Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Worthing
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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 Worthing 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
It covers the day-to-day and year-end accounting work a hospital or hospital business needs: bookkeeping, payroll, management accounts, annual accounts, budgeting, cash flow planning, financial reporting, and tax support including Corporation Tax where it applies and VAT guidance where relevant. In practice, that means keeping your records accurate, helping you understand how the numbers are moving, and making sure the reporting and filing obligations that apply to your organisation are met on time.
It is built for private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them. Some clients are single-site operations, while others run multiple locations or a group structure with more complex reporting needs. What they have in common is a finance function that has to cope with significant staff costs, expensive equipment, premises and a wide range of suppliers, which is quite different from the accounting profile of most other businesses.
We work on fixed, transparent packages based on the scope of what you actually need, so you know where you stand rather than receiving an open-ended bill. The fee reflects factors such as the number of entities involved, how many people are on payroll, the volume of transactions and how much management reporting you require. There are no hidden extras, and if your requirements change, we agree the position with you before any additional work is carried out.
Any accountant you appoint should be able to explain clearly how they are regulated, what professional body oversight applies and how they keep pace with changes to UK accounting and tax rules. It is a sensible question to ask before you commit, and we are happy to talk you through our own position, the standards we work to and how we handle confidentiality, record-keeping and deadlines. You should also expect clear engagement terms setting out responsibilities on both sides.
Hospitals typically have to manage large and fairly predictable payroll costs, significant capital spending on medical equipment, fixed premises and facilities overheads, and a long list of supplier and professional service payments. Income may come from several different streams, which affects how you forecast cash flow and report performance. On the tax side, Corporation Tax treatment depends on how the organisation is structured, and VAT treatment depends on the nature of the supplies made, the activities involved, the organisation's status and the specific circumstances, so it needs to be looked at case by case rather than assumed.
Yes, we can review your position and help you understand what applies to your organisation. VAT in particular is not something that can be decided with a blanket rule — different hospital activities and supplies can be treated differently depending on the facts and the status of the organisation, and Corporation Tax will depend on the structure and the nature of the income. We look at your circumstances properly and help you keep your reporting and returns consistent with them.
Yes. Large equipment purchases, refurbishments and other capital projects have a real impact on cash flow, on how your accounts are presented and on the timing of any tax reliefs available. We can help you plan for that spending, account for it correctly, review the financing arrangements behind it and factor it into your budgeting and forecasting so that a significant purchase does not come as a surprise to your cash position.
Switching is usually far less disruptive than people expect. Once you decide to move, we handle the handover with your existing accountant, obtain the information we need and pick up the existing records so nothing is missed. If you are mid-way through a financial year, we simply take over from that point. A short initial conversation is normally enough to establish what you need and how quickly the transition can be completed.