Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Pulborough
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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 Pulborough 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
Most hospital clients come to us for a combination of annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow support, along with financial reporting and tax guidance. Corporation Tax support is provided where it applies, and VAT guidance is available where relevant to the supplies and activities involved. Because hospitals differ so much in structure and activity, we agree the scope with you up front rather than applying a fixed template to every business.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with related activities and income streams. Whether you are a single-site operator or part of a larger group structure, the accounting needs tend to centre on staffing costs, premises, medical equipment, suppliers and consistent financial reporting. If your organisation has an unusual structure or a mix of activities, we will look at how that affects the accounting and tax position.
We use fixed, transparent packages based on the level of work involved, so you know what you are paying for and there are no hidden fees. The fee reflects factors such as the number of sites, how many staff are on payroll, transaction volumes, reporting requirements and whether VAT or Corporation Tax support is needed. We will talk through your circumstances and confirm the arrangement before any work begins.
Yes — we work within UK accounting and tax rules and keep up to date with HMRC guidance and reporting requirements, so your records, submissions and filings are handled properly. If you need details of specific professional memberships or regulatory registrations for your own due diligence, our team can confirm these directly. We are always happy to answer compliance questions clearly and in writing.
Hospitals typically need to manage significant staff costs, capital expenditure on medical equipment, premises and facilities costs, supplier payments and several different income streams at once. Corporation Tax treatment depends on how the organisation is structured and what it does, and VAT can be particularly nuanced — treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. There is no single blanket rule, so it is worth reviewing your position rather than assuming.
VAT treatment for hospitals varies. It depends on the nature of each supply, the activities involved, the status of the organisation and the specific circumstances, so we look at what you actually provide rather than applying a general assumption. Some supplies and activities are treated differently from others, and mixed income streams can complicate things further. We review your position and help you apply the treatment that fits your situation.
Yes. Large equipment purchases and other capital expenditure can put real pressure on cash flow, particularly when payments and income arrive at different times. We can help with budgeting, forecasting and management accounts that show how major outlays affect your position, so equipment investment decisions are made with a clear view of the numbers. We also look at how these costs should be reflected in your accounts.
Getting started is straightforward — we begin with a conversation about your hospital or hospital business and how it is structured, then review your current accounting and tax position. If you are moving from another accountant, we can handle the practical side of the transition and request what we need on your behalf. There is no requirement to change how you operate; we simply take over the financial work and keep you informed throughout.