Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Portsmouth
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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 Portsmouth 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
They handle the accounting and tax work that sits behind a hospital business — bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow forecasting, Corporation Tax where it applies, and VAT support where it is relevant. For hospitals, that also means accounting for staff costs, medical equipment, premises, suppliers, professional services and multiple income streams in a way that gives owners and directors a clear picture of performance rather than just a set of historical figures.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with the related trading, property or service entities that often sit alongside them. Each of these can have a different structure, different income streams and a different cost base, so the support is shaped around the individual organisation rather than applied as a fixed package. If your hospital business has a mix of activities, we look at how those activities are organised before recommending an approach.
The core work usually covers bookkeeping and record keeping, payroll for hospital staff, annual accounts, management accounts, financial reporting, budgeting and cash flow forecasting, Corporation Tax support where applicable, and VAT support where relevant. We can also help with the practical side of accounting for medical equipment, capital expenditure, premises costs and supplier arrangements. The exact mix depends on what your hospital needs and how much of the work you already handle in-house.
Pricing is based on the scope of work rather than a single flat figure, because a small independent hospital has a very different set of requirements from a larger hospital group with multiple sites and income streams. We set out fixed, transparent packages with no hidden fees, and we agree the scope up front so you know what is covered. If your requirements change — for example, if you add services, sites or staff — we review the arrangement with you rather than leaving it to drift.
Yes. Payroll is often one of the largest and most time-consuming areas for a hospital, given the number of staff, the range of roles, and the variety of shift and rota arrangements involved. We can manage payroll processing, payslips, statutory deductions and the reporting that goes with it, while making sure the associated staff costs are properly reflected in your management accounts. That combination helps you see the true cost of running your hospital and plan for it.
Both need to be looked at on their own facts. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — some hospital-related services may be exempt, while others, such as certain non-medical, retail, catering or property-related supplies, may be treated differently, so blanket assumptions are risky. Corporation Tax, where it applies, depends on how the hospital business is structured and what it earns. We review your income streams and activities to establish the correct position and keep it under review as things change.
Yes. Medical equipment and other capital items often represent significant outlays for hospitals, and how they are recorded, funded and written down affects your accounts and your tax position. We help you keep track of capital expenditure, reflect it accurately in your financial reporting, and understand the cash flow impact of planned purchases. That makes it easier to plan investment in equipment alongside day-to-day running costs.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business — its structure, income streams, staffing, current accounting arrangements and any recurring frustrations. From there we review your accounting and tax requirements, agree the scope of support, and put the working arrangements in place. If you are switching from another accountant, we can handle the practical steps involved in the transition so the changeover is as smooth as possible.