Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Storrington
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Storrington 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
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses of different sizes and structures. Some are established organisations with complex cost bases and multiple income streams, while others are newer operations still putting their financial systems in place. Because hospital structures and activities vary so much, the starting point is always a proper conversation about how your organisation is set up and what you need from your accounts.
It typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax support where it applies and VAT support where relevant. We also help with the practical side of hospital finances — tracking staff costs, equipment spend, premises and facilities expenses, supplier payments and the different income streams a hospital may have. The mix is agreed with you so the support matches what your hospital actually needs rather than being an off-the-shelf package.
We work on fixed, transparent packages, so you know what you are paying for before work begins. The fee depends on factors such as the size and structure of your hospital business, the volume of transactions, the number of staff on payroll, how many income streams you have and the level of reporting you want. There are no hidden fees and no surprise invoices — if your requirements change, we discuss that with you and adjust accordingly.
Yes. We are a UK accounting practice, and the work we carry out is done to the standards you would expect from a professional firm, including confidentiality and proper handling of your financial information. Where a service requires specific compliance or regulatory oversight — for example in relation to audit or particular tax filings — we will be upfront with you about what is involved, what we can handle directly and what may need to be arranged elsewhere.
It depends entirely on your circumstances. VAT treatment of hospital-related supplies can vary depending on the nature of the supply, the activities involved, the organisation's status and the specific facts, so it is not something that can be answered with a blanket rule. Corporation Tax also applies differently depending on how the hospital business is structured and whether it is trading through a company. We review your position, explain what applies to you and make sure your filings and records reflect it correctly.
Yes. Payroll is often one of the largest and most time-consuming elements of hospital accounting, particularly where you employ a mix of clinical, administrative, facilities and support staff on different contracts and shift patterns. We can manage the payroll process, handle the associated reporting obligations and make sure wages, deductions and contributions are recorded accurately, so staff are paid correctly and your records stay clean for year-end purposes.
Absolutely. Equipment purchases and capital projects are significant commitments for any hospital, and how they are recorded and funded has a real impact on your accounts and your cash position. We can help you plan for and account for capital expenditure, build a realistic picture of your cash flow, and use management accounts and budgeting to see how major spending decisions affect the wider financial health of the organisation.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve. If you are moving from another accountant, we can liaise with them and handle the handover, including obtaining the information needed to take over your records. From there, we agree the scope of support, put the right processes in place and get on with the work.