Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Chislehurst
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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 Chislehurst 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 hospital businesses including private hospitals, independent hospitals, specialist and day-case hospital providers, hospital operators and hospital groups. Because these organisations differ so much in structure, size and the services they deliver, the accounting and tax work we carry out is shaped around each hospital's own circumstances rather than a standard template.
Depending on your requirements, we can cover bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, Corporation Tax support where applicable, general tax advice and VAT support where relevant. For hospitals specifically, that often means dealing with staff and clinician costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments and several different income streams, all of which need to be recorded accurately and reported clearly.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees. The level of fees reflects the scope of work involved — the size and structure of the hospital or hospital business, the number of staff on payroll, the volume of transactions, the number of income streams and the reporting and compliance support you need. Once we understand your circumstances, we set out the scope clearly before any work begins.
It depends on how the hospital or hospital business is structured. Companies are generally within the scope of Corporation Tax, while other structures are taxed differently, and the position can be affected by how income and costs arise across the organisation. We review your circumstances, prepare and submit the relevant returns where required and help you plan ahead so there are no unwelcome surprises.
VAT treatment for hospitals is not a simple yes-or-no answer. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances, so some supplies may be treated differently from others. We look at what your hospital actually provides, review how it is structured and advise on the most appropriate treatment, along with the record-keeping needed to support it.
Yes. Hospital payroll is rarely simple, with varied shift patterns, different departments and roles, overtime, variable hours and pension considerations to account for. We can manage payroll processing, payslips and the associated reporting so staff are paid accurately and on time, and so the payroll figures flowing into your accounts and management information are reliable.
Medical equipment and other capital expenditure can be significant and often needs to be planned around, rather than absorbed at short notice. We help you budget for these costs, monitor cash flow across the year and reflect equipment purchases, premises costs and supplier payments properly in your accounts, so you can see the impact on your finances before committing to a major purchase.
Switching is usually more straightforward than people expect. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, then we agree the scope of support you need and liaise with your existing accountant to bring the records across. From that point, we provide ongoing support that fits around how your hospital operates, adjusting as your needs change.