Assisted living and senior care combine healthcare regulatory requirements, real estate ownership, and operating business economics — each side with its own accounting and tax implications.
Facilities accepting private pay, long-term care insurance, and limited Medicaid all need accounting that tracks each payer with its own timing, rates, and reporting needs.
Operators who own their facility have meaningful cost segregation, depreciation, and entity-structure decisions that change after-tax economics significantly.
Caregivers, certified nursing assistants, and contracted specialists each carry classification considerations — AB 5 in California, federal classification rules, and overtime exposure.
California RCFE licensing requires specific financial reporting and audit-ready records that generic small-business accounting does not produce.
We work with Bay Area assisted living operators on the financial side of running a regulated senior care operation.
Operating entity vs. real estate entity separation, multi-facility holding structures, and asset protection coordination.
For facility ownership — engineering firm coordination, deduction acceleration modeling, and depreciation schedule integration.
Private pay, long-term care insurance, and Medicaid revenue tracking with payer-level reporting and aging analysis.
AB 5 analysis for caregivers and CNAs, federal classification rules, overtime tracking, and contractor agreement structuring.
Financial reporting formatted for California RCFE licensing reviews, audit-ready records, and accreditation reviews.
Facility bookkeeping, payroll oversight, monthly P&L with facility-level and payer-level detail, tax-ready year-end coordination.
An assisted living facility lives at the intersection of healthcare regulation, real estate ownership, and labor-intensive operations. Each side has its own reporting expectations. Working with a CPA who has seen these facilities before changes both the compliance posture and the financial visibility leadership has into the operation.
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