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Business Details
We have been providing specialized accounting and consulting services since our founding in July 2005. Our CEO, Theresa Horky, brings over 20 years of health care accounting experience, including managing Medicare and Medicaid cost reports for over 200 nursing homes. We specialize in long-term care financial management, serving nursing homes, assisted living facilities, and home health agencies throughout Massachusetts and New Hampshire. Our team delivers expert tax return preparation, bookkeeping, and reimbursement services tailored to the unique regulatory environment of the healthcare industry. We maintain strict HIPAA compliance to protect all confidential client information at every stage of engagement.

Our professionals have successfully turned around struggling organizations, transforming a near-bankrupt company into a profitable and compliant operation. We offer flexible on-site or remote support, including full business office outsourcing for accounts receivable, payroll, and human resources. Our staff provides targeted training and interim coverage to ensure operational continuity during personnel transitions. We pride ourselves on transparent communication and proactive problem-solving for every client challenge. Our commitment to regulatory compliance and financial accuracy drives sustainable results for the providers we serve.
Highlights and features
  • We have specialized in long-term care accounting since 2005.
  • Our CEO brings over 20 years of healthcare accounting expertise.
  • We have prepared Medicare cost reports for over 200 facilities.
  • We maintain strict HIPAA compliance protecting all confidential client data.
  • Our team turned a near-bankrupt company into profitable compliance.
Services
Medicare Cost Reports
Our Medicare cost report preparation service ensures accurate, timely submission for nursing homes and long-term care facilities. We leverage over 20 years of specialized reimbursement experience to maximize allowable costs and maintain regulatory compliance. Clients receive expert guidance through complex filing requirements, reducing audit risk and optimizing revenue.
Tax Preparation
We provide comprehensive tax preparation and planning for individuals and businesses across diverse industries, including healthcare and retail. Our CPAs maintain current knowledge of federal and state tax codes to minimize liabilities and ensure full compliance. Clients benefit from proactive strategies that align tax obligations with long-term financial goals.
Reimbursement Consulting
Our reimbursement consulting addresses Medicare and Medicaid billing, collections, and quarterly user fee submissions for long-term care providers. We establish compliant billing procedures and conduct thorough compliance reviews to prevent revenue leakage. Facilities gain optimized reimbursement rates and reduced denial rates through our specialized expertise.
Business Office Outsourcing
We offer full business office outsourcing including accounts receivable, accounts payable, payroll, and human resources management for healthcare organizations. Our team integrates seamlessly on-site or remotely to maintain operational continuity during staff transitions or vacancies. Clients reduce overhead costs while gaining access to experienced professionals and standardized processes.
Financial Consulting
Our financial consulting delivers budgeting, strategic planning, cost-benefit analysis, and feasibility studies tailored to long-term care operations. We assist with software conversions, compliance reviews, and internal controls to strengthen financial governance. Organizations achieve improved fiscal performance and regulatory readiness through our data-driven advisory approach.