Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in West Malling
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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 West Malling 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
It covers the core financial work most hospitals and hospital businesses need: bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Depending on your structure and activities, we can also help with Corporation Tax where it applies, general tax support and VAT matters where relevant. The mix is shaped around your hospital rather than fixed in advance, because a specialist treatment centre and a multi-site hospital group rarely need exactly the same thing.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller hospital businesses such as day-case centres and specialist clinics. If your organisation provides hospital-based treatment and needs support with its accounts, payroll, tax position or financial reporting, the service is likely to be a good fit. The common thread is hospital operations — the staff, equipment, premises, suppliers and income streams that sit behind the numbers.
We work on fixed, transparent packages based on the scope of what you actually need, so you know what you are paying for before work begins. The fee reflects factors such as the number of entities, the volume of transactions, payroll headcount, reporting requirements and whether VAT or Corporation Tax support is involved. There are no hidden fees, and if your requirements change — for example after expansion or new equipment investment — we review the arrangement with you rather than letting it drift.
We provide professional accounting and tax services through qualified accountants who work within the relevant UK professional and regulatory framework. Rather than making sweeping claims, we are happy to talk through who would look after your hospital's affairs, what they are qualified to do and where a specialist referral may be appropriate. If you have specific compliance requirements, such as lender or investor reporting expectations, we can discuss how those fit with the service.
Corporation Tax applies to many hospital businesses depending on how they are structured, and capital expenditure on medical equipment and facilities can raise questions around relief and timing. VAT is often the more nuanced area: the treatment of a supply depends on its nature, the activities involved, the organisation's status and the specific circumstances, so it is not a case of all hospital services being exempt or all being taxable. NHS and private hospitals do not automatically receive identical accounting or tax treatment, which is why we look at your circumstances individually.
Yes. Payroll is usually one of the largest and most complex cost areas for a hospital, covering clinical staff, nursing teams, administrative and facilities employees, along with pension contributions and variable shift or overtime patterns. We can run payroll, handle the associated reporting obligations and make sure staff costs feed cleanly into your management accounts so you can see how they compare against income and budget.
We build budgets and cash flow forecasts that reflect how a hospital's money actually moves — income arriving on different schedules, payroll going out regularly, and supplier and professional fee payments falling at various points. Where significant equipment purchases, upgrades or facility works are planned, we can model the impact in advance so decisions are made with a clear view of affordability rather than in hindsight. Management accounts then let you track actual performance against those plans.
Switching is generally more straightforward than people expect. We ask for some basic information about your hospital or hospital group, liaise with your existing accountant to obtain the records and history we need, and agree a clear start point so nothing is missed in between. You keep working as normal while the transition happens, and we will confirm what is required from you at each stage.