We’re as passionate about your business’s financial health as you are about your clients’ physical health.

Financial Systems Built for Scaling Care-Based Businesses

nurse taking care of older person at home

When Caring Grows Complex, We Turn Your Back Office into a Well-Oiled Care Engine

The Problem We See Every Week

  • Government claims in limbo. One shutdown and cash stalls for weeks—yet most agencies have no ledger that shows what’s been billed vs. paid.

  • Private-pay write-offs. Families stop paying after a loved one passes; agencies keep serving out of compassion and swallow the loss.

  • Spreadsheet payroll & paper invoices. The bigger your team gets, the harder it is to see margins, fund payroll, and stay audit-ready.

  • Tax season panic. April becomes a scramble because the books were built for compliance, not for strategic growth.

If any of this feels familiar, you’re exactly who we help.

How Freedomfolio Fixes It

Your Bottleneck

Our Solution

Unknown status of Medicaid/Medicare & state program claims

Mirror every claim inside QuickBooks Online the same day it’s submitted. A live A/R dashboard shows billed, approved, paid, and aging—so you spot missing money before it strangles cash flow.

Private-pay clients who never settle up

Implement a simple retainer & deposit policy, plus aged-receivable alerts that trigger follow-up before balances turn into bad debt.

Broken integrations (EVV, Bill.com, Paychex)

Repair or replace feeds so hours, payroll, and vendor bills post automatically. No more double-entry, no more clearing-account nightmares.

No reliable P&L until tax time

Monthly close completed by the third Friday after month-end, with KPI pack: gross margin per caregiver, utilization %, claim-to-cash days, and runway forecast.

Surprise tax bills

Mid-year and Q4 planning sessions that model entity structure, reasonable comp, and retirement plans—so you pay the right amount, never a guess.

Case Snapshot: Sewa Home Care

Recovered $300k in unbilled government claims, cut month-end close time from 24 4 hours, and saved $60k in first-year taxes after an S-Corp switch and 401(k) setup.
(Full story on our Success page.)

Built for Agencies Like Yours

We work exclusively with founder-led home-care, therapy, and wellness companies doing $1M–$10M a year and employing 5–30 caregivers or clinicians. You bring the compassion; we bring the financial engine that lets compassion scale.

We’re a fit if you…

  • Respect compliance and want bullet-proof books.

  • Run (or want to run) everything in the cloud—QBO, Bill.com, Gusto, secure portals.

  • View advisors as partners, not order-takers.

(If you resist technology, prefer paper files, or look for “creative” ways around IRS rules, we’re probably not your shop.)

Your 90-Day Onboarding Roadmap

  1. Kick-Off & Data Pull (Week 1) – One call to grant portal access and define goals.

  2. Forensic Cleanup (Weeks 2-6) – Reconcile banks, rebuild A/R, fix payroll & loan balances.

  3. System Build-Out (Weeks 7-10) – Set up mirrored government billing in QBO, automate feeds, publish KPI dashboard.

  4. Strategy Session (Week 11) – Walk through numbers, tax projections, and process playbook.

  5. Go-Live & Monthly Cadence (Week 12) – Close the first month together; you see reliable financials on schedule, every month.

Ready to Care Without the Cash-Flow Guesswork?

Book a 15-minute discovery call and get one actionable insight—whether we work together or not.

Call us at (781) 309-6778 or click Fix My Financial System to schedule.

Freedomfolio—because compassionate care deserves rock-solid finances.

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