for home care agencies

Home care runs on payroll. Watch it monthly.

Caregiver hours are most of your cost, and payers pay on their own schedule. We close your books every month, file your taxes, and show you on one page what each payer brings in and what care costs to deliver.

What makes home care books different.

Revenue by payer

Medicaid waiver and managed care plans, VA, long-term care insurance and private pay all land at different times. Your P&L shows each one, so a slow payer is obvious.

Caregiver labor as a share of revenue

Wages, overtime and payroll taxes against billed hours, every month. If margin slips, you see which month and why.

Employees, not guesses

Caregivers are usually employees, not contractors. We run payroll the right way and file 1099s only for the people who really are contractors.

Owner pay planned

Many agencies are best run as an S corp once profit is steady. We plan your salary and distributions on your return, not in April.

Flat prices. No hourly billing.

Heartbeat adds $300 one-time onboarding and has no contract. Payroll on its own and new business setup are quoted by phone or email. Full pricing.

Straight answers.

Can you run payroll for my caregivers?

Yes, for up to 10 employees today: checks, payroll tax deposits and quarterly filings. Bigger team? Call us.

Can you tell me which payers are profitable?

Yes. Every month your one-page P&L breaks revenue out by payer, so you can see who pays, how fast, and how much.

Should my caregivers be W-2 or 1099?

Usually W-2. Misclassifying caregivers is a common and expensive mistake. Call us, we'll look at how you work and tell you straight.

Do you work with agencies outside Pennsylvania?

Yes. We're based in Philadelphia and work with home care agencies anywhere in the US by phone, video and a secure portal.

Fifteen minutes. Free.

Bring a bank statement, a merchant statement, or last year’s return. If we’re not the right fit, we’ll say so.

Call (717) 608-3903

Or email hello@thevitalsgroup.com · see pricing