Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Salford
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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 Salford 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
We work with a range of hospital and hospital-based organisations, including private hospitals, independent hospitals, hospital operators and hospital groups. Every hospital has its own structure, activities and income streams, and a single-site independent hospital will typically have different accounting priorities to a multi-site operator with shared back-office functions. We also work with the wider hospital business ecosystem where accounting support is needed. If you are unsure whether your organisation fits, it is worth a conversation to work out what you actually need.
The core service usually covers bookkeeping, payroll, management accounts, annual accounts, financial reporting, budgeting, cash flow forecasting, and tax support including Corporation Tax and VAT where these apply to your organisation. For hospitals specifically, that often means tracking staff costs across clinical and non-clinical teams, accounting for medical equipment and capital expenditure, monitoring premises and facilities costs, keeping on top of supplier and professional services payments, and reporting on different income streams separately so you can see what is performing. The mix is tailored to your circumstances rather than fixed in advance.
The underlying principles are the same, but the detail is heavier. Hospitals often carry significant payroll across multiple staff groups, substantial capital expenditure on medical equipment, complex premises and facilities costs, and a wide network of suppliers and professional services providers. Income may come from several streams, each with its own timing and reporting implications. That combination places more emphasis on accurate cost analysis, cash flow planning and consistent financial reporting, which is why hospital businesses often benefit from accountants who are used to this kind of operating model.
VAT treatment for hospitals is not a simple either-or. Whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances. That means two hospitals providing similar-sounding services can have different VAT positions, and the answer can change as services develop. We look at what you actually supply and how your organisation is structured, then advise on the treatment that follows from that.
Yes — these are usually among the most valuable areas for hospital businesses. Payroll support covers the practical running of payroll for varied staffing arrangements and staff groups, while management accounts give you regular, readable reporting on income, costs and performance so decisions are based on real numbers. Cash flow and budgeting work sits alongside that, helping you plan for equipment purchases, premises commitments, supplier payments and quieter or busier trading periods without being caught short.
We use fixed, transparent packages so you know what you are paying for and there are no hidden fees or surprise invoices. The package is based on the scope of work your hospital actually needs — the volume of transactions, payroll complexity, reporting requirements and the level of tax and VAT support involved. As your operations grow or change, the scope can be reviewed and adjusted. We would rather agree the scope clearly upfront than leave it vague and bill you later.
Our work is carried out by an experienced accounting team and we operate to professional standards, keeping your records accurate, your filings on time and your position properly documented. Where a specific qualification, accreditation or regulatory registration matters for your circumstances, we are happy to confirm the position directly rather than make broad claims. If you have particular compliance requirements or deadlines you need met, just tell us and we will explain how we would handle them.
It starts with a conversation about your hospital or hospital business — your structure, activities, income streams and what you need support with. From there we review your current accounting and tax position and agree the scope of work. Switching accountants mid-year is usually straightforward: we can handle the handover with your existing adviser, obtain the necessary records and make sure nothing falls through the gap. Many clients find the process easier than expected, and we will keep you informed at each stage.