Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Brighton
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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 Brighton 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
Most hospital clients need a combination of bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow planning and tax support, with Corporation Tax help where it applies and VAT support where it is relevant. We look at your hospital's structure, income streams, staffing, premises, medical equipment and operating costs, then build a package around what you actually need rather than pushing the same list at every business. That might mean taking full responsibility for the day-to-day work, or focusing on specific areas such as payroll and management reporting while you handle bookkeeping internally.
We work with private hospitals, independent hospitals, specialist and day-case hospital operators, and larger hospital groups. Their accounting requirements vary considerably depending on how they are structured, the services they offer, how their income arrives and how their costs are made up, so the starting point is always understanding the specific hospital business in front of us. If you are unsure whether your organisation fits, a short conversation is usually enough to establish whether we can help.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The scope is agreed in advance based on the size and complexity of your hospital business, the volume of transactions, the number of staff on payroll and the level of reporting and tax support you need. There are no hidden fees, and if your requirements change over time, the package can be reviewed to match.
Yes. Payroll is one of the biggest and most sensitive costs in any hospital, and it often involves a mix of full-time, part-time, bank and shift-based staff working variable hours. We can manage payroll processing, payslips, pension contributions and the associated reporting so staff are paid accurately and on time, and so the payroll figures that feed into your management accounts and annual accounts are reliable. We can also help you understand how payroll commitments affect cash flow planning across the year.
Corporation Tax will usually be relevant where a hospital operates through a limited company, and the way profits are calculated depends on how income and costs are treated, including large items such as medical equipment and capital expenditure. VAT is more nuanced than many people assume: the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not simply a case of everything being exempt or everything being taxable. Because VAT positions can differ between hospitals depending on what they do and how they are set up, it is worth reviewing your arrangements properly rather than relying on assumptions.
Yes. Medical equipment and larger capital projects are significant outlays for hospitals, and they need to be recorded and treated correctly in both your accounts and your tax position. We can help you track capital expenditure, understand how it affects your financial reporting and cash flow, and plan around the timing of major purchases so they do not put unnecessary strain on the business. This is particularly useful when several projects or equipment purchases overlap in the same period.
Switching is usually more straightforward than people expect, even for a busy hospital business. We can liaise with your existing accountant to obtain the information we need, and we handle the handover process so you are not left chasing records or dealing with the admin. Once everything is in place, we confirm the agreed scope and deadlines so you know exactly what happens next and when.
Get in touch and tell us about your hospital or hospital business, including how it is structured, the services you provide and the accounting and tax support you are looking for. We will then talk through your current arrangements, flag anything that needs attention and set out a clear scope of work. From there, ongoing support can begin, with clear points of contact and agreed reporting deadlines so nothing slips.