Accountants for care homes — compliant, profitable, and ready for the scrutiny the sector brings
Care homes run on tight margins under heavy scrutiny — high staff costs, mixed funding, and regulators watching. We keep your finances clean, compliant and profitable so you can focus on care.
- Fixed monthly fee
- A named accountant
- UK-wide, fully online
Everything you need
One team, one fixed fee
- Accounts & Corporation Tax. Care-home accounts and tax, structured efficiently.
- Payroll & CIS. Large-team payroll, pensions and rotas handled.
- Bookkeeping Services. Fee income and funding reconciled, costs tracked.
- Management accounts & Virtual FD. Occupancy, staff-cost ratio and margin reporting.
The bits no one warns you about
Few sectors are as financially demanding as care: wafer-thin margins, agency-staff costs that can wreck a budget, and multiple funding streams that have to reconcile — all under close regulatory and funder scrutiny.
A general accountant rarely understands occupancy-driven income or the cost pressures of care, leaving operators flying blind on the numbers that decide whether the home survives.
- High staff and agency costs squeezing margins
- Private, NHS and local-authority funding to reconcile
- Occupancy-driven income that’s hard to forecast
- Heavy regulatory and funder scrutiny of finances
- Payroll, pensions and rotas across a large team
- A general accountant who doesn’t know the care sector
Everything handled, under one roof
Running a care home means balancing occupancy and fee income against high, ever-rising staff costs, juggling private, NHS and local-authority funding, and meeting the financial scrutiny that comes with a regulated, high-stakes sector.
We’re specialist care-home accountants. We handle your bookkeeping, payroll, accounts and tax, report in the way funders and regulators expect, and give you the numbers — occupancy, staff cost ratio, margin — to run a profitable, compliant home.
Accounts & Corporation Tax
Care-home accounts and tax, structured efficiently.
Learn morePayroll & CIS
Large-team payroll, pensions and rotas handled.
Learn moreBookkeeping Services
Fee income and funding reconciled, costs tracked.
Learn moreManagement accounts & Virtual FD
Occupancy, staff-cost ratio and margin reporting.
Learn moreWho we work with
If any of these sound like you, you’re exactly who we set this up for. Not sure where you fit? A quick, free call will tell you.
Book a free consultation- Residential and nursing home operators
- Single-home and multi-site care groups
- Supported-living and domiciliary care providers
- Care homes with mixed private and funded residents
- Operators buying, selling or expanding a home
- New care businesses setting up their finances
More money kept, less stress carried
Protect your margins
Clear reporting on occupancy, staff costs and margin so you spot pressure early and keep the home profitable.
Ready for scrutiny
Accounts and reporting prepared to the standard funders, lenders and regulators expect.
Payroll without the pain
Large, shift-based teams paid right, with pensions and compliance handled.
Tax kept efficient
Every allowance and relief claimed, and advice when you buy, sell or expand a home.
Know the price before we start
A fixed monthly fee based on the size of your home(s), payroll and reporting needs — agreed up front, with no hourly billing.
- A fixed quote, agreed before any work
- No hourly billing, no year-end surprises
- Cancel any time — no long tie-ins
A team that does the work — and picks up the phone
Care-sector specialists
Occupancy income, mixed funding and care cost pressures are familiar to us.
Margin-focused
Reporting built to protect profitability in a high-cost sector.
A named accountant
One specialist who knows your home — not a call centre.
The honest answers to what you’re thinking
How much does a care-home accountant cost?
We agree a fixed monthly fee based on the size of your home (or homes) and your payroll and reporting needs. For most operators the margin control and tax efficiency outweigh it.
Do you understand mixed NHS, council and private funding?
Yes — reconciling private, NHS and local-authority income is a core part of care-home accounting, and exactly what we handle.
Can you handle our large, shift-based payroll?
Yes — large teams, rotas, agency staff and pensions are all part of the service.
Can you help if we’re buying or selling a home?
Yes — we advise on the numbers, structure and tax around buying, selling or expanding a care business.
Getting started is easy
- 01
Review your home
Your size, funding mix and reporting needs — a confidential chat.
- 02
We take it on
Bookkeeping, payroll, accounts and reporting handled to sector standards.
- 03
You focus on care
Compliant, profitable and ready for scrutiny, with clear numbers to steer by.
Care homes: your questions answered
Do care homes need a specialist accountant?
How much does an accountant cost for a care home?
Can you reconcile NHS, council and private fee income?
Do you handle care-home payroll?
Do you work with care providers across the UK?
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Book a free, no-obligation consultation and we’ll show you exactly how we can help — and what it would cost.