Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Altrincham
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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 Altrincham 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
We look after the accounting and tax work that sits behind a hospital or hospital business, which usually means bookkeeping, payroll for clinical and support staff, management accounts, annual accounts, budgeting, cash flow planning, financial reporting and tax compliance. Because hospitals carry a complex cost base — staff, medical equipment, premises, suppliers and professional services — the emphasis is on keeping records accurate and reporting clear enough to support real decisions. We also help with Corporation Tax where it applies and with VAT matters where they are relevant to how the hospital operates.
Our support is aimed at private hospitals, independent hospitals, hospital operators and hospital groups, as well as other hospital-based businesses that need reliable accounting help. Their needs differ depending on structure, the services they provide, how many staff they employ, the premises and equipment they hold and the income streams they rely on. We do not assume that every hospital business works the same way, so the scope of support is agreed around your particular circumstances.
Packages are built around what the hospital actually needs, and typically combine day-to-day bookkeeping with payroll, management accounts, financial reporting and year-end accounts. Tax support and VAT support can be added where they apply, along with help on budgeting, cash flow forecasting and the financial side of larger purchases such as medical equipment. If you already handle some of this in-house, we can work alongside your team rather than replacing it.
We work on fixed, transparent packages, so you know what you are paying for rather than receiving an open-ended bill. The fee reflects the size and complexity of the hospital business, how much bookkeeping and payroll is involved, how many income streams there are and the level of reporting you need. There are no hidden fees, and we will talk you through what sits inside the agreed scope before anything begins.
Yes — payroll is often one of the biggest accounting tasks in a hospital, covering clinical staff, administrative teams, support roles and any contracted or temporary workers. We can manage the payroll process, keep records organised and make sure the relevant reporting and payments are handled on time. Where staff costs are spread across departments or sites, we can help present that information in a way that is useful for budgeting and management reporting.
Corporation Tax applies to many hospital businesses depending on how they are structured, so the position needs to be reviewed rather than assumed. VAT is more nuanced again, because the treatment of a supply depends on the nature of that supply, the activities involved, the organisation's status and the specific circumstances — so it is not safe to assume everything a hospital does is exempt or that everything is taxable. We look at your particular activities and income streams and explain how the rules apply to you.
Large purchases such as medical equipment and facility improvements can place real pressure on cash flow, particularly when income arrives unevenly across the year. We can help you plan for that spending, build sensible budgets and forecasts, and see the impact of capital expenditure on your overall financial position before you commit. That makes conversations with lenders, suppliers and internal stakeholders much easier to have.
Switching is usually more straightforward than people expect, and we can manage the handover with your existing accountant so that records, deadlines and ongoing obligations are not disrupted. It normally starts with a conversation about your hospital business and what you want from your accounting support, followed by a review of your current records and reporting. From there, we agree the scope and take things forward on an ongoing basis.