Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Steyning
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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 Steyning 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
Most hospital clients need a combination of bookkeeping, payroll, annual accounts, management accounts, cash flow forecasting, budgeting and financial reporting, together with Corporation Tax support where it applies and VAT support where it is relevant. We also help with the practical side of hospital finance, such as tracking staff costs, medical equipment and capital expenditure, premises and facilities overheads, supplier payments and the different income streams the business generates. The exact mix depends on your structure, size and internal finance setup, so we agree the scope with you rather than applying a fixed template.
It is designed for hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups, along with the trading, property or service entities that support them. If you run a hospital with employees, premises, equipment and multiple income streams, the accounting requirements are quite different from a standard company, and that is the context we work in. We do not treat hospital finance as simply another generic business sector.
Pricing is based on the work involved rather than a single headline figure, because a hospital with substantial payroll, equipment purchases and several income streams needs more support than a smaller operation. We provide fixed, transparent packages with no hidden fees, and the fee is agreed in advance so you know where you stand. If your requirements change as the business grows, we review the arrangement with you rather than letting costs drift quietly.
VAT for hospitals is rarely a simple yes or no. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some income streams and costs may be treated differently from others. We review what you actually do and how you charge for it, then help you apply the right treatment and keep appropriate records. Where a position is genuinely borderline, we explain the options and the reasoning so you can make an informed decision.
Yes. Medical equipment and capital expenditure are significant commitments for most hospitals, and they affect your cash flow, your accounts and potentially your tax position, so they need planning rather than reactive handling. We help you forecast the cash impact of major purchases, understand how assets are treated in your accounts and budget around replacements, upgrades and maintenance. That way, equipment decisions are made with a clear view of the financial consequences.
Multiple income streams are common in hospital businesses, and they can include patient fees, contracted work, ancillary services, rental or property income and other sources depending on how the organisation is set up. Rather than merging everything into one figure, we keep reporting clear enough that you can see what is performing and what is costing more than expected. That also makes VAT and tax treatment easier to handle, because each stream can be considered on its own merits.
Work is carried out in line with UK accounting standards and HMRC requirements, with proper records, deadlines and filing obligations built into the way we manage your account. We are happy to talk through the professional qualifications and memberships of the people who would handle your work during an initial conversation, so you know who you are dealing with. Confidentiality and accuracy are treated as fundamentals, not extras.
Getting started is deliberately straightforward. We begin by understanding your hospital or hospital business, reviewing your current accounting and tax position, and identifying what needs attention, then we agree the ongoing support that fits. If you are moving from another accountant, we can guide you through the handover and explain what information we need from you along the way. From that point, the aim is for your accounting to run quietly in the background while you focus on running the hospital.