Case studies

Client results

Anonymous examples of our work for home health and home care agencies: a first Medicare cost report filed in two days, caregiver pay checked against the IDOA 77% rule, and more than 10 missing 1099-NEC contractors found.

Book a Free 20-Min Call

CPA firm since 1985
20+ years in healthcare
5.0 on Google · 20 reviews

Client names and identifying details are left out of every story.

Story 01 · Home health cost report

New home health agency: first Medicare cost report filed in two days

Who

A newly certified home health agency with no accounting software.

The problem

The Medicare cost report was due May 31, and there were no books, only raw bank statements.

What we did

We built the accounting records from the bank statements in QuickBooks, produced proper financial statements, and used them with the other cost report source documents to prepare the report.

Result

The cost report was prepared in two days and filed before the May 31 deadline.

Story 02 · IDOA cost report

Illinois home care agency: caregiver pay checked against the IDOA 77% rule

Who

An Illinois home care agency in the IDOA Community Care Program.

The problem

The IDOA cost report must show at least 77% of revenue due from the Department spent on direct service worker costs (89 Ill. Adm. Code 240.2040), and caregiver pay also had to stay competitive enough to keep staff.

What we did

We analyzed the agency's financial statements and payroll data and found where caregiver pay fell short.

Result

The agency set pay rates that meet the 77% requirement and stay competitive for retention.

Story 03 · Payroll and bookkeeping

Home health agency: more than 10 missing 1099-NEC contractors found

Who

A home health agency preparing its year-end W-2s and 1099s.

The problem

QuickBooks wasn't set up to track 1099 contractors, so the 1099-NEC list was incomplete.

What we did

We cleaned up the accounting records and fixed the QuickBooks contractor settings.

Result

We found more than 10 contractors who were required to receive a 1099-NEC for the year, so they could be reported.

Free 20-minute call

Let's look at your numbers together.

Talk directly with Christian Soriaga, CPA. No pitch deck, no obligation.

Book a Free 20-Min Call or call 630-491-1268

On the call we’ll cover

Your situation and what is due next
Deadlines and filing status
A clear written fee quote
Clear next steps, no obligation

Christian Soriaga, CPA

Soriaga & Associates, LLC