Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bexhill-on-sea
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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 Bexhill-on-sea 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 and hospital groups, along with hospital businesses operating in related areas. The right approach depends on how the organisation is structured — whether it is a single-site hospital, a hospital group with multiple locations, or an operator running facilities on behalf of others — because that affects reporting, payroll, tax and how income is recognised. We do not assume every hospital is the same, so the support is shaped around your structure, activities and income streams rather than a fixed template.
The core of the work typically covers bookkeeping, annual accounts, management accounts, financial reporting, payroll and budgeting and cash flow support, with Corporation Tax help where it applies and VAT support where it is relevant to your supplies and activities. Because hospitals carry distinctive cost bases — staff payroll, medical equipment and capital expenditure, premises, suppliers and professional services — the reporting is built to reflect those properly. Where you need additional support, such as help interpreting management accounts or planning for significant equipment purchases, that can be built into the arrangement.
Yes. Payroll is often one of the largest and most complex costs a hospital carries, particularly where staffing spans clinical, clinical support and administrative roles with varying hours, rates and contract types. We can manage the payroll process, keep records accurate and produce the reporting needed to understand staff costs as they develop through the year. If your hospital uses rotas, shift patterns or a mix of permanent and flexible staffing, we will factor that into how the payroll is run and reported.
VAT treatment for hospitals is not a simple, blanket answer. Whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances. Hospitals often have a mix of income streams, and that can make VAT position and reporting more involved than it first appears. We can review your situation and help you understand how VAT applies to what you actually do, and provide ongoing VAT support where it is relevant.
Yes, where Corporation Tax applies to your hospital business, we can support the compliance side and help you understand what is due and when. Alongside that, we prepare financial reporting that gives a clear view of income, costs and position — something that matters when you are dealing with multiple income streams, substantial supplier payments and significant capital items such as medical equipment. The goal is reporting that is accurate, timely and genuinely useful when you need to make decisions.
Pricing is handled through fixed, transparent packages, so you know what you are paying for rather than working from an open-ended hourly estimate. The right package depends on factors such as the size of the hospital, how many staff are on payroll, the complexity of income streams, the volume of transactions and whether you need additional support such as management accounts or VAT assistance. We will discuss your circumstances first and agree a clear scope before any work begins, with no hidden fees.
We work to recognised UK accounting standards and keep up to date with the compliance and reporting requirements that apply to hospital businesses. That includes producing accounts and returns accurately, meeting relevant deadlines and maintaining proper records throughout the year. If you have specific requirements around how your accounts need to be prepared or presented, it is worth raising those early so we can confirm the right approach before work starts.
It usually starts with a conversation about your hospital or hospital business — how it is structured, what services it provides, how income comes in and what accounting support you currently have. From there we review the accounting and tax requirements and agree the scope of work. If you are switching from another accountant, we can talk you through what that involves and what we need from you, and then put ongoing support in place that fits how the hospital actually operates.