Home care is a payroll business with a receivables problem attached. Caregivers are paid weekly, often with overtime and travel time between clients, while a large share of revenue comes from payers who reimburse slowly and partially. A growing agency consumes cash precisely because it is growing, and books that do not age receivables by payer cannot show the owner why a profitable month left the account emptier than it started.
Payroll costed properly
Overtime, travel, and visit time where they belong.
Aged by payer
So slow and partial reimbursement is visible early.
Expected, not billed
Revenue recorded at what will actually be paid.
Mix reporting
Which payers and clients are genuinely worth taking.
What we handle
- Caregiver payroll recorded with overtime, travel, and visit time tracked properly
- Receivables aged by payer, so slow and partial reimbursement is visible
- Revenue recorded at expected reimbursement rather than at billed amount
- Client and payer mix reporting, so you can see which business is worth taking
- Worker classification handled consistently between employed and contracted caregivers
Common problems we fix
- Cash-basis books that cannot explain why growth is consuming cash
- Revenue booked at full billed rate, then quietly written down months later
- No receivable ageing by payer, so nobody knows what is genuinely collectable
- Caregiver classification applied inconsistently across the roster
We keep the books. You run the business.
Categorization, reconciliation, month-end close, and clean financial statements — with nothing left for you to chase.
View pricingHow It Works
Free review
We look at how your home health and senior care books are set up today.
Fix the structure
Chart of accounts rebuilt around how your industry actually earns and spends.
Catch up
Anything behind gets cleaned up at a fixed quoted price.
Close monthly
Current, reconciled books every month — ready for your CPA.
Home Health & Senior Care — Frequently Asked Questions
Do you understand home health and senior care specifically?
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Do you work in my existing accounting file?
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Can you help if I am months behind?
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Bookkeeping built for home health and senior care
Book a free consultation and we will tell you what your books need — and what it costs.
- Done-for-you
- Solo or group
- Nationwide
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