and multiple income streams are all reflected in the numbers we prepare.

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

Hospitals carry heavy, often fixed cost bases — clinical and support staff payroll, medical equipment and capital expenditure, premises and facilities, supplier and professional services — while income can arrive through several different streams at different times. That combination puts genuine pressure on cash flow and makes accurate, timely financial reporting essential rather than optional. Corporation Tax and VAT add further layers, with VAT treatment depending on the nature of each supply, the activities involved and the organisation’s status, so hospital finances rarely fit a single template.

Instant Quote

Call Me Back

Why Hospitals in Bexley Choose CruseBurke

Hospitals need accounts that reflect how the business really operates, not a generic set of figures that needs explaining later. CruseBurke provides practical accounting support covering bookkeeping, payroll, management accounts, cash flow and tax compliance, with medical equipment costs, premises, supplier arrangements and financial reporting all treated as part of the same picture. The work is tailored to your hospital’s structure and reporting needs rather than applied from a template.

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.

Instant Quote

Call Me Back

Our Simple 3-Step Process for Hospitals

We start by understanding your hospital or hospital business — how it is structured, how it earns income and where the financial pressure points sit. From there we review your current accounting and tax position, including bookkeeping, payroll, reporting and compliance obligations, and flag anything that needs attention. The third step is ongoing support, delivered in a way that fits how your hospital operates and the reporting you actually need.

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.

Instant Quote

Call Me Back

Accounting Support Built Around Hospitals

Accounting support for a hospital has to fit around clinical priorities, which is why we build the work around how your business runs — bookkeeping, payroll, annual accounts, management accounts, financial reporting, cash flow and tax support. Costs such as medical equipment, premises, suppliers and day-to-day operating expenses are recorded and reported in a way that makes them easier to review and plan around. The aim is straightforward, dependable support that keeps your financial records accurate and your reporting genuinely useful.

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

What does your service as Accountants for Hospitals in Bexley include?

It covers both the day-to-day and the year-end work a hospital business needs: bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. We also help with Corporation Tax where it applies and with VAT, which depends on the nature of your supplies, your activities and your organisation's status rather than a single blanket rule. Everything is prepared around how your hospital operates, so staff costs, equipment, premises, supplier payments and different income streams are reflected accurately.

Which types of hospitals and hospital businesses do you work with?

We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that support and supply them. Their accounting needs vary widely depending on how they are structured, the services they provide, their income streams, staffing, premises, equipment and operating costs. If your organisation sits slightly outside that description, it is still worth a conversation — we will tell you honestly whether we are the right fit.

How does pricing work?

Fees are set as fixed, transparent packages based on the work your hospital actually needs, so you know what you are paying for and why. The scope depends on factors such as your structure, the number of staff on payroll, the complexity of your income streams, the volume of supplier and equipment transactions and the level of reporting you require. There are no hidden fees, and if your requirements change we will discuss the impact on the fee before any further work is carried out.

What about qualifications and compliance?

UK accountants work within professional standards and anti-money-laundering requirements, and we are happy to talk you through our professional memberships, registrations and the compliance procedures we follow as part of your initial conversation. We will also explain how we handle confidentiality, record-keeping and deadlines. If you have a specific compliance question about your hospital's structure or activities, raise it early — it is far easier to address before records are prepared than afterwards.

What accounting and tax issues matter most for hospitals?

The pressure points tend to be a heavy cost base, multiple income streams and tight cash flow. Payroll for clinical and support teams, medical equipment and capital expenditure, premises and facilities, supplier and professional services all move at different speeds, which makes accurate and timely reporting important. Tax adds another layer, so Corporation Tax where it applies and VAT treatment need to be reviewed in light of your activities rather than assumed.

How is VAT treated for hospital services?

VAT for hospitals is not a single answer. The treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so different income streams can be treated differently. We review how your hospital's supplies and activities are structured and apply the rules to your situation, rather than assuming everything is exempt or everything is taxable. NHS hospitals and private hospitals do not automatically receive identical treatment either.

Can you help with medical equipment costs and capital expenditure?

Yes. Medical equipment purchases, maintenance contracts, financing arrangements and wider capital expenditure all need to be recorded, categorised and planned for properly, because they can have a significant effect on cash flow and on your reported position. We can help you keep track of those costs, factor them into budgeting and cash flow forecasting, and make sure the accounting treatment stays consistent from year to year.

How do we get started or switch accountants?

Switching is usually simpler than people expect. We start by understanding your hospital or hospital business and reviewing your current accounting and tax position, then agree what needs to happen and when. We can liaise with your existing accountant to obtain the records and information needed, and once everything is in place we provide ongoing support that fits how your hospital operates. If you would rather have an initial conversation first, that is a perfectly good place to start.

Speak to an Expert

Need Accountants for Hospitals in Bexley Who Understand How Your Business Runs? You will get clear, practical support from people who speak your language.

Hospitals rarely struggle because the work isn’t there — they struggle because payroll, equipment costs, supplier payments and several income streams all compete for the same cash at once. CruseBurke can take that weight off with bookkeeping, management accounts, payroll and cash flow support, along with Corporation Tax and VAT help where it applies to your circumstances. You will get straightforward answers, sensible deadlines and financial reporting you can genuinely use to make decisions — and when you are ready to talk it through, we are ready to listen.

Instant Quote

Call Me Back