Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Heywood
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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 Heywood 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 support for hospitals typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, and tax support where it applies, including Corporation Tax and VAT matters. Because every hospital is different, the exact mix is agreed around your structure, your income streams and the level of reporting you need. Some hospital businesses want a full outsourced finance function, while others need targeted help with specific areas such as payroll or management reporting. Either way, the work is tailored to you rather than delivered as a fixed, one-size-fits-all package.
We support hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators, hospital groups and specialist hospital providers. Their accounting needs vary widely depending on whether they are a single-site hospital or part of a larger group, how they are structured, and whether they provide outpatient services, day-case procedures, diagnostics, surgical work or a broader range of care. If you are unsure whether your organisation fits, it is worth a conversation — we can tell you quickly whether we are the right fit for your circumstances.
We work on fixed, transparent fee arrangements agreed in advance, so you know what to expect rather than receiving unpredictable bills. The fee reflects the scope of work involved, which depends on factors such as the volume of transactions, the number and complexity of payroll arrangements, the number of income streams and the depth of reporting you require. There are no hidden extras, and if your requirements change as the hospital grows or restructures, we review the arrangement with you openly.
Yes. Payroll is often one of the largest and most complex areas of hospital accounting, covering a varied workforce that may include clinical staff, administrative teams, support staff and contracted personnel, often on different pay structures and shift patterns. We can manage payroll processing, PAYE, pension contributions and the associated reporting, helping ensure staff are paid accurately and on time while the administrative burden stays off your internal team. This also feeds directly into your management accounts, so staffing costs are visible and can be planned for.
VAT treatment for hospitals is not a simple yes or no answer. It depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances — so two hospital businesses can have quite different VAT positions even when they appear similar on the surface. There may also be differences in treatment between various types of hospital and different services, and no assumption should be made that all hospital services fall one way. We review your particular activities and income streams and advise on the position that applies to you.
Hospitals tend to carry significant fixed costs, including staffing, medical equipment, premises and facilities, insurance and supplier payments, so cash flow planning matters a great deal. We help by producing clear management accounts and forecasts, tracking actual performance against budget, and identifying pressure points early rather than after the fact. For hospitals planning capital expenditure on equipment or facilities, we can model the financial impact so the decision is made with proper visibility of the numbers. This kind of forward-looking reporting is often where hospital clients see the most practical value.
Yes, switching accountants is usually simpler than hospital teams expect. We handle the handover with your previous adviser, obtain the necessary records and information, and make sure nothing falls through the gap in terms of compliance deadlines or reporting. It helps to start the process before a key deadline rather than in the middle of one, so timing is worth thinking about. Once the transition is complete, we confirm how the ongoing relationship will run and what you can expect from us.
The first step is a conversation about your hospital or hospital business, what you currently have in place and what you would like to improve. From there, we review your accounting and tax position, identify anything urgent such as overdue filings or record-keeping gaps, and set out how we would support you going forward. There is no obligation at that stage — the aim is simply to give you a clear picture of where things stand and what the options are.