Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Folkestone
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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 Folkestone 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 work with private hospitals, independent hospitals, hospital operators and hospital groups, from smaller single-site facilities through to organisations running multiple locations. Their needs differ widely depending on structure, services offered, income streams, staffing levels, premises and equipment requirements, so the support is shaped around each hospital rather than applied from a fixed template. If you are unsure whether your organisation fits, get in touch and we can talk through your circumstances.
The core service typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax and VAT support where relevant to your situation. For hospitals, that often means handling staff costs, medical equipment and capital expenditure records, premises and facilities costs, supplier payments and multiple income streams cleanly and consistently. You can take the full package or a focused set of services depending on where your team needs the most support.
Pricing is based on the scope and complexity of your hospital's requirements, so we agree it with you upfront before any work begins. We use fixed, transparent packages with no hidden fees, and the fee reflects factors such as transaction volumes, payroll headcount, the number of income streams and whether you need management reporting or additional tax support. If your needs change over time, we review the arrangement with you rather than letting costs drift quietly.
Yes. Payroll is often one of the largest and most time-consuming elements of hospital accounting, so we handle the processing, records and reporting involved, along with day-to-day bookkeeping to keep your records accurate and up to date. Management accounts give you a clearer view of performance during the year, which is particularly useful when income and costs move at different speeds. Together these give you reliable figures to work from rather than a year-end surprise.
Corporation Tax applies to limited companies, and the amount due depends on profits and the wider tax position, so accurate records throughout the year make a real difference. VAT is more nuanced: the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not simply a case of everything being exempt or everything being taxable. We look at your particular activities rather than applying a blanket assumption, and we would always recommend confirming your position based on your own arrangements.
Medical equipment, premises and staffing commitments can create significant outflows well before the related income arrives, which puts pressure on cash flow. We help by keeping your records and reporting accurate enough to see what is coming, building budgets around realistic income and cost assumptions, and tracking capital expenditure so equipment purchases and maintenance are properly reflected in your accounts. That gives hospital operators a clearer basis for planning purchases, managing supplier payments and making decisions about growth.
Switching is usually more straightforward than people expect. We can talk through your current arrangements, agree what information is needed and work with your existing accountant to ensure a clean handover, so there is no gap in your records or compliance. Once everything is in place, we focus on getting your bookkeeping and reporting running smoothly so you can see the benefit quickly rather than waiting until year end.
It starts with a conversation about your hospital or hospital business, including how it is structured, how it operates and what you need from an accountant. We then review your current accounting and tax position, highlight anything that needs attention, and set out a clear scope and fee so you know exactly what is covered. From there, ongoing support is put in place and your records, reporting and compliance are kept on track.