Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Buxted
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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 Buxted 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
Our work typically covers the day-to-day and annual essentials: bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, financial reporting and support with Corporation Tax where it applies, along with VAT support where relevant. We can also help with budgeting, cash flow forecasting and keeping track of larger costs such as medical equipment, premises and supplier commitments. Because hospitals differ so much in size and structure, we agree the scope with you rather than assuming a fixed package.
We focus on private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses such as day-case facilities and specialist treatment centres. If your organisation holds patients, employs staff and manages premises, equipment and suppliers, the accounting and tax demands are usually quite different from a standard trading company, and that is where our focus sits. The right starting point is a conversation about your structure, activities and income streams so we can confirm how we would help.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the size and complexity of your hospital business — the number of staff on payroll, the volume of transactions, the number of income streams and whether you need annual accounts, management accounts, VAT support or a combination. There are no hidden extras, and we will always explain what sits inside the scope before anything begins.
We work within recognised UK accounting and tax standards, and we will be upfront with you about the professional body memberships and qualifications relevant to your engagement. Where your hospital needs accounts prepared for lenders, investors, regulators or HMRC, we make sure the information is prepared on the correct basis and supported properly. If you have specific compliance requirements, tell us at the start and we will confirm how we can meet them.
VAT for hospitals is not a case of everything being exempt or everything being taxable — it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some clinical and related activities may fall outside the scope or be exempt, while certain non-clinical supplies, retail sales or other commercial activities can be taxable. We look at your actual activities and income streams and help you apply the treatment that fits, rather than working from assumptions.
Yes. Hospitals often earn from several directions at once — private patient fees, insurer settlements, procedures, diagnostics or other services — and each needs to be recorded and reported clearly so you can see what is performing. On the cost side, medical equipment and capital expenditure often involve significant sums and long-term decisions, so we help you record, plan and budget for them properly and understand how they affect your cash flow and your accounts.
Cash flow is one of the biggest pressures in a hospital business, because payroll, equipment, premises and supplier payments tend to fall on predictable dates while income can arrive on very different timescales. We help you build a realistic picture of money coming in and going out, so you can plan staffing, equipment purchases and supplier arrangements with more confidence. Management accounts and regular reporting keep that picture current rather than historical.
It starts with a conversation about your hospital, how it is structured and what you need from an accountant. If you would like to move across, we will contact your current accountant for the relevant records and information on your behalf, and we will agree a clear handover so nothing is missed along the way. Once everything is in place, we set out what you will receive, when you will receive it, and who to speak to when questions come up.