Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Heathfield
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 for Hospitals
Why Hospitals in Heathfield 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 typically covers the core areas a hospital or hospital business needs to keep its finances in order: day-to-day bookkeeping, payroll for staff and clinicians, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax where applicable and VAT support where relevant. Because hospitals have unusual cost profiles — staff costs, medical equipment, premises, facilities, suppliers and professional services — we build the service around those areas rather than treating your business like a standard company. You can take the full package or focus on the parts where you need the most support.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them. Their accounting needs differ depending on structure, activities, income streams, staffing levels, premises, equipment and operating costs. A single-site independent hospital will often have a different set of priorities from a larger hospital group running multiple locations, so we shape the support around the organisation rather than applying a fixed template.
Pricing is based on the scope and complexity of your hospital's requirements — the volume of transactions, the number of staff on payroll, the number of income streams, how much reporting you need and whether VAT or Corporation Tax support is involved. We work on fixed, transparent packages so you know what you are paying for in advance, with no hidden fees and no surprise invoices. Once we understand your hospital's setup, we can set out a clear scope and a corresponding fee.
Yes. The accounting work we carry out is delivered by qualified accounting professionals and is completed in line with UK accounting standards and HMRC requirements. That includes keeping proper records, meeting filing and payment deadlines, and making sure the figures we produce are accurate and defensible. If your hospital business needs information for lenders, investors or internal decision-making, we can provide financial reporting that stands up to scrutiny.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so two hospital businesses can be treated quite differently. Some supplies may be exempt while others are standard-rated or outside the scope entirely, and activities such as retail, catering, parking, equipment sales or consultancy can bring their own considerations. We review what your hospital actually does and advise on the treatment that applies to you, along with registration, record-keeping and return obligations.
Payroll is one of the largest and most complicated cost areas for any hospital. We handle payroll processing, PAYE and National Insurance, pension contributions, statutory payments and the reporting that goes with them, so staff are paid accurately and on time. We can also help you understand your total staffing costs in a way that feeds into budgeting and management accounts, which matters when rota patterns, shift work and varying staff numbers make those costs hard to predict.
Medical equipment, maintenance, facilities work and other capital expenditure can tie up significant sums long before they generate returns, and that can squeeze cash flow even when the hospital is performing well. We help by keeping management accounts current, producing forecasts that reflect your real income and cost patterns, and flagging periods where cash may be tight. That gives you time to plan purchases, negotiate supplier terms or arrange finance rather than reacting at short notice. We can also help with budgeting so equipment plans sit within a realistic financial framework.
Switching is usually simpler than people expect. We ask for a short overview of your hospital or hospital business and your current accounting arrangements, then we handle the handover with your existing accountant, including requesting the records and information we need. You do not need to wait for a particular date in the year to move. Once everything is in place, we confirm the scope of work, the services you need and how we will support you going forward.