Fractional CFO for Senior Living & Home Care
Know Where Your Care Business Is Making Money, and Where It Is Losing It.
Fractional CFO leadership for senior living and home care operators across New England. Get a clear view of cash flow, labor costs, payor mix and facility-level profitability. We pair industry-focused finance expertise with automated reporting and human-reviewed analysis, so you can decide with confidence and prepare for lenders, refinancing and growth.
Your Path With Us
1. Free Margin Leak Scan
2 minutes. See where labor, AR and payor mix are leaking margin.
2. Cash & Census Diagnostic, $2,500
13-week cash forecast and your top 5 margin leaks, in 10 business days.
3. AI CFO Plan, from $3,500/mo
CFO strategy, accounting and tax planning in one fixed monthly fee.
How We Work Together
A Clear Path From First Scan to Full CFO Support
Start free, get a fixed-fee diagnostic, then choose the plan that fits. Accounting and tax planning are built into every plan, and deal support is there when you are buying or selling.
Start Here
Cash & Census Diagnostic
The fastest way to see where you stand. A fixed-fee, 10-business-day review of your cash, census and margins. The $2,500 fee is credited toward your first month if you start a plan within 30 days.
- Rolling 13-week cash forecast
- KPI benchmark against your facility type
- Top 5 margin leaks with dollar impact
- $2,500 fixed fee, no surprises
- Delivered in 10 business days
AI CFO Plans
A fractional CFO team for senior living and home care operators. AI does the repeatable work, your CFO reviews every number, and accounting and tax planning are included. Fixed monthly fee, month-to-month.
- Essentials $3,500/mo: monthly KPI pack and 13-week cash
- Growth $6,000/mo: budget, labor model, lender reporting
- Board $9,000/mo: board pack and covenant tracking
- Monthly close within 15 days of month-end
Deal Advisory
Buying or selling a senior care or home care business? Fixed-scope sprints get sellers deal-ready and buyers diligence-ready, with clean numbers and a lender-ready model.
- Deal-Ready Sprint (sell-side): $6,000–$10,000
- Buyer Diligence Sprint: $7,500–$15,000
- Fixed scope, 2–4 weeks
- Prepares you for the lender’s independent QoE
Accounting and tax planning are included in every AI CFO plan. See how accounting works → | See how tax planning works →
Who We Serve
We Specialize Where the Financial Stakes Are Highest
Senior living and home care operators run in regulated, margin-sensitive environments where generic accounting isn’t enough. Most firms learn your industry on your dime. We’ve already built our practice around it.
We work with assisted living communities, memory care facilities, home care agencies, multi-site groups, and buyers and sellers of care businesses, where financial complexity demands a specialist, not a generalist.
Senior Living Operators
Memory Care & SNF
Home Care Agencies
Deal Advisory & M&A
Multi-Site Groups
Owner-Operators
“My labor cost is running above benchmark but I can’t pinpoint where it’s leaking.”
We build department-level P&L and labor tracking so you see exactly where every dollar is going, before month-end.
“We need lender-ready financials for refinancing but we don’t have a CFO.”
We prepare audit-ready, lender-grade financial packages, occupancy trends, payor mix, EBITDA coverage, exactly what lenders scrutinize.
“Occupancy dropped and I don’t know what it did to my margin.”
We build census-to-revenue models so you see the financial impact before month-end surprises you.
Why Industry Specialists Matter
Built for Industries Others Overlook
Senior living and home care finance have unique rules, census-driven revenue, multi-payor billing, regulated labor ratios. We built our practice around these industries, not bolted them on.
Industry-Specific Expertise
We’ve built our entire practice around senior living and home care finance, not general CPA work. That means no learning curve, no generic advice.
Proactive, Not Reactive
We flag occupancy-driven margin shifts, labor benchmark breaches, and payor mix risks before they become problems, not after month-end.
One Integrated Team
CFO strategy, accounting, and tax planning coordinated as one function, so your books, forecasts, and tax decisions all work together.
No Long-Term Contracts
Engage month-to-month. Scale up as you grow, adjust as your needs change. No lock-in, no setup fees.
Getting Started
From First Call to Full Support in 30 Days
No long onboarding. No surprises. Just a clear, structured process to get your finances in expert hands, fast.
1
Free Scan or Discovery Call
Take the 2-minute Margin Leak Scan or book a 30-minute call. We learn your facility, your payor mix and your goals, with no obligation and no sales pressure.
2
Cash & Census Diagnostic
In 10 business days you get a 13-week cash forecast, a KPI benchmark and your top 5 margin leaks with dollar impact. The $2,500 fee is credited toward your first month if you start a plan within 30 days.
3
Ongoing AI CFO Plan
Choose Essentials, Growth or Board. AI handles the repeatable work, your CFO reviews every number, and accounting and tax planning are built in. Month-to-month, 30 days’ notice.
Start With Something Useful, Free
No call required. These tools show you where you stand before you spend a dollar.
Free Diagnostic
Margin Leak Scan10 questions, about 2 minutes. Get a scored breakdown of where your facility is losing margin.
Take the Scan →Free Checklist
SNF Pre-Refinancing ChecklistA 52-item lender-readiness checklist with deal-risk flags, built for operators heading into a refinancing.
Get the Checklist →Guide
5 Silent Revenue Leaks Draining Your Facility’s MarginWhere billing gaps, AR drift and payor underpayments hide, and how to find them.
Read the Article →Start Today
Ready for a Financial Partner Who Understands Your Industry?
Schedule a free 30-minute strategy call. We’ll review your current financial setup, benchmark your key ratios, and show you exactly where we’d focus first, no obligation, no long-term contract required.
No obligation. No long-term contract. Just real financial expertise for your business.