Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Sandbach
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 Hospitals Face
Why Hospitals in Sandbach 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
Our work for hospitals typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting and ongoing tax support. Depending on the hospital's structure and activities, this can also include Corporation Tax and VAT matters where they apply. We agree the scope with you up front so it reflects what your hospital or hospital business genuinely needs rather than a fixed package that does not quite fit.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital organisations, from single-site operations through to larger group structures. Accounting requirements vary considerably between them, depending on how the business is owned and structured, the treatments and services it provides, how many staff it employs, the premises and equipment it operates, and how many income streams it has. We adapt our support accordingly.
We work on fixed, transparent fees agreed in advance, so you know what the service costs before we begin. The fee reflects the size and complexity of the hospital business, the volume of transactions, the number of staff on payroll, whether you need management accounts and reporting, and the level of tax or VAT support required. There are no hidden charges, and if your needs change over time we will discuss any adjustment with you openly.
Yes. Hospital payroll can be complex, with varied roles, shift patterns, overtime, sickness arrangements and pension contributions across a sizeable workforce. We can handle the payroll processing, payslips, RTI submissions to HMRC and the associated record keeping, so that staff are paid accurately and on time and your payroll records stay in order. This also feeds into your management accounts, giving you a clearer view of total staff costs.
The main ones tend to be staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and professional fees, all of which affect cash flow and profitability. Income may also arrive through several different streams, which makes accurate reporting and budgeting important. Corporation Tax applies where relevant to the trading entity, and VAT treatment needs careful consideration rather than assumption, as it depends on the nature of the supplies being made.
VAT for hospitals is not a simple yes or no answer. The treatment depends on the nature of the specific supply, the activities involved, the status of the organisation making the supply and the surrounding circumstances, so different income streams can be treated differently. We review the position in detail, help you apply the rules correctly and make sure your VAT returns and records reflect what is actually happening in your hospital business.
Yes. Medical equipment is often one of the largest investments a hospital makes, and how it is funded, depreciated and accounted for affects both your accounts and your tax position. We can help you plan for significant purchases, reflect them properly in your financial statements, and consider the cash flow and tax implications alongside your wider capital expenditure plans. This sits naturally alongside budgeting and management reporting.
Getting started is simple. We begin with a conversation about your hospital or hospital business, what you need and what is currently in place. If you are switching from another accountant, we can liaise with them and handle the handover of records and information, including professional clearance where required, so the transition stays smooth and nothing is missed. We will then confirm the scope, the fixed fee and how we will work together going forward.