Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Romiley
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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.
Accounting Challenges Hospitals Face
Why Hospitals in Romiley 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
It usually covers the core finance functions a hospital business needs: bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where it applies and VAT support where relevant. The exact mix depends on your structure, size and in-house finance capacity — some hospitals need help with everything, while others want specific areas handled alongside an existing finance team. We agree the scope with you before anything is put in place.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that sit behind them. Their accounting and tax requirements vary significantly depending on structure, activities, income streams, staffing, premises, equipment and operating costs, so the first step is always understanding how your organisation is set up. If you are unsure whether your circumstances fit, it is worth having a conversation with us.
Pricing is based on the work involved, which depends on the size and complexity of your hospital business, the services you need and the volume of transactions you process. We work on fixed, transparent packages so you know what you are paying for, with no hidden fees and no surprise invoices. Once we understand your requirements, you receive a clear scope and price before any work begins.
Yes. Payroll is often one of the largest and most time-consuming costs for a hospital, so accurate processing, payslips and reporting matter a great deal. Management accounts give you a regular view of performance against budget, while financial reporting supports statutory requirements and gives owners, directors or trustees a reliable picture of the organisation's position. These services can be provided on their own or as part of a broader package.
VAT treatment for hospitals is not uniform. It depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, which means blanket assumptions rarely hold up. Some supplies may be treated differently from others, and mixed activities can make record-keeping and reporting more complex. We review your particular situation and help you apply the correct treatment across your income streams and costs.
Where Corporation Tax applies to your organisation, we can support with computations, returns and planning around your obligations. Medical equipment and other capital expenditure often involve significant sums, so it helps to think carefully about how purchases, financing and depreciation or capital allowances are reflected in your accounts and tax position. We work through the detail with you so the treatment is consistent and properly documented.
Hospitals can receive income from several sources — treatment fees, contracts, private work, ancillary services or grants, for example — each with its own timing, invoicing and reporting implications. Keeping these streams clearly separated in your records makes management accounts, cash flow forecasting and tax reporting far more accurate. It also makes it easier to see which activities are performing well and which need closer attention.
Switching is usually more straightforward than people expect. We can review your current arrangements, agree the scope of support and handle the practical handover, including obtaining the information needed from your existing accountant where you would like us to. To get started, simply get in touch with a summary of your hospital business and what you need help with, and we will take it from there.