Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Crawley
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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 Crawley 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
The work typically covers bookkeeping and record-keeping, payroll for clinical and non-clinical staff, annual accounts preparation, management accounts and financial reporting, budgeting and cash flow forecasting, and tax support. Where it applies, we also help with Corporation Tax and VAT compliance. Because hospitals have distinctive cost structures, we make sure these services are framed around your staff costs, medical equipment, premises, suppliers and income streams rather than treated as a standard package.
We support private hospitals, independent hospitals, hospital operators and hospital groups, from single-site operations to businesses running several locations under one structure. The accounting work changes depending on whether you are a limited company, a partnership or another structure, and on how many sites and service lines you run, so we begin by understanding your setup before recommending how the support should look.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before the work begins. The fee reflects the size and complexity of your hospital business, the volume of transactions, the number of staff on payroll, whether you operate multiple sites and the level of reporting and tax support you need. There are no hidden fees, and if your requirements change we will discuss any adjustment with you in advance.
VAT in a hospital setting is rarely a simple yes-or-no question. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams within the same hospital can be treated differently. We review your activities individually, look at what is genuinely relevant to your supplies and contracts, and help you keep your VAT position properly documented. We do not apply blanket assumptions, and we do not assume that every hospital has the same treatment.
Yes. Hospital payroll often involves a mix of contracted hours, overtime, shift enhancements, bank or agency arrangements and a range of pension and statutory obligations, which makes accuracy and timing important. We manage payroll processing, calculate the relevant deductions, handle the reporting obligations that come with it and keep clear records so staff queries and year-end reporting are easier to deal with.
Hospitals often face a timing mismatch between when costs are incurred and when income is received, particularly where there are multiple income streams or large equipment and premises costs to plan for. We help by producing regular management accounts that flag problems early, building budgets and forecasts around your actual cost base, and monitoring cash flow so you can plan capital expenditure and supplier payments with more confidence.
It is worth confirming what is included in the service, how the fee is structured, who will actually handle your work and how they will communicate with you, and how they deal with sector-specific issues such as VAT treatment, equipment costs and multi-site reporting. Ask about their process for taking over an existing set of records and about the compliance work they carry out. We are happy to answer all of this clearly before you commit to anything.
The process is simple. We begin with a conversation about your hospital or hospital business and what you need, then review your current accounting and tax position. From there, we can deal with the handover from your existing accountant, set up the right ongoing support and agree a reporting rhythm that suits how you operate. You do not need to have everything perfectly organised before you speak to us.