Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Etchingham
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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 Etchingham 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
As Accountants for Hospitals in Etchingham, we handle the accounting and tax work that hospital businesses typically need, including bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting. Where relevant to your circumstances, we also support Corporation Tax compliance and VAT, and we help make sure the figures reflect hospital-specific costs such as staff, medical equipment, premises, suppliers and professional services. Most hospitals want both accurate compliance work and reporting they can use to make decisions, so we aim to deliver both.
Our support is built for hospitals and hospital organisations, including private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses running day-case units, diagnostic facilities or similar services. The right approach depends on your structure, the number of sites you operate, how your income streams are made up and where your main costs sit. We do not assume that every hospital has the same accounting or tax position, because they genuinely do not.
We use fixed, transparent packages so you know what you are paying for and there are no hidden fees. The scope depends on factors such as the size and structure of the hospital or hospital group, the number of sites, the size and complexity of the workforce for payroll purposes, the number of income streams, and whether you need annual accounts, management accounts, bookkeeping, tax support or a combination. We agree the scope with you before work begins so the arrangement is clear from the outset.
Yes. Payroll in a hospital setting is rarely straightforward, with a mix of full-time and part-time staff, varied shift and rota patterns, different pay rates and, in many cases, agency or temporary workers alongside permanent employees. We handle payroll processing, PAYE, pension contributions and the reporting that goes with it, so staff are paid accurately and on time and your obligations are met. Clean payroll records also feed into your management accounts and cost reporting, which helps you see where staffing costs are heading.
VAT for hospitals is not a single answer. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some supplies may be exempt while others are standard-rated or fall under different rules entirely. We review the way your hospital operates, what it charges for and how those charges are structured, then help you apply the right treatment and keep the records to support it. Where a hospital has a mix of activities, getting this right matters for both compliance and cash flow.
Hospitals often face large, lumpy outgoings such as medical equipment purchases, facility upgrades and capital expenditure, while income can arrive on quite different timescales depending on how treatment is funded and paid for. We help by building management accounts and cash flow forecasts that show what is coming in, what is going out and where pressure points are likely to appear. That gives you a clearer basis for planning equipment investment, managing supplier payments and budgeting for premises and staffing costs.
It is usually more straightforward than people expect, even for a hospital with a fairly complex set of records. We review your existing accounting records, identify anything that needs tidying up, and coordinate the handover with your current accountant so the transition is orderly and your compliance deadlines are not affected. Once everything is in place, we set up an ongoing service that fits your hospital's reporting and payroll cycle.
Getting started begins with a conversation about your hospital or hospital business, what you need help with and what your current accounting and tax position looks like. From there we can set out how we would support you, which services are relevant and how the arrangement would work in practice. There is no obligation at that stage, and it gives you a clear basis for deciding whether we are the right fit for your hospital.