Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Rustington
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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 Rustington 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
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses such as day-case, diagnostic, surgical, rehabilitation and specialist inpatient providers. The accounting needs of each can differ significantly depending on legal structure, the services offered, how income is generated, how staff are engaged and how the estate and equipment are held. Because of that, we take the time to understand your specific setup before advising on accounts, tax or reporting.
Typically this covers annual accounts preparation, bookkeeping, management accounts, payroll support, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where it applies and VAT guidance where it is relevant. For hospitals, we pay particular attention to the cost areas that dominate the numbers, such as clinical and administrative staff costs, medical equipment, premises and facilities, supplier payments and professional services, alongside the different income streams the hospital generates. The exact scope is agreed with you so it reflects your organisation rather than a fixed package that fits nobody.
We work on fixed, transparent fees that are agreed in advance, so you know what to expect rather than receiving an open-ended bill. The fee depends on factors such as the size and structure of the hospital or hospital group, the number of entities involved, payroll volumes, how complex the income streams are and how much bookkeeping support you need. There are no hidden charges, and if your requirements change over time, the scope and fee are reviewed together.
Yes, payroll is usually one of the most significant areas for hospitals because of the mix of clinical, nursing, administrative and support staff, variable hours, overtime, shift patterns and pension arrangements. We can support the payroll process so payments, deductions and reporting are handled accurately and on time, and so the payroll data connects properly to your management accounts. That matters when staff costs form such a large proportion of overall expenditure.
It varies, and that is the honest answer. VAT treatment depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances, so it is not a case of all hospital services being exempt or all hospital-related supplies being taxable. Corporation Tax will depend on the legal structure and whether taxable profits arise. We review your position individually and advise on what applies to your organisation rather than assuming all hospitals are treated the same.
Yes. Medical equipment and other capital expenditure can be substantial and irregular, which makes planning them around cash flow essential. We can help you think through the financial impact of purchases or upgrades, how they are reflected in your accounts and reporting, and how they interact with budgeting and available funds, so significant spending decisions are made with a clear view of the numbers.
Hospitals often receive income through several different routes with different timings, while payroll, premises, equipment and supplier costs fall due on a more predictable schedule. Management accounts and cash flow forecasting help to show where the pressures sit and when, giving you the information needed to plan ahead rather than react. We build reporting around your income streams so the picture is clear and usable.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, how it is structured and what you need from an accountant, then review your current accounting and tax position. If you are moving from another accountant, we can handle the handover arrangements, including obtaining the information required to take over the engagement, so the transition is managed without disruption to your reporting. From there, we put ongoing support in place and adjust it as your needs develop.