CarebearBooks Accounting

CarebearBooks Accounting is Washington State’s only dedicated CPA and IRS‑Enrolled Agent team specializing in Adult Family Homes, Assisted Living, and Nursing Home financial services—run by facility owners themselves for unmatched insight and support 

Why Choose CarebearBooks Accounting?

• We are caregiving facility owners too—so we deeply understand your daily challenges, from staffing to DSHS audits

• Licensed, HIPAA‑compliant, and DSHS‑familiar professionals ensure security and accuracy for caregiving financial operations

• Serving over 150 facilities in Washington with high retention, we deliver measurable results and a strong track record of client satisfaction

Our Caregiving Facility Services Include:
(Tailored pricing and bundled options available for Adult Family Homes, Assisted Living, and Nursing Homes)

• Bookkeeping & Profit Tracking
  Secure monthly bookkeeping, resident‑level profitability tracking, Medicaid/Medicare optimization, Section 131 foster care compliance, and DSHS dosing management

Payroll Processing & Compliance
Accurate payroll for caregivers and staff with federal and Washington state filings (941, SUI, WA Cares, L&I), direct deposit, W‑2 generation, and online approvals

• Facility-Specific Tax Services
  AFH‑specialized tax planning and preparation, maximizing deductions like Section 131 and foster care credits, plus IRS representation

• New Business Formation & Compliance Setup
  Entity formation (LLC, S‑Corp, etc.) tailored to care-home regulations, including coordination with DSHS/DOH licensing

• Client & State Billing
  Streamlined billing systems for resident participation fees and service charges; audit‑ready state reimbursement reconciliation

• Document & Trust Fund Management
  Organized secure storage for financial, patient, DSHS, and trust fund records to maintain compliance and accessibility

• Vendor & Bill Pay Services
  Timely vendor utility disbursements, ensuring smooth operational cash flow

CarebearBooks Accounting delivers monthly financial reporting, year‑round compliance support, and quarterly strategy sessions so you can focus fully on resident care and facility growth.