Health care support businesses - from home health agencies and medical staffing companies to therapy practices and assisted living facilities - face complex payroll requirements, Medicaid/Medicare reimbursement accounting, and strict compliance obligations. Our CPA team helps these businesses stay compliant and maximize profitability, serving companies across all 50 states.
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Expert CPAs ready to help you save on healthcare support taxes.
Handle complex payroll for CNAs, home health aides, therapists, and nurses with proper overtime, shift differentials, and benefit tracking
Properly track and reconcile Medicaid, Medicare, and private insurance reimbursements with accurate revenue recognition
Deduct compliance costs and maintain financial records that satisfy state licensing audits and accreditation requirements
Manage tax obligations across multiple care sites, branch offices, and service areas with coordinated planning
Comprehensive tax preparation for home health agencies, medical staffing firms, physical/occupational therapy practices, and assisted living facilities with proper reimbursement revenue treatment
Full payroll management for caregivers, nurses, aides, therapists, and administrative staff including overtime calculations, shift differentials, PTO tracking, and benefits administration
Track and reconcile Medicaid, Medicare, and private insurance payments with proper revenue recognition and accounts receivable management for healthcare services
Set up the right business structure for your healthcare support company, ensuring compliance with state licensing requirements while optimizing for tax savings
Monthly bookkeeping tailored for healthcare support businesses including patient service tracking, supply expense management, and cost-per-visit reporting
Ensure proper W-2 vs. 1099 classification for caregivers and healthcare staff - a critical compliance area where the DOL and IRS actively audit healthcare support companies
Schedule a free call to discuss your healthcare support business, staffing model, and tax concerns with an experienced CPA.
We analyze your revenue sources, payroll structure, compliance costs, and current tax situation to identify savings opportunities.
Our CPAs build a customized tax strategy covering deductions, payroll optimization, entity structuring, and growth planning.
We provide year-round support with quarterly reviews, proactive tax planning, and preparation of all required returns.
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Deep experience with healthcare support taxation
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Healthcare support companies can deduct staff training and certification costs, medical supplies and equipment, mileage for in-home care visits, liability and malpractice insurance, compliance and licensing fees, background check expenses, uniform and scrub costs, EHR and scheduling software, office rent and utilities, marketing expenses, and professional services. For home health agencies, vehicle expenses for staff traveling between patient homes can be a significant deduction that is often underreported.
In most cases, caregivers working for home health agencies and healthcare staffing companies must be classified as W-2 employees, not independent contractors. The DOL and IRS have made healthcare a priority audit area for worker misclassification. If you set schedules, provide training, and direct how care is delivered, those workers are employees. Misclassification can result in back payroll taxes, penalties, and even loss of your healthcare license. We help you structure employment relationships properly from the start.
Government reimbursements require careful revenue recognition. You should recognize revenue when services are provided, not when payment is received, and maintain proper documentation for each claim. The difference between billed amounts and approved reimbursements must be tracked as contractual adjustments. We set up your accounting system to properly track claims submitted, approved amounts, denials, and outstanding receivables - giving you a clear picture of your actual revenue.
The ideal structure depends on your state's licensing requirements, number of owners, and revenue level. Many healthcare support companies operate as LLCs with S-Corp tax elections to reduce self-employment taxes on owner income. Some states require specific entity types for licensed healthcare agencies. We analyze your specific situation including licensing rules, liability exposure, and growth plans to recommend the structure that provides the best combination of legal protection, compliance, and tax savings.
Schedule your free consultation today. No obligation, no pressure - just honest answers from a licensed CPA who understands healthcare support businesses.