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.
Section 131 of the Internal Revenue Code allows qualified foster care providers, including Adult Family Home owners, to exclude certain difficulty-of-care payments from taxable income. For Washington AFH owners receiving Medicaid payments, this can mean excluding a significant portion of income from federal taxes — potentially saving $5,000 to $15,000 or more per year depending on the number of residents and payment levels.
A bookkeeper handles daily transaction recording, bank reconciliation, and basic financial reports. A CPA provides strategic tax planning, Section 131 benefit optimization, audit representation, and compliance guidance specific to Washington's AFH regulations. Many AFH owners benefit from both — a bookkeeper for daily operations and a CPA for tax strategy and DSHS compliance.
Generic bookkeepers often miss AFH-specific deductions like Section 131 exclusions, miscategorize care-related expenses, and lack knowledge of DSHS reporting requirements. This can result in overpaying taxes by thousands of dollars annually and potential compliance issues during DSHS surveys. An AFH-specialized accountant understands the unique financial structure of residential care facilities.
Professional bookkeeping for Washington Adult Family Homes typically ranges from $300 to $800 per month depending on the number of residents, payroll complexity, and whether tax preparation is included. Specialized AFH bookkeepers may charge more than generic services but often save owners significantly more through proper tax deductions and compliance.
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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