I provide ongoing monthly bookkeeping for two US home care agencies that share the same owner. Each agency has its own books in QuickBooks Online, and both are run on the same standardized monthly process.

Home care is a payroll-driven business, so accuracy depends on how well payroll data from ADP flows into the books. The core of the work is recording ADP payroll correctly, keeping payroll clearing and liability accounts clean, reviewing 1099 contract labor and accounts payable, and reconciling every bank and credit card account before the financial statements go to the client.

I handle the full monthly cycle for both agencies: collecting bank statements and ADP reports, reviewing the bank feed, creating the ADP payroll journal, reviewing payroll, payables and contractor accounts, reconciling all accounts, and delivering the financial reports, including customized reports in MS Word built to the client's requirements.

Collect Reports • Collect bank statements and ADP payroll reports for the month.

Bank Feed Review & Queries • Categorize, match and transfer transactions from the QuickBooks bank feed review. • Send queries to the client on unclear transactions and resolve them. • Check and match every bank register against the bank statement.

ADP Payroll Accounting • Create the payroll journal in QuickBooks from the ADP reports. • Review the payroll clearing account register so it is properly cleared. • Review payroll liability accounts (federal, state and local taxes, insurance and others).

Contract Labor & Payables • Review the contract labor (1099 contractor) register. • Review the Accounts Payable (A/P) register.

Financial Statement Review • Review the Balance Sheet and the Profit & Loss statement for accuracy and unusual balances.

Final Reconciliation & Reporting • Run the final reconciliation for every bank and credit card account. • Run the financial reports and submit them to the client. • Create customized financial reports in MS Word to the client's requirements and submit them.

Screenshots below are from live client work, with the company name, account numbers, dollar figures and specific dates removed to protect client confidentiality. Account structures, workflow steps and report layouts are shown as they appear in QuickBooks Online.

Both agencies receive a consistent, repeatable month-end process that ties ADP payroll, bank and credit card activity, contractor payments and payables back to QuickBooks Online. Every month is checked through register reviews, payroll clearing and liability reviews, and full reconciliation before the standard and customized reports are delivered.

Healthcare bookkeeping ADP payroll journal entries Payroll clearing review

Payroll liability review 1099 contract labor review QuickBooks Online

Accounts payable review Financial statement review Custom Word Reporting

Multi-entity monthly close Bank & credit card reconciliation