Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Cheadle Hulme
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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 Cheadle Hulme 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
Support is built around what your hospital actually needs, so it can cover bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax and VAT support where relevant. Most hospital organisations want a mix — clean day-to-day records, reliable payroll for clinical and non-clinical staff, and reporting that shows how the business is performing. We agree the scope with you first, so you know exactly what is covered rather than discovering gaps later.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital-based organisations delivering treatment, diagnostics or surgical services. Some are limited companies with a single site, while others run multiple locations or trade through a group structure. Accounting requirements vary considerably between them, which is why we look at your activities, income streams, staffing, premises and equipment before recommending an approach.
Pricing is based on the work involved, which depends on factors such as your structure, transaction volumes, payroll size, number of income streams and how much bookkeeping support you need. We favour fixed, transparent packages with no hidden fees, so you can budget with confidence. Once we understand your hospital business, you receive a clear scope and a clear fee, and you are not tied into paying for services you do not use.
Yes, and they are rarely as simple as people assume. VAT treatment on hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so it is not accurate to treat all hospital services as exempt or all hospital-related supplies as taxable. Different income streams and services can be treated differently. We help review how your supplies are structured and how VAT is accounted for, so your position is properly supported.
Payroll is usually one of the largest cost areas in a hospital and one of the easiest places for errors to creep in, particularly where there are varied shift patterns, different staff groups and frequent changes to rotas. We can manage payroll end to end, including payslips, PAYE and National Insurance, pensions processing and the reporting obligations that come with employing people. Keeping payroll accurate also makes your management accounts and budgeting far more reliable.
Medical equipment and facilities spending often involves significant sums, and how those costs are recorded affects your reported results and your tax position. We make sure capital purchases are treated correctly, depreciation is accounted for properly, and the effect on cash flow is visible in your reporting. Combined with budgeting and forecasting, that gives hospital operators a clearer picture of when funds are available and when larger purchases are realistically affordable.
It is usually more straightforward than hospitals expect. We handle the transition with you, from obtaining the information needed to reviewing your existing records and reconciling anything outstanding. Once we are set up, the focus shifts to keeping your accounting, payroll, reporting and tax compliance running on time. If your current arrangements are falling behind or you are unsure whether your VAT and Corporation Tax positions are being handled correctly, it is a sensible point to review them.
Getting started begins with a conversation about your hospital or hospital business — how it is structured, how it earns income, who is on the payroll and what accounting support you already have in place. From there we review what needs attention, agree a scope and a fee, and put the necessary work in motion. There is no obligation to commit before you understand what is involved, and no jargon-heavy sales pitch along the way.