Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Chichester
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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 Hospitals Face
Why Hospitals in Chichester 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
The service is built around what your hospital or hospital business actually needs. In most cases that includes bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, and tax support such as Corporation Tax where the hospital trades through a limited company, plus VAT support where it applies. Because hospitals often have complex cost bases, we also help with areas like medical equipment expenditure, premises and facilities costs, supplier payments and reporting across different income streams. You can take the full service or focus on the areas where you need the most support.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital-focused organisations that need accounting and tax support aligned to their sector. Whether you run a single site or manage several, the requirements tend to be shaped by your structure, your activities, your staffing and your income streams. If you are unsure whether your organisation fits, a conversation about how you operate is usually enough to establish whether we are the right fit.
Pricing is based on the scope and complexity of the work rather than a flat rate for everyone, since a hospital group with a large payroll and multiple sites will need more than a smaller independent hospital. We use fixed, transparent packages wherever possible, agreed in advance, so you know what you are paying for and there are no hidden fees or surprise invoices. As your hospital grows or your requirements change, the scope and pricing can be reviewed together.
Yes. Payroll is often one of the biggest and most time-consuming cost areas for a hospital, particularly where you have a mix of full-time staff, part-time staff, bank or agency cover and shift patterns. We can manage the payroll process, including the associated reporting and compliance obligations, so wages are processed accurately and on time and your records stay in order. This also feeds into your management accounts and cash flow planning, giving you a clearer picture of staff costs as they develop.
VAT for hospitals is not a simple yes or no question. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to assume that all hospital services are exempt or that all hospital-related supplies are taxable. In practice, a hospital may have a mix of supplies with different treatments, and things like equipment purchases, premises costs, contractor fees and non-clinical income can raise their own questions. We review your position and help you apply the right treatment and keep the supporting records in order.
If your hospital operates through a limited company, Corporation Tax will normally apply to its taxable profits, and getting the figures right depends on accurate bookkeeping and reporting throughout the year rather than a last-minute scramble before the deadline. Areas such as capital expenditure on medical equipment, premises costs and the timing of income and expenses can all affect the position. We help you keep the records that support your return and plan ahead so there are no unwelcome surprises.
Yes. Large purchases such as medical equipment and other capital expenditure can put real pressure on cash flow, especially when income arrives on a different timescale. We help you record and report these costs properly, plan for significant purchases, and build a clearer view of how money moves in and out of the hospital. That makes it easier to decide when to invest, how to fund it, and what it means for your overall financial position.
Switching is usually far less disruptive than people expect. We start with a conversation about your hospital, how it is structured, and what you need from your accounting support, then review your current position and arrange the handover of information from your existing accountant. From there we agree the scope of work and put the ongoing support in place. If you would like to understand what working with Accountants for Hospitals in Chichester would look like for your organisation, get in touch and we can talk it through.