Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Dedham
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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 Dedham 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
The work usually covers the essentials a hospital or hospital business needs to stay compliant and informed: bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax and VAT where those apply. We also help with the practical side, such as keeping records in a usable format, preparing information for lenders or investors, and making sure deadlines are met. Exactly what you get depends on your structure and how much you want to handle in-house, so we agree the scope with you before anything else.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them. Their accounting requirements can vary considerably depending on how they are structured, the services they provide, the income streams they generate, and the scale of their staffing, premises, equipment and supplier arrangements. We also work with organisations at different stages, from those establishing themselves through to established hospitals needing more structured reporting and tax support.
We price on a fixed, transparent basis rather than charging by the hour, so you know what you are committing to before the work begins. The fee reflects the size and complexity of your hospital or hospital business — things like transaction volumes, payroll headcount, the number of income streams, how many entities are involved and how much reporting you need. There are no hidden fees, and if your requirements change we discuss any adjustment with you first.
We prepare accounts and tax filings in line with current UK accounting and tax requirements, and we keep up to date with changes that affect hospitals and their associated businesses. If you need detail on the qualifications and professional memberships held by the people handling your work, just ask — we are happy to talk that through. Where a particular requirement sits outside what we provide, such as a statutory audit, we will tell you clearly rather than leave you to find out later.
Most hospitals need to manage significant staff costs alongside equipment, premises and supplier commitments, and often across more than one income stream. That combination affects how accounts are presented, how cash flow behaves, how capital expenditure on medical equipment and facilities is planned, and what Corporation Tax position looks like. VAT is another area that needs attention, because the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances rather than a single blanket rule.
Yes, we can review your activities and help you work out how VAT should be treated, but the answer genuinely depends on the facts. The nature of the supply, the activities involved, your organisation's status and the specific circumstances all play a part, and different hospitals can end up with different positions even when their services look similar. We would rather take the time to look at your situation properly than apply a general assumption that may not hold.
Yes. Hospital groups often need accounting support across more than one entity or location, which means keeping records consistent, producing reporting that can be looked at individually and as a whole, and coordinating tax and compliance deadlines. We can help put that structure in place, whether you are bringing new sites into an existing setup or reviewing how your current arrangements are working.
It usually starts with a conversation about your hospital or hospital business and what you want from your accounting support. From there we look at your current setup, including how records are kept, what deadlines are coming up and whether there is anything outstanding that needs attention. If you decide to go ahead, we handle the handover with your existing accountant and agree how and when the ongoing work will be delivered, so the transition does not disrupt your operations.