Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Gatwick
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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 Gatwick 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 generally covers the core financial work a hospital business needs, including bookkeeping, payroll, annual accounts, management accounts and financial reporting. Depending on your circumstances, it may also include budgeting, cash flow planning, and support with Corporation Tax and VAT. For a hospital, that work often has to reflect staff costs, medical equipment, premises, supplier payments and several different income streams, so the support is shaped around those realities rather than a standard package.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide related services. Their accounting needs differ depending on how they are structured, the activities they carry out, how they generate income, the size of their workforce and the premises and equipment they rely on. Because of that, we look at each hospital organisation individually and build the support around what it actually requires.
Pricing is based on the scope and complexity of the work your hospital needs, so it reflects factors such as turnover, staffing, payroll volume, the number of income streams and the level of reporting required. We use fixed, transparent packages wherever possible so you know what you are paying for, with no hidden fees and no surprise invoices. Once we understand your hospital's requirements, we can set out a clear scope and a corresponding price.
Accountants providing services to hospital businesses should be properly qualified and regulated, and should work within the relevant professional and compliance requirements. You should always check the credentials, regulatory body and professional standing of any accountant before appointing them, including how they handle confidentiality and client money. We are happy to talk through our professional position and the standards we work to when you get in touch.
Corporation Tax applies to companies and depends on the hospital's structure, profits and allowable expenses, while VAT treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances. This means VAT cannot be assumed to work the same way for every hospital or every service, and it is worth reviewing properly rather than applying a blanket assumption. We look at your particular position and explain how the rules apply to you.
Yes. Hospitals frequently carry significant fixed costs alongside large one-off investments in medical equipment and facilities, and those can put pressure on cash flow if they are not planned for. We can help you build budgets, forecast cash flow and understand how capital expenditure affects your financial position, so decisions about equipment, premises and staffing are made with a clear picture of the numbers. That planning often makes day-to-day management considerably easier.
Hospitals often generate income in several different ways, and each stream may need to be recorded, reported and treated separately for accounting and tax purposes. We make sure income is captured accurately, allocated correctly and reflected properly in your management accounts and financial reporting, so you can see which areas of the hospital are performing and which need attention. Clear records also make compliance work smoother at year end.
Getting started is usually straightforward. We begin by understanding your hospital or hospital business, then review your current accounting and tax arrangements to identify what support you need. If you are switching from another accountant, we can liaise with them and manage the handover of records so the transition is as smooth as possible, and we will confirm the scope and pricing before any work begins.