Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Glossop
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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 Glossop 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
Our work typically covers bookkeeping, payroll, management accounts, annual accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax and VAT support where these apply to your organisation. Because hospital finances involve staff costs, medical equipment, premises, supplier payments, professional services and several income streams, we shape the service around what your hospital actually needs rather than applying a fixed template. Many hospital clients use us for a combination of compliance work and regular management information.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running day-case, diagnostic or specialist treatment facilities. What they have in common is a need for accounting support that understands high staff costs, expensive equipment, facility overheads and multiple income streams. If your organisation is structured as a limited company, a group of companies or another trading entity, we can tailor the scope of work to match.
We work on fixed, transparent packages based on the scope of work your hospital needs, so you know what you are paying for rather than receiving an open-ended bill. The fee depends on factors such as the number of entities involved, transaction volumes, payroll headcount, whether management accounts are required and how much VAT and Corporation Tax work is involved. There are no hidden fees, and we will always explain what is included before any work begins.
Hospital payroll usually involves a mix of clinical and non-clinical staff, varied shift patterns, overtime, bank or agency arrangements and pension contributions, which makes accuracy and timeliness especially important. We can manage PAYE, real-time reporting, deductions and pension administration so that staff are paid correctly and the associated records are kept in good order. Getting payroll right also feeds directly into your management accounts and cash flow forecasts, since staff costs are typically one of the largest items in a hospital's cost base.
The main areas tend to be payroll and staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments and working capital management. Alongside those sit reporting requirements — annual accounts, management accounts and financial reporting that give a clear picture across different income streams — plus Corporation Tax considerations where they apply. VAT is another area that frequently needs attention, because hospital organisations can have quite different VAT positions depending on what they do.
VAT treatment for hospital organisations depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. Different income streams and different types of supply can be treated differently, and the position can change as services develop. We can review your activities and help you understand how VAT is likely to apply to what you do, then keep that position under review as your hospital evolves.
Yes. Switching accountants is usually more straightforward than hospital businesses expect, and we can manage the handover with your previous adviser so that records, filings and deadlines are not disrupted. We will review your existing bookkeeping, accounts, payroll and tax position early on, which helps identify anything that needs tidying up before the next reporting period. From there, we set out a clear scope of ongoing support so you know what is being handled and when.
The simplest way to begin is to get in touch and tell us about your hospital or hospital business — how it is structured, what services you provide and what you need help with. We will then review your current accounting and tax position and explain what support would look like in practice, including the services involved and how the fees are structured. There is no obligation at that stage, and you will have a clear picture of the options before committing to anything.