Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Sheerness
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
Hospitals and Hospital Organisations We Support in Sheerness
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 Sheerness 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 scope depends on the hospital and what it needs, but it typically covers bookkeeping and record keeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, financial reporting, budgeting and cash flow forecasting, and tax support including Corporation Tax and VAT where these apply. We can also help with supplier and contract records, tracking of income from different streams such as private patient fees and insurer arrangements, and reporting that supports conversations with lenders, insurers or investors. We agree the scope with you up front so it is clear what is covered.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with a smaller number of sites or departments. Their accounting needs vary widely depending on structure, the services provided, staffing models, premises, equipment and how income is generated. If you are unsure whether your organisation fits, it is worth a conversation — we can explain how our experience applies to your circumstances.
We use fixed, transparent packages wherever possible, so you know what you are paying for and when, with no hidden fees or unexpected invoices for routine work. The fee reflects the size and complexity of the hospital business, the level of bookkeeping and payroll involved, the number of income streams, how many sites or departments are in scope, and the type of reporting you need. After an initial conversation about your requirements, we set out what is included and provide a clear picture of the cost before any work begins.
Our work follows UK accounting and tax standards, and we keep up to date with HMRC guidance and reporting requirements as they change. Hospital financial information is sensitive, so we treat records, payroll data and commercial details confidentially and only use them for the purposes of the engagement. Where specialist input is needed, we will tell you clearly rather than working outside our remit. If there are particular reporting or governance expectations attached to your organisation, we can factor those into how the work is carried out.
Yes. Payroll is often the largest cost in a hospital, spanning clinical roles, nursing and support staff, administrative teams and contracted personnel, with varying hours, shift patterns and rates. We can manage payroll processing and record keeping, help you understand the true cost of your workforce, and provide the figures you need for budgeting and forecasting. That includes making sure PAYE and related obligations are handled correctly and that payroll information feeds properly into your management accounts.
VAT treatment for hospitals is not straightforward and depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt, some may be taxable, and some may fall outside the scope, and the position can differ between organisations and between activities within the same organisation. We can review how VAT applies to what you actually do, help you keep accurate records, and support you with VAT returns and any questions that arise, rather than assuming a single answer fits all hospitals.
Medical equipment and other capital projects can place significant demands on cash, particularly when purchases are planned alongside day-to-day running costs, premises costs and supplier payments. We can help you build capital expenditure plans into your budgets, map out cash flow over the months ahead, and understand how different funding or payment arrangements affect your position. We can also make sure equipment costs are recorded and treated appropriately in your accounts and tax reporting.
Getting started usually begins with a conversation about your hospital, how it is structured, what accounting and tax work is currently in place and where you feel the gaps are. If you are moving from another accountant, we can liaise with them to obtain the records and information needed to take over, and we will let you know what we need from you and when. There is no obligation to proceed after the initial discussion, and you will have a clear understanding of the proposed scope and fees before you decide.