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Senior Care & Community Services

Accountability by location, program and funding stream.

Senior care and community services run on people: staff across residences, day programs and home services, paid for by public funding, client fees and fundraising. Finance needs to show each location and program what it earned, what it spent and why.

  1. 01Funding / Revenue
  2. 02Location / Program
  3. 03People & Services
  4. 04Cost
  5. 05Accountability

Funding / Revenue, Location / Program, People & Services, Cost, Accountability

One organization, several ways of being paid.

Choose a funding stream. The board shows which kinds of location usually carry it, and what finance must do at each step so every location and program can account for it.

  • Residential siteCarries this stream
  • Day programCarries this stream
  • Home and community servicesCarries this stream

01Funding / Revenue

Funding tied to approved services, usually with a budget and a year-end reconciliation.

02Location / Program

Assigned to the locations and programs named in the agreement.

03People & Services

Staffing levels and service volumes are often what the agreement measures.

04Cost

Payroll, benefits and agency staff dominate. Code them to location and program at the source.

05Accountability

Reconcile funded services and spending to the agreement, and explain any surplus or deficit.

Typical patterns. Your funding agreements and services decide the real structure.

Payroll is the cost structure.

Staffing is usually the largest cost in care and community services, and it is scheduled by shift, location and program. The design has to carry that detail into finance without copying the scheduling system.

Scheduling and payroll
Own shifts, hours, rates and pay. They stay the source of truth for people.
What finance receives
Payroll journals by location, program and funding stream, with totals that reconcile to the pay run.
Shared staff
Staff who work across sites or programs are allocated from recorded hours, not estimates.
What leaders watch
Overtime and agency staffing by location, against budget, before month-end.

Care systems stay care systems.

Clinical and care records belong in the care platform. Finance needs service volumes, billing information and cost, not personal health information. The boundary is designed, mapped and reconciled.

Care and scheduling platforms

  • Care plans and clinical records
  • Service delivery and visits
  • Shifts and staffing

Sage Intacct

  • Revenue and billing by location and program
  • Payroll and cost by funding stream
  • Budgets, approvals and reporting

What managers, boards and funders need to see.

Budgets by location

Each location and program owns a budget, and managers see actuals against it without waiting for month-end packs.

Shared costs

Head office, facilities and information technology are allocated with a method the funders accept.

Approvals

Purchasing and staffing approvals follow the location and program budget, with limits that match delegated authority.

Board and funder reporting

The same ledger produces the board view, the funder reconciliation and the location report.

Questions to ask before you design.

  1. How many locations, programs and funding streams does finance report on today?
  2. Can each location manager see revenue, staffing cost and budget together?
  3. How are staff who work across sites or programs allocated?
  4. Which care, scheduling or billing systems feed finance, and who reconciles them?
  5. Which funding agreements require year-end reconciliation, and how long does it take?

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