Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Crowborough
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Crowborough 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 covers the core areas most hospitals and hospital businesses need handled properly. That typically means bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, financial reporting, budgeting and cash flow planning, along with Corporation Tax and VAT support where those apply to your organisation. Because hospital finances involve staff costs, medical equipment, premises, professional services, supplier payments and several different income streams, we look at how each of these affects your records and reporting rather than treating your accounts as a simple set of totals.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital organisations, each of which tends to have its own structure, ownership model and reporting requirements. A single-site independent hospital will usually have very different accounting needs from a group operating across several locations. We take the time to understand your structure, activities and income streams first, so the support we provide fits your hospital rather than a generic healthcare template.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The right package depends on factors such as the size and structure of your hospital, the number of staff on payroll, transaction volumes, whether you are VAT registered, and how much reporting and advisory support you need. We discuss your requirements first and set out the scope clearly before any work begins.
Yes. Hospital payroll often involves a mix of salaried staff, shift patterns, overtime, bank or locum arrangements and several departments, which makes accurate processing and record keeping important. We can handle payslips, PAYE and Real Time Information submissions, pension contributions and the associated reporting, so your payroll runs smoothly and your records stay consistent with your accounts. If your staffing arrangements are complex, we will talk through how they are structured before agreeing the approach.
VAT for hospitals is not a simple yes-or-no question. Treatment depends on the nature of the supplies being made, the activities involved and the status of the organisation, so some supplies may be exempt, some taxable and others outside the scope of VAT altogether. Private and independent hospitals can also be affected differently from other providers, and mixed income streams often require a closer look at how each element should be treated. We review your circumstances before advising, rather than applying a blanket rule.
Hospitals face heavy fixed commitments such as payroll, premises and facilities, alongside large one-off items like medical equipment and capital expenditure, so cash flow can be tight even when income looks healthy. We help by maintaining accurate management accounts, preparing budgets and forecasts, and giving you a clearer view of when money is coming in and going out. That visibility makes it easier to plan equipment purchases, manage supplier payments and prepare for quieter trading periods.
It depends on how the hospital business is structured. Companies are generally liable to Corporation Tax on their taxable profits, while other structures are taxed differently, and the position can be affected by capital allowances on medical equipment, premises costs and how income and expenditure are treated. We review your structure and activities to make sure your position is understood and any filing obligations are met on time.
Getting started usually begins with a conversation about your hospital, how it is structured, what accounting and payroll work you currently have in place and where you feel least confident. From there we will review your existing records and requirements, then explain how we would support you and what that involves. If you decide to move across, we can coordinate the handover with your current accountant and make sure your records, deadlines and compliance stay on track throughout the switch.