Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Westhoughton
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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 Hospitals Face
Why Hospitals in Westhoughton 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
The core service covers the financial work most hospitals and hospital businesses need throughout the year: bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning and financial reporting. Corporation Tax support and VAT support are included where they are relevant to your organisation and its activities. The exact mix depends on your structure and circumstances, so we agree the scope with you up front rather than applying the same package to everyone.
The service is aimed at private hospitals, independent hospitals, hospital operators and hospital groups, along with businesses that trade directly within hospital settings. Our focus is on private and independent hospital organisations rather than public-sector bodies. If you are unsure whether your organisation fits, a short conversation is usually enough to work it out.
We work on fixed, transparent fees agreed in advance, based on the scope of work your hospital actually needs. Factors such as the number of staff on payroll, the volume of transactions, the number of income streams and the level of reporting you require all influence the fee. There are no hidden extras or surprise invoices, and if your requirements change during the year we will discuss any adjustment with you before it happens.
Accounts are prepared in line with the UK accounting standards applicable to your organisation, and filings are submitted to HMRC and Companies House within the relevant deadlines. We keep an eye on changes to accounting and tax rules that affect hospitals, including areas such as capital allowances on medical equipment, employment taxes on payroll and the VAT treatment of different supplies. Where the position is not clear-cut, we explain the options and the reasoning behind our recommendations.
Hospitals tend to have large and complex payrolls, significant spending on medical equipment and capital items, substantial premises and facilities costs, and a high volume of supplier payments. Income often comes from several sources and on different timescales, which makes cash flow and forecasting more involved than in many other sectors. Corporation Tax, capital allowances and VAT all need to be considered in that context rather than in isolation.
Not necessarily, and it is not a simple yes or no. VAT treatment depends on the nature of the supply being made, the activities involved, the status of the organisation and the specific circumstances, so some supplies may be treated differently from others. Many hospital organisations have a mixture of income streams, which can bring partial exemption considerations into play. We look at your particular situation and explain how the rules apply to you.
Yes. Management accounts, cash flow forecasts and budgets are particularly useful for hospitals because costs are often fixed and significant while income can be uneven. We can help you plan for equipment purchases, premises costs and other capital spending, and model how different scenarios might affect your finances. That gives you a clearer basis for decisions about staffing, investment and day-to-day spending.
Getting started is straightforward. We have a first conversation about your hospital, how it is structured and what you need, and then agree the scope and fee. If you are moving from another accountant, we handle the handover directly with them, including requesting the relevant records and information, so you are not left coordinating it yourself. Switching partway through the year is common and usually far less disruptive than people expect.