Tax preparation for care homes
We prepare the business return and your personal return together, because in an adult family home they are one story. We know how Medicaid income, Section 131, the house and your own pay fit together, and we check before we claim.
Complimentary 30-minute call • No commitment • We review your setup before you pay us anything
.webp)
Where it goes wrong
Most of what goes wrong on an adult family home return comes from treating the home like an ordinary small business.
Not sure how your Medicaid and private-pay income should be reported at tax time?
Not sure how to pay yourself from the home, or what it means at tax time?
Not sure whether Section 131 applies to your home, or how much of your income it covers?
Not sure the house, the vehicle and the equipment are being depreciated properly?
Why CarebearBooks
A care home has income and costs most small businesses do not. A preparer who sees them every day is less likely to miss something.

We look at how the home is set up, how you pay yourself and what that means for next year.
Plain language
You understand your return before you sign it.
Every deduction is backed by records kept in the right place through the year.
If the IRS writes
We help you answer letters about returns we prepare.
Planning happens before the year ends, when it can still change the result.
Local expertise
We work only with Washington care homes, so state-specific rules are everyday work for us.
Pricing
One clear price. No hidden fees.
AFH Essential from
500
per year
For tax preparation and planning for care home owners.
Choose tax preparationEvery plan includes
Multi-facility discounts
Running assisted living or a nursing home? See all plans and prices →
How it works
Share income statements, expense records, receipts and prior-year returns. We give you a checklist made for adult family homes.
We prepare your federal and state returns and look for every deduction that applies to care homes.
You review the draft, ask anything you like, and e-sign online.
We file with the IRS and the state and send you confirmation once your returns are accepted.

Secure and simple
Why drive across town when everything can be handled securely online?
Encrypted client portal and multi-factor sign-in.
Upload documents once, and review and sign online.
Video, phone or WhatsApp, at a time that suits you.
The CarebearBooks promise
Most of what goes wrong on an adult family home return comes from treating the home like an ordinary small business.
Nothing deductible missed.
Records ready before you need them.
Every claim checked first.
Planning, not just filing.
Questions
A real person answers, by phone, email or WhatsApp.
Get my complimentary tax reviewSection 131 can let some providers exclude part of their Medicaid income from federal tax. Whether it applies, and to how much, depends on how your home is set up. We check that for you.
You must be a licensed adult family home provider who receives difficulty-of-care payments, and the home must be your principal residence. We review which payments qualify before a return is filed.
Usually they are business income. In some situations part of them can be excluded under Section 131. It depends on how your home is set up, so we look at your case before answering.
A care home has income and costs most small businesses do not: Medicaid payments, residents living in the owner's house, caregivers on site around the clock. A preparer who sees them every day is less likely to miss something.
Complimentary tax review
Send us last year's return and we will tell you what we would check, and what might have been missed.
See open times and pick the one that suits you. It takes about a minute.
Prefer to write? Send us a message →
No cost. No obligation. Nothing changes until you decide.