Bookkeeping and Payroll for US Home Care Agencies
Global Books by Senvora. Bookkeeping, caregiver payroll and billing checks for US home care agencies with 20 to 75 caregivers. You care. We count.
Most home care owners we meet are sure their books are fine. Then we check billing against deposits, payroll against timesheets, and filings against due dates. That is where the money leaks hide.
Book a free 30 minute money check
Where do home care agencies lose money?
These are real cases from agencies we have worked with, kept anonymous. Each one is a separate agency.
- Missed billing. Visits delivered but never billed, or billed and never paid. One agency had $3,000 to $7,000 slip through over 3 to 6 months.
- Payroll errors. Wrong rates, overtime and duplicate hours. One agency lost $7,000 to $15,000 over 6 to 12 months.
- Missed filings. Payroll tax deadlines slipping. We helped one owner avoid $2,000 to $5,000 in penalties.
- Wasted expenses. Subscriptions and vendor charges nobody checks. One agency was losing $2,000 to $5,000 a year.
What do you handle for a home care agency?
- Weekly caregiver payroll
- Billing checked against deposits, payer by payer
- A monthly money leak report in plain English
- Payroll tax filings on time
- Clean monthly books in QuickBooks Online or the software you already use
- A signed HIPAA Business Associate Agreement before we touch your data
I already have a bookkeeper. Why switch?
Fair question. Try this: do you know how much you billed last month versus what actually landed in the bank, by payer? Do you know if every caregiver was paid the right rate? If those answers take more than a minute, it is worth a second set of eyes. Owners who were just as sure as you have found real money in the first check.
Outsourced bookkeeping for home care agencies: how it works
Outsourced bookkeeping means a specialist team keeps your agency’s books, checks caregiver payroll and matches billing to deposits every month, so you do not need an in house bookkeeper. With Global Books by Senvora it runs like this:
- We sign a HIPAA Business Associate Agreement before we see any data.
- We work inside your own QuickBooks Online file, so you own the books and your bank feeds stay connected.
- Every week we check caregiver payroll: hours and overtime against your visit records.
- Every month we match what you billed to what each payer paid, Medicaid, MCO, VA and private pay, and flag every gap for follow up.
- You get a monthly money leak report in plain English: missed billing, payroll errors and wasted spend.
| In house bookkeeper | Global Books by Senvora | |
|---|---|---|
| Cost | Salary, benefits and training | Custom quote within 24 hours, first month free |
| Home care know how | Depends on the hire | Payer by payer billing checks every month |
| When someone is out | Work waits | A team covers it |
| Who owns the books | You | You, in your own QuickBooks file |
How does the free first month work?
- First month free. You see the work before you pay anything.
- Second month paid, agreed in writing up front.
- Built for agencies with 20 to 75 caregivers.
- Share 3 months of payroll and bank deposits at the start so we can check them properly.
- Your price is a custom quote, sent within 24 hours of our call.
We take a limited number of new agencies each week so every file gets proper attention.
Book a free 30 minute money check
Read: 5 money leaks to check every month in your home care agency.
Frequently asked questions
Do you work with my home care software?
We work from your payroll, billing and bank data, whatever system it comes from. Tell us what you use on the call.
Do you reconcile Medicaid, MCO and private pay separately?
Yes. We post revenue by payer, whether that is a Medicaid waiver program, a managed care organization, VA, long term care insurance or private pay, and match every deposit back to the claims or invoices behind it. Anything billed but not paid goes on your monthly money leak report.
Can you work with AxisCare, WellSky or HHAeXchange?
We work from the visit, billing and payroll exports your system already produces, including EVV verified visits, so you do not have to change software. Tell us what you use on the call.
How much does home care bookkeeping cost?
Every agency gets a custom quote within 24 hours of our call, based on caregiver count, payroll frequency and payer mix. The first month is free, so you see the work before you pay anything.
Do you sign a HIPAA Business Associate Agreement?
Yes. We sign a HIPAA Business Associate Agreement before we touch any client or caregiver data, and access stays limited to the team working on your file.
Who owns my books if I leave?
You do. We work inside your own QuickBooks Online file and your bank feeds stay connected to your accounts. If you ever switch providers, you keep everything, with a clean handoff of the month end reports.
Do you file tax returns?
We keep the books and run payroll filings. Income tax returns go to your CPA or our licensed CPA partners.
How fast can you start?
Once we have 3 months of payroll and deposits, we start the first check right away.
What is outsourced bookkeeping for a home care agency?
A specialist team keeps your books, checks caregiver payroll and matches billing to payer deposits every month, so you do not need an in house bookkeeper. Global Books by Senvora does this for US agencies with 20 to 75 caregivers.