Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Brighton And Hove
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Brighton And Hove 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 for 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
It typically covers the day-to-day and year-end accounting a hospital or hospital business needs: bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where applicable and VAT support where relevant. Because hospitals vary so much in size and structure, we agree the scope with you first so the work reflects your operations, income streams and cost base rather than a fixed template.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with businesses providing inpatient, day-case, diagnostic and treatment services. Their accounting requirements differ depending on how they are structured, how many sites and staff they have, and where their income comes from. We do not act for NHS Trusts, NHS Foundation Trusts or other public-sector organisations, and it would be wrong to assume that private and public hospitals share identical accounting or tax treatment.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. The fee reflects the scope of work — for example, the number of payroll employees, the complexity of your income streams, whether management accounts are needed monthly or quarterly, and the level of VAT or Corporation Tax support required. We discuss all of this before anything starts, so there are no surprises later.
We work within UK accounting and tax rules and keep our processes aligned with current HMRC and statutory reporting requirements. Where a hospital needs particular compliance work — such as VAT returns, payroll reporting or annual accounts prepared to the relevant standards — we handle it as part of the agreed scope. If you have specific regulatory or reporting obligations attached to your hospital's structure, it is worth raising these early so we can build them into the support we provide.
The most common ones are heavy and predictable cost bases sitting alongside uneven income — large payroll runs across shift patterns, medical equipment purchases and capital expenditure, premises and facilities costs, supplier payments and professional fees. Add multiple income streams, each with its own timing and reporting, and cash flow can become difficult to manage without accurate, up-to-date figures. Corporation Tax where applicable and VAT treatment also come up regularly, and both depend on your specific circumstances rather than any blanket rule.
VAT for hospitals is not a one-size-fits-all area. The treatment of a supply depends on the nature of that supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to say that all hospital services are exempt or that all hospital-related supplies are taxable. We review what your hospital actually provides, how it is structured and who it supplies, then advise on the appropriate treatment and how it should be reflected in your returns.
Yes. Large equipment purchases and other capital expenditure can absorb significant cash and affect your tax position, so it helps to plan them alongside your wider budget rather than in isolation. We can build equipment and capital spending into your management accounts and cash flow forecasts, so you can see the impact on liquidity and plan the timing of purchases, funding and repayments more confidently.
It usually starts with a conversation about your hospital or hospital business — how it is structured, what services it provides and what you need from an accountant. We then review your current accounting and tax position, including bookkeeping, payroll and reporting arrangements, and agree a clear scope of work. Where you are moving from another accountant, we can liaise with them and handle the handover of records and HMRC authorisations so the transition is smooth and your reporting deadlines stay on track.