Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Broadstairs
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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 Broadstairs 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
Most hospital clients need a combination of bookkeeping, payroll, annual accounts, management accounts, financial reporting, cash flow and budgeting support, plus tax compliance such as Corporation Tax where it applies and VAT support where relevant. The exact mix depends on the size and structure of the hospital business and how much of the day-to-day finance work you want handled. We agree the scope up front so it is clear what is covered and what is not.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses. Each of these can be structured differently — as a limited company, a group of companies or another arrangement — and each can have a different mix of income streams, staffing models, premises and equipment costs. Because of that, we review the individual circumstances before recommending how the accounting work should be handled.
Pricing is based on the work involved rather than a fixed figure applied to everyone, because a small independent hospital and a multi-site hospital group have very different requirements. We work on fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees. After an initial conversation about your structure, systems and reporting needs, we will set out the scope and the associated cost clearly before any work begins.
Yes. Payroll is one of the most significant costs in most hospitals, and it often involves a range of contract types, shift patterns, overtime and pension arrangements. We can handle payroll processing, payslips, pension contributions and the associated reporting to HMRC, so staff are paid accurately and deadlines are met. We can also help make sure payroll costs are reflected properly in your management accounts and budgets.
It depends. VAT treatment for hospitals is not uniform — it varies according to the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt while others are standard-rated, and a hospital can have a mix of both across different income streams. We review your particular activities and advise on how VAT should be treated, rather than applying a blanket rule.
Yes, and this is often where hospital clients get the most value. Management accounts give you a clearer view of income and costs month to month, while budgeting and cash flow forecasting help you plan for large items such as medical equipment, premises costs and seasonal variations in activity. Regular reporting also makes it easier to spot pressure points early, rather than discovering them at the end of the financial year.
Large purchases such as medical equipment, fit-outs and facility upgrades need to be planned for financially and treated correctly in your accounts and tax records. We look at how these costs sit alongside your day-to-day operating expenses, how they affect cash flow, and whether any capital allowances or similar reliefs may be available. Getting this right helps avoid unpleasant surprises in your year-end accounts.
Switching is usually simpler than people expect. We begin with a conversation about your hospital business and current accounting arrangements, then explain what we would need in order to take over — including records, access and details of your existing accountant. Once you are happy to proceed, we liaise with your current accountant to obtain the information required and handle the transition in an organised way, so there is no disruption to payroll, reporting or compliance deadlines.