Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Hollinwood
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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 for Hospitals
Why Hospitals in Hollinwood 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 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
In practice, the work covers the financial foundations of running a hospital: day-to-day bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts and statutory reporting, plus budgeting, cash flow forecasting and support with Corporation Tax and VAT where it applies. It also means keeping track of the costs that matter most in a hospital setting, such as staffing, medical equipment, premises, facilities, suppliers and professional services. The aim is to give you accurate records, timely reporting and far fewer surprises at year end.
Support is designed for private hospitals, independent hospitals, hospital operators, hospital groups and hospital businesses running facilities such as day-case units, diagnostic centres and specialist treatment services. Because these can be structured very differently — a single-site hospital compared with a multi-site group, for example — the accounting requirements vary considerably. We look at your structure, income streams, staffing model and cost base before recommending what the support should include.
Most hospital businesses need a combination of bookkeeping, payroll, VAT support where relevant, management accounts, annual accounts and Corporation Tax. From there, additional reporting can be added, such as service-line or departmental reporting, budgets, cash flow forecasts, medical equipment and capital expenditure tracking, and help with premises and supplier costs. Packages are built around what the hospital actually needs rather than a fixed template, so you are not paying for work that adds nothing.
Pricing reflects the volume and complexity of the work involved — the number of staff on payroll, the number of sites, the range of income streams and the depth of reporting you need. We provide fixed, transparent packages with no hidden fees, and the scope is agreed in advance so you know exactly what is included. If your requirements change as the hospital grows or restructures, the arrangement can be reviewed rather than left to drift.
Work is carried out to professional accounting standards and in line with the regulatory and anti-money laundering requirements that apply to accounting practices. Before you commit, we are happy to confirm the professional body memberships and qualifications of the people who would look after your engagement, and to explain how confidentiality and data handling are managed. If you already have an accountant, we can deal with professional clearance and the handover on your behalf.
Yes. Hospital payroll tends to be more involved than in many sectors, with clinical and non-clinical teams, shift patterns, overtime, bank or locum arrangements and hours that vary from month to month. We can run payroll end to end, covering PAYE, National Insurance, pension auto-enrolment, statutory payments and the associated reporting, so payslips and payroll records are accurate and on time. Payroll data also feeds into your management accounts, which keeps staff costs visible instead of turning up as a shock at year end.
It depends heavily on the specifics. VAT treatment for hospitals is not uniform: whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the surrounding circumstances, so it needs to be reviewed case by case rather than assumed. Corporation Tax applies where the hospital trades through a limited company, with capital allowances on medical equipment, premises costs and the treatment of different income streams all feeding into the position. Mixed income — treatment fees alongside income from things such as retail, catering, parking or property — is a common area where specialist input genuinely helps.
It usually begins with a short conversation about your hospital, your current setup and what you want from your accounts. We then review your existing bookkeeping, payroll, reporting and tax position, agree the scope of support, and handle the handover from your previous accountant, including professional clearance and requesting the relevant records. Ongoing support then begins and can be adjusted as your needs change. There is no need to have everything in perfect order before you get in touch — tidying that up is part of the job.