Home health agencies
Thin margins hide in complexity.
Home health has plenty of both.
We understand Medicare reimbursement cycles, PDGM, cost reporting, and the compliance pressure that comes with running a regulated care business.
The problem
What we hear from agency owners.
“Reimbursement gaps and revenue leakage.”
“Medicare and PDGM complexity.”
“Margins are thin and I can't see why.”
“We're preparing for a sale or acquisition.”
Why we're your partner
We've helped home health agencies strengthen margins, clean up financials, and make confident decisions in one of the most complex billing environments in healthcare.
Our work is grounded in lived operational experience — not theory, templates, or generic advice.
We integrate into your leadership team, bringing financial controls, cleaner reporting, and the clarity that surveyors, lenders, and investors expect.
What we do
We secure the financial foundation.
- Read your billing structure, Medicare cost reports, and entity setup
- Medicare and Medicaid reimbursement analysis and recovery
- Cash flow and liquidity assessment
- Chart of accounts assessment and optimization for healthcare
- Cost controls and financial discipline
- Clear, immediate quick-win recommendations
We create the clarity leaders can trust.
- Weekly cash flow analysis and financial health checks
- Identification of billing gaps, missing documentation, and compliance risks
- Monthly profit & loss and balance sheet reporting
- Revenue analysis by payer, program, and geography
- Clear, owner-level reporting
We guide decisions and governance.
- Ongoing financial oversight and decision support
- Risk identification across finance, operations, and compliance
- Survey, audit, and due-diligence preparation and coordination
- Medicare cost report and compliance support
- Strategic financial analysis for growth, acquisition, or exit
Preparing for a sale or acquisition
Is MyGoodCFO right for us if we're preparing for a sale or acquisition?
Yes. This is one of our strongest areas. We help agencies get financially structured, reported, and positioned in a way that maximizes valuation and gives buyers confidence.
The earlier you engage us before a sale, the better the outcome.
Services for home health agencies
Questions people ask
Frequently asked questions
- Do you understand Medicare and PDGM billing?
- Yes. We work specifically with home health agencies. This isn't generic CFO advice — it's specialist financial leadership for your sector.
- What types of agencies do you work with?
- Owner-led agencies billing between $1M and $20M annually, who need senior financial leadership without the cost of a full-time CFO.
- How quickly will we see impact?
- Most agencies see meaningful clarity within the first few weeks — improved cash visibility, identified billing gaps, or immediate cost savings.
- Do you work with our existing billing team?
- Yes. We're not replacing them. We bring CFO-level oversight that sits above the day-to-day billing function.
- Are we ready for a CFO, or do we need bookkeeping first?
- If you need someone to reconcile accounts, GoodBookkeeping.com is the better starting point. Once your books are current, the CFO conversation gets shorter.
- Who is MyGoodCFO not a good fit for?
- Businesses looking only for basic bookkeeping, tax filing, or the lowest-cost option. We're also not a fit if you want reports without engagement, or advice without accountability. We work best with owners and leadership teams who care about clarity, integrity, and building something they're proud of.