Payroll providers and PEOs, accounting and bookkeeping, business financing, caregiver benefits, and tax credit advisory for home care agencies.
44 vendors
Virtual CPA and accounting service offering bookkeeping, payroll, and tax preparation for healthcare businesses.
Enterprise payroll and HR platform for large organizations.
Enterprise payroll and HR platform widely used by home care agencies.
WOTC screening integrated into ADP payroll onboarding to automatically identify eligible caregivers for tax credits.
Business loans and lines of credit from $5K-$1M for home healthcare agencies with 24-48 hour approval and fixed rates.
Alternative business lending network for senior care agencies with SBA loans, working capital, and equipment financing.
Healthcare-specific financing with patient financing solutions and practice lending for home health agencies.
CPA firm with home health and hospice specialty providing cost reports, compliance audits, tax planning, and financial consulting.
Online bookkeeping service with dedicated bookkeeper pairing ideal for home care agency owners who want hands-off financial management.
Online banking and lending for small businesses with lines of credit, invoice factoring, and business checking for agencies.
Top SBA preferred lender specializing in home health care business loans starting at $350K for acquisitions and expansions.
SBA financing for healthcare practices with acquisition loans, expansion capital, equipment financing, and partner buyouts.
Household employer payroll service handling W-2 taxes, filings, and compliance for families directly hiring caregivers.
AI-powered healthcare collections platform helping home care agencies recover unpaid private-pay and insurance receivables.
Healthcare-focused business lender with working capital loans, lines of credit, SBA loans, and invoice factoring for home health agencies.
On-demand pay platform allowing employees to access earned wages before payday with savings features.
Healthcare-specific payroll and HR platform with scheduling, compliance, and earned wage access integrations.
Top healthcare consulting and accounting firm with Medicare cost report preparation, Medicaid reimbursement, and financial advisory.
Small business credit platform with revolving lines of credit for home care agencies managing cash flow between billing cycles.
Household and home care payroll service managing nanny taxes, caregiver payroll, and employment compliance for private-pay families.
Household and home care payroll services with tax compliance, workers' comp, and nanny/caregiver payroll.
Home care has more back-office edge cases than most small-business categories — overtime across multiple clients, sleep-time and travel-time rules, multi-state nexus on payroll, EVV-driven hour validation, slow Medicaid receivables — so generalist providers often force expensive manual workarounds.
Payroll providers and PEOs for home care handle the wage-and-hour edge cases natively. Home care–aware payroll (Gusto's home care vertical, Paychex's home care vertical, Workforce Go!) and PEOs (Insperity, Justworks, TriNet) manage overtime aggregation, multi-state pay, certified payroll where required, and integration with EVV/scheduling systems so caregiver hours flow from punch to paycheck without spreadsheet glue. PEOs additionally bundle health benefits, workers' comp, and HR services in exchange for higher per-employee pricing.
Accounting and bookkeeping for home care agencies is mostly cash-flow management on top of standard service-business accounting. Specialist firms (HMS Bookkeeping, Forte Bookkeeping, regional CPAs with home care clients) understand the cadence of payer remittances, the impact of state-by-state reimbursement rates, and the ratios investors care about when you eventually sell. Generic bookkeeping is fine for a single-location private-pay agency; multi-state or Medicaid-heavy operators benefit from a specialist.
Business financing and lending comes from three buckets. SBA loans (7(a) and 504) cover startup capital and acquisitions; specialty SBA lenders (Live Oak Bank, Pursuit Lending) underwrite home care specifically. Factoring and invoice financing (Triumph Financial, Bay View Funding, RTS Financial) bridge the 60–90 day Medicaid receivable gap that breaks startups in year one. Specialty healthcare lenders (Healthcare Capital, regional banks with healthcare divisions) offer working capital and acquisition financing on terms tuned to home care unit economics.
Caregiver health benefits (Stride, Catch, Decent, Sana) became a strategic line item in the post-COVID labor market — agencies offering benefits to caregivers (or supporting independent contractors in finding individual coverage) materially reduce turnover and recruiting cost. Many are distributed through PEOs; some are direct.
Tax credits and advisory (R&D credits for software builds, Employee Retention Credit cleanup, Work Opportunity Tax Credit for hiring veterans/qualifying populations) deliver real cash to home care agencies that often don't realize they qualify. Specialist firms work on contingency (typically 15–25% of credits captured); the upside is large enough that engaging one early is usually a clear positive ROI.
