Finally, a financial team that truly understands Adult Family Homes, Assisted Living Facilities, and
Nursing Homes. Washington's only caregiving-specialized financial experts working exclusively for
your success.
We don't just serve the caregiving industry - we ARE the caregiving industry. Our team members own and operate their own Adult Family Homes, so we understand your challenges from the inside out.
This isn't just a job for us; it's personal. Because members of our team own and operate Adult Family Homes, we have firsthand, intimate knowledge of your daily operational and financial challenges – from staffing to DSHS rules.
Beyond the numbers, we offer strategic advice and ensure you're always supported. Our DSHS familiarity and HIPAA compliance mean you get expert, secure service tailored to caregiving.
Forget generic accounting. We master the specifics crucial for your success: Section 131 Foster Care rules, DSHS compliance, Medicaid/Medicare optimization, and resident trust fund management. This specialized knowledge directly boosts your facility's bottom line and protects your compliance.
150+ Active WA facilities
$2.1M+ in Annual Tax Savings
18 Years exclusively serving caregiving facilities
98% Client Retention Rate
(Unlike Generic Accountants)
Generic accountants see numbers. We see your facility's financial health, growth potential, and profit optimization opportunities.
Section 131 Foster Care Rules (optimized for compliance and funding)
Medicaid Payment Optimization (proper classification saves thousands)
Caregiver Expense Maximization (we know every deductible cost)
DSHS Payment Coordination (seamless reporting and compliance)
Resident Trust Fund Management (proper segregation and documentation)
Patricia's AFH: Saved $12,400 through Section 131 optimization
Multi-Level Care Analysis (basic, enhanced, memory care revenue optimization)
Department Cost Allocation (nursing, activities, housekeeping, dietary)
Insurance Billing Support (maximize reimbursement rates)
Service Level Profitability (which care levels make the most money)
Occupancy Optimization (financial planning for census changes)
Jennifer's Assisted Living: Saved $18,400 with department allocation
Medicare Part A & B Optimization (complex reimbursement maximization)
Cost Report Preparation (skilled nursing compliance and optimization)
Therapy Revenue Recognition (PT, OT, speech therapy billing)
Skilled Nursing Analytics (department-by-department profitability)
Quality Measure Integration (how care quality impacts reimbursement)
Marcus's Nursing Home: Saved $31,200 via cost center analysis
Everything Your Facility Needs in One Expert Team
Bookkeeping Services
Perfect for: Understanding which residents are most profitable and optimizing your payer mix
Payroll Compliance
Perfect for: Ensuring your caregivers are always paid correctly and on time
Tax Planning & Preparation
Perfect for: Minimizing taxes while staying 100% compliant with healthcare regulations
For solopreneurs and S-Corp owners needing payroll, S Corp compliance support, and reasonable salary calculations.
Officially certified to provide accounting and advisory services within the state. Demonstrates adherence to state regulations and professional ethics.
Employs healthcare-grade encryption and data protection standards. Maintains strict confidentiality for all client and patient information.
Experienced in meeting all Department of Social and Health Services facility standards. Ensures seamless compliance with required financial and operational procedures.
Recognized for excellence in financial reporting and compliance. Ensures accuracy, integrity, and transparency in every accounting process.
Authorized by the U.S. Treasury to represent clients in all IRS tax issues. Trusted for handling audits, appeals, and complex filings with full authority.
Our virtual-first approach delivers better results while you focus on your residents.
We handle vendor bill entry and payment scheduling, family invoice creation and delivery, insurance billing support, payment tracking, family collections follow-up, and aging reports for both accounts payable and receivable.
Currently, we focus exclusively on Washington state caregiving facilities, which allows us to provide deeper expertise with local Medicaid rates, DSHS requirements, and state licensing regulations.
We use HIPAA-compliant, healthcare-grade encryption, multi-factor authentication, and secure cloud platforms. Your resident and financial data is actually MORE secure than traditional paper-based systems.
We specialize in caregiving facility cleanup work. Some of our best success stories started with shoeboxes full of receipts and years of backlogged resident billing.
Financial care for caregivers
Seattle | Renton | Tacoma | Vancouver | Bellevue | Everett | Olympia | Tri-Cities
Licensed professionals specializing in Washington caregiving facility operations
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