Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Littlehampton
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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 Littlehampton 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 smaller hospital businesses running day-case facilities, treatment centres or specialist inpatient services. Some operate from a single site, while others manage several locations, teams and cost centres. Because structures, income streams and staffing models vary so much between hospitals, we start by understanding your specific setup before recommending how the accounting and tax work should be handled.
The core work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies, wider tax support and VAT where relevant. For hospitals specifically, this often means keeping close track of staff costs, medical equipment, premises and facilities, supplier payments and multiple income streams. You will not need everything on day one, so we agree which elements are most valuable for your hospital and build from there.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The fee reflects the size and complexity of your hospital or hospital business, the volume of transactions, the number of staff on payroll and the level of reporting and compliance support you need. We will talk through the scope with you before anything is agreed, and the arrangement can be adjusted as your requirements change.
Yes. Payroll is often one of the largest and most complex costs for a hospital, particularly where you have clinical, nursing, administrative, maintenance and support staff on different contracts, rates and rotas. We can manage payroll processing alongside the bookkeeping that records it correctly in your accounts. Keeping those two areas aligned means your staff costs, accruals and financial reports remain consistent and reviewable rather than needing to be unpicked at year end.
Corporation Tax depends on how the hospital or hospital group is structured and whether it operates through a limited company, so the position needs to be reviewed rather than assumed. VAT is equally dependent on the circumstances: the treatment of hospital and related supplies varies according to the nature of the supply, the activities involved and the organisation's status, so some areas may be exempt, some taxable and others outside the scope. We look at your specific activities and income streams and explain how the rules apply to you.
Medical equipment is often a substantial investment, and how it is recorded, funded and written down affects your accounts and your tax position. We can help you plan for equipment purchases, account for capital expenditure correctly, consider the cash flow impact of larger acquisitions and make sure the reporting reflects the reality of your asset base. That planning is particularly useful where several purchases fall into the same period or where funding is staged over time.
Yes, and for many hospitals this is where accounting support adds the most day-to-day value. Management accounts give you a clearer view of income and costs across different services, departments or sites, while budgeting and cash flow forecasting help you plan for payroll runs, supplier payments, premises costs and equipment purchases. Having that information regularly means decisions are based on current numbers rather than on figures that are already several months out of date.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your existing records, filings and accounting arrangements to understand where you are. If you are moving from another accountant, we can manage the handover, request the relevant information and make sure nothing is missed in the transition. From there we agree the scope of support and put the necessary work in place.