Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in East Grinstead
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.
Key Accounting Challenges Hospitals Face
Why Hospitals Choose CruseBurke for Accounting Support
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 typically covers the core accounting and tax work a hospital or hospital business needs, including bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow planning and support with Corporation Tax and VAT where those apply. We can take on the full finance function or focus on specific areas where you need extra capacity, depending on how your organisation is set up and what your internal team already handles.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital-based businesses that provide services within a hospital setting. Requirements differ widely depending on structure, size, the treatments and services offered, staffing models and how income is generated, so we take the time to understand your setup before recommending an approach. We do not provide specialist accounting services for NHS Trusts, NHS Foundation Trusts or other public-sector organisations.
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 scope of the work, the volume of transactions, payroll headcount, reporting requirements and how complex your income streams and cost structure are. There are no hidden fees, and if your needs change we will discuss what that means before any work is carried out.
You should look for an accountant regulated by a recognised UK professional body, with proper professional indemnity cover and a clear understanding of the compliance obligations that apply to your organisation. It also helps to work with someone who understands hospital-specific cost and income patterns rather than applying a one-size-fits-all approach. Ask directly about how they handle confidentiality, data protection and the records they will need from you.
Hospital income can come from a range of sources, including treatment fees, contracts, diagnostics and other service arrangements, and each may need to be recorded and reported differently. On the cost side, payroll for clinical and support staff, medical equipment, premises, consumables, supplier payments and professional services all need accurate treatment and sensible allocation. Getting this right gives you management accounts that genuinely reflect performance and support better decisions.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so there is no single answer that fits every hospital or every service line. Some supplies may be exempt while others are standard-rated, and mixed income streams can make this more complex. We review your position in detail and help you apply the correct treatment and keep appropriate records.
Yes, where Corporation Tax applies to your organisation we can prepare and submit returns and help you plan ahead for liabilities. This often ties in with capital expenditure, particularly where medical equipment, facilities improvements or premises costs are involved, as the timing and treatment of these items can affect your tax position. Forward planning helps avoid unwelcome surprises and keeps cash flow under control.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, your current accounting arrangements and what you need from us. If you are switching, we can liaise with your existing accountant to obtain the records and information required, then confirm the scope of work and how we will support you going forward. You do not need to have everything perfectly organised before you speak to us.