Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Rochester
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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 Rochester 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 core package usually covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow planning, and tax and VAT support where relevant. For hospital businesses, that also means keeping track of staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments, professional services and the different income streams flowing through the organisation. We build the scope around what your hospital actually needs rather than selling a one-size-fits-all bundle, and we can scale support up or down as your requirements change.
We support private hospitals, independent hospitals, hospital operators running single or multiple sites, and hospital groups with more than one entity or trading activity. Each of these can have quite different accounting and reporting needs depending on how they are structured, who owns them, how they are funded and what services they provide. If you are unsure whether your organisation fits, it is worth a conversation — we will tell you honestly whether the support we offer is a good match for your circumstances.
Yes. Payroll is often the single biggest cost for a hospital, covering clinical and non-clinical staff across varied roles, contracts and shift patterns, so accuracy matters. We handle day-to-day bookkeeping alongside payroll processing, which keeps your records consistent and makes it far easier to produce reliable management accounts and year-end figures. Where payroll is complex or high-volume, we will discuss the detail of your workforce arrangements upfront so the support is set up correctly from the start.
Pricing is built around a fixed, transparent package rather than an open-ended hourly arrangement, so you know what you are committing to before work begins. The fee reflects the size and complexity of your operation — for example the volume of payroll, the number of entities, the range of income streams and the level of reporting you need. There are no hidden extras, and if your requirements change during the year we will talk it through with you first rather than simply adjusting an invoice.
Accounting and tax work is carried out to professional standards, with filings prepared in line with UK accounting requirements and submitted to HMRC and Companies House as applicable. Before you engage us, we are happy to confirm exactly which qualifications and professional body memberships apply to the people handling your work, along with our processes for keeping your information secure and confidential. If you have specific compliance questions — for example around audit requirements or regulatory reporting for your structure — we will address those directly rather than gloss over them.
VAT treatment for hospitals is not a simple yes or no. Whether a supply is exempt, taxable, zero-rated or outside the scope depends on the nature of the supply itself, the activities involved, the status of the organisation and the specific circumstances — and different income streams within the same hospital can be treated differently. On the Corporation Tax side, we look at how the business is structured, what is deductible, and how capital expenditure on medical equipment and similar assets should be treated, so returns are accurate and any available reliefs are properly considered.
Yes, and this is often where hospitals feel the pressure most. Large items such as medical equipment, fit-outs and premises work can land as significant one-off costs, while payroll, suppliers and facilities costs run continuously in the background. We help by building management accounts and cash flow forecasts that show what is coming, planning budgets around both regular and irregular spending, and flagging where timing could create a squeeze. That gives owners and directors a clearer basis for deciding when to invest and how to fund it.
Getting started usually begins with a conversation about your hospital, your current accounting arrangements and what you want to improve. If you are moving from another accountant, we can handle the transition — requesting the necessary information, checking your records and making sure deadlines are not missed along the way. Once we understand your structure, activities and reporting needs, we will set out the scope and pricing clearly so you can decide with everything in front of you. There is no obligation to proceed until you are comfortable.