Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Bickerstaffe
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
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 Bickerstaffe 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
The scope depends on your hospital or hospital business, but it usually covers bookkeeping, annual accounts, management accounts, payroll, financial reporting, budgeting and cash flow support, together with VAT returns and Corporation Tax computations and returns where they apply. Many hospital organisations also want help with supplier and cost reporting, income analysis across different service lines, and support with HMRC correspondence. We agree the scope with you in advance, so you know exactly which areas are being handled and which sit outside the arrangement.
We support privately operated and independent hospitals, hospital operators, hospital groups and the trading, management or property-holding entities that sit within a hospital structure. This can include day-case facilities, diagnostic and surgical centres, specialist inpatient providers and organisations running several sites under one group. Because structures vary so much, the accounting and tax requirements of one hospital can look very different from another, and we take the time to understand which parts of the organisation need support before recommending an approach.
We work on fixed, transparent packages rather than open-ended hourly billing, and the fee reflects the scope of work involved, such as the number of entities, transaction volumes, payroll size and reporting requirements. You will not find hidden charges or unexpected extras appearing later, and if your needs change we discuss any adjustment with you first. The best starting point is a conversation about how your hospital operates, after which we can set out a clear scope and a clear fee.
Our work is carried out in line with UK accounting standards, current tax legislation and the professional and anti-money laundering requirements that apply to accountancy practices, which means records, identity checks and reporting obligations are handled properly from the outset. If you would like to understand more about the team's professional memberships and the way we work, we are happy to talk that through before you commit to anything. Compliance is not an afterthought for a hospital business, and we treat it as part of the day-to-day service.
VAT treatment for hospitals is rarely a simple yes or no answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and some supplies may be exempt, standard-rated, zero-rated or outside the scope of VAT altogether. Where a hospital makes a mixture of supplies, the apportionment and record-keeping need particular care, and getting it wrong can create unexpected liabilities. We review how your organisation operates and advise on the treatment that applies to your situation rather than applying a blanket rule.
Yes. Hospital payroll tends to be more involved than in many other sectors, with varied contracts, shift patterns, overtime, unsocial hours enhancements, pension contributions, starters and leavers arriving throughout the month, and real-time reporting requirements to keep on top of. We handle the calculations, payslips and submissions so staff are paid accurately and on time, and so the payroll figures flowing into your management accounts and year-end reporting are consistent. If payroll is currently spread across spreadsheets or manual processes, this is often one of the first areas where support makes an immediate difference.
We do. Large equipment purchases, refurbishments and facility upgrades need to be planned around cash flow rather than treated as one-off surprises, so we help with budgeting, forecasting and understanding how finance arrangements affect your position. Where capital allowances or depreciation treatment are relevant, these are reflected properly in your accounts and tax computations, and asset records are kept in a way that supports future decisions. That gives hospital management a clearer view of what can be afforded, and when.
It usually starts with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position so we can see what is working and what needs attention. If you are switching, we can manage the handover, including requesting the information we need from your existing accountant once you have authorised it, and taking care of agent authorisations with HMRC. Timing matters when a year end is approaching, so it is worth getting in touch early enough to plan the transition around your reporting cycle.