Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Sandwich
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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 Sandwich 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.
Practical 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
Accountants for Hospitals look after the financial side of a hospital business — the parts that are easy to let slip when you are focused on running services. In practice that usually means maintaining accurate bookkeeping records, preparing annual accounts, producing management accounts, running payroll for clinical and non-clinical staff, and helping with budgeting and cash flow. Depending on how the hospital is structured, it can also include Corporation Tax support, VAT guidance and financial reporting for owners, directors or lenders.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running day-case units, diagnostic facilities, treatment centres and similar services. Their accounting requirements can differ a great deal depending on their legal structure, the services they provide, how many staff they employ, what premises and equipment they hold and how their income is generated, so the work is always shaped around the individual organisation rather than a standard package.
We use fixed, transparent packages based on the work a hospital actually needs, so you know where you stand rather than receiving an open-ended hourly bill. What you pay depends on factors such as the number of staff on payroll, the volume of transactions, the complexity of the income streams and whether you need management accounts, tax support or VAT guidance. We discuss scope and fees clearly before any work begins, with no hidden extras added on later.
It is always worth checking that any accountant you appoint is a member of a recognised UK professional body and that the firm operates to proper compliance and anti-money laundering standards. You should also ask who will be handling your work, what information they need from you and how they will keep you informed about filing deadlines and tax obligations. Being clear on these points from the outset helps you judge whether an accountant is genuinely equipped to support a hospital business.
Yes. Payroll is often one of the biggest administrative tasks in a hospital, particularly where staff work varied shifts, rotas or hourly patterns across several departments. We can manage the payroll process, calculate deductions, handle statutory payments, issue payslips and prepare the necessary reporting, so the numbers flowing into your accounts are accurate and consistent. This also makes it far easier to see exactly where staff costs sit within your overall budget.
Corporation Tax applies to limited companies, so whether it is relevant depends on how the hospital business is structured. VAT is more nuanced: treatment depends on the nature of each 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 review the individual position and explain where VAT is likely to apply, where it may not, and what records should be kept.
Medical equipment and other significant purchases usually need to be treated differently from everyday running costs, which affects both your accounts and your tax position. We help you record capital expenditure correctly, understand how it flows through your accounts and plan for the cash flow impact of buying or replacing equipment. That way, large purchases do not come as a shock to the rest of the business.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, what you need help with and what is currently in place, then review your existing accounting and tax position. If you are moving from another accountant, we can handle the practical side of the transition — obtaining the relevant information and picking up the records — so the changeover does not disrupt your reporting or your filing deadlines.