Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Shoreham
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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 Shoreham 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 work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with a smaller or more specialised footprint. The common thread is that they need accounting and tax support that understands the operational side of running a hospital, not just standard compliance work. If you are unsure whether your organisation fits, it is worth a conversation to talk through your structure and requirements.
Our support can cover annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow, financial reporting and tax assistance, including Corporation Tax where it applies and VAT support where relevant. Because hospital businesses vary so much, the exact mix is agreed around what you need — some organisations want a full finance function outsourced, while others want specific areas handled or reviewed. We are happy to work alongside existing internal finance teams as well.
Pricing is based on the size and complexity of the hospital or hospital business, the services you need and how much support is required on an ongoing basis. We set out fixed, transparent packages so you know what you are paying for, with no hidden fees or surprise charges added later. Before anything is agreed, we take the time to understand your circumstances so the scope and price are realistic from the outset.
Hospital payroll tends to involve a wide range of roles, contract types, shift patterns and pay structures, which is why it benefits from careful handling rather than a one-size-fits-all approach. We can manage payroll processing, payslips, deductions and the reporting obligations that go with employing staff, keeping records consistent and accurate. That also makes it easier to see payroll as a proportion of overall costs when reviewing budgets and cash flow.
Yes, but it is important to be clear that VAT treatment for hospitals is not uniform. Whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it needs to be looked at case by case. We can review your position, help you apply the correct treatment and make sure your records and returns reflect it properly. Corporation Tax and capital allowance questions on medical equipment and premises are also common areas we can assist with.
We do, and for hospitals this is often where accounting support adds the most practical value. Management accounts can bring together income streams, staff costs, medical equipment spend, premises, supplier payments and other operating costs so you can see how the organisation is performing before year end. Clear financial reporting also helps when you are planning investment, budgeting for equipment, or discussing numbers with lenders, investors or other stakeholders.
Before switching, it helps to gather your latest accounts, tax returns, VAT records, payroll information and any ongoing correspondence with your current accountant. We can then review what is in place, identify anything that needs tidying up, and handle the handover so the transition is as smooth as possible. Most hospital businesses find the process less disruptive than they expect, particularly once records and deadlines are clearly mapped out.
Getting started is simple: get in touch and tell us about your hospital or hospital business, what you currently have in place and where you feel support would help most. We will talk through your structure, income streams and the accounting, payroll and tax areas that need attention. From there, we can outline how we would work with you and what the ongoing support would look like.