Transparent pricing for Washington caregiving facilities

No hidden fees. No surprises, just honest value for Adult family homes, Assisted living & Nursing homes.

Finally, a financial services company that understands caregiving facilities and shows you exactly what everything costs upfront. Compare our services, mix and match what you need, or save big with our popular bundles designed specifically for caregiving operations.

Most Washington caregiving facilities save $3,000-$8,000 annually

by bundling services with CarebearBooks, a team that deeply understands healthcare operations.

No Hidden fees
Compliance
Healthcare Compliance
Caregiving specialists
Caregiving Specialists

Indivudal service pricing by facility type

Mix and match services to fit your facility's specific needs

Bookkeeping services

Resident-focused bookkeeping that tracks profitability

Facility Type
Price
Resident Range
Key Features
Adult Family Home
$25/resident (Max $200)
2-8 residents
Medicaid income tracking, Section 131 records, caregiver expense allocation
Assisted Living
$30/resident
7-16 residents
Multi-level care analysis, department allocation, insurance billing support
Nursing Home
$35/resident
17+ residents
Cost center management, Medicare optimization, therapy revenue tracking

All facilities plans include:

  • Unlimited transactions & bank accounts
  • Bills and invoice management for families and vendors
  • Custom invoice creation for private-pay residents
  • Dedicated caregiving bookkeeper
  • Lender-ready reports for facility expansion
  • Resident-level profitability analysis

Multi-facility discounts:

  • 2nd Facility: 10% discount
  • 3+ Facilities: 15% discount

Payroll services

Payroll built for care homes

Facility Type
Price
Resident Range
Key Features
AFH Payroll
$100 per month, flat
2-8 bed facilities
Facilities with caregivers
Assisted Living Payroll
$149 monthly base
7-16 bed facilites
Facilities with departments
Nursing Home Payroll
$199 monthly base
17+ bed facilities
Facilities with skilled staff

All facilities plans include:

  • 48-hour direct deposit
  • All Washington state payroll tax filings
  • Federal payroll tax deposits and filings
  • Employee self-service portal
  • Help with employee and contractor setup
  • Unlimited payroll runs
  • WA Cares Fund reporting

Multi-facility discounts:

  • 2nd Facility: 15% discount
  • 3+ Facilities: 25% discount

Tax planning & preparation

Tax preparation that understands care home income

Facility Type
Price
Resident Range
Key Features
AFH Essential
$500 annually
2-8 bed facilities
Section 131 review, Medicaid income reporting, home and equipment depreciation
Assisted Living Professional
$699 annually
7-16 bed facilities
Multi-level care analysis, department optimization, insurance coordination
Nursing Home Complete
$899 annually
17+ bed facilities
Medicare optimization, cost report support, skilled nursing analysis
Strategic Optimization
$1,199 annually
Any facility type
Monthly planning, advanced strategies, multi-facility coordination
Multi-Facility Enterprise
$1,799 annually
3+ facilities
Enterprise planning, succession strategies, dedicated strategist

All facilities plans include:

  • Federal and Washington state filing
  • Help answering IRS letters about returns we prepare
  • Electronic filing & direct deposit
  • Washington caregiving expertise
  • Care home deductions claimed properly

Business formation

Proper structure with ongoing compliance support

Facility Type
Price
Resident Range
Key Features
AFH Complete Formation
$399 one-time
2-8 bed facilities
LLC/Corp + DSHS guidance + compliance setup
Assisted Living Formation
$499 one-time
7-16 bed facilities
Enhanced structure + licensing coordination
Nursing Home Formation
$699 one-time
17+ bed facilities
Corporate structure + Medicare compliance prep
Multi-Facility Structure
$899 one-time
Facility networks
Complex ownership + multi-entity coordination

All facilities plans include:

  • Washington state filing
  • Federal EIN acquisition
  • DSHS/DOH licensing guidance
  • Digital document delivery
  • Compliance calendar setup