EFS Group, PLLC

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Fractional CFO & Accounting for Group Homes

Group home providers run on state contracts, per-diem rates, and tight staffing — and the money rarely arrives when payroll is due. EFS Group helps owners and directors manage their money so they can scale with confidence.

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Per-diem revenue and 24/7 staffing make cash hard to predict.

  • State and county payments can lag, while round-the-clock staffing costs hit every pay period.
  • Per-diem rates often don’t move as fast as wages, insurance, and facility costs.
  • If you’re a nonprofit, grants and restricted funds need to be tracked separately from operating money.
  • Adding a new home is a big decision, and it’s hard to make without house-level profit numbers.

How EFS Group helps group homes

  • Bookkeeping that tracks revenue and costs by house or program, so you know which locations are working.
  • Cash flow forecasting built around contract payment timing and payroll.
  • Grant and restricted-fund tracking for nonprofit providers, with reports your board can read.
  • Payroll support for direct support staff, shifts, and overtime.
  • Fractional CFO guidance on rate negotiations, expansion, and financing.

We offer Starter, Intermediate, and Premium CFO packages that combine monthly books, strategy, KPIs, payroll options, and tax planning. View CFO packages and services →

How it works

  1. Preview — A short strategy call to understand your organization, revenue, pain points, and goals.
  2. Probe — A detailed look at your books, bank activity, payroll, tax history, and systems.
  3. Plan — Clear recommendations on the areas that drive cash and profit.
  4. Present — We walk through the plan together and decide if we’re a fit.
  5. Put into motion — Cleanup if needed, then ongoing books and CFO support.

FAQ

Do you work with both for-profit and nonprofit group homes?

Yes. For-profit owners usually need profit and tax planning; nonprofits also need grant and restricted-fund tracking and board-ready reports. We set up the books to fit how your organization is structured.

Can you show profitability by house or program?

Yes. We organize your books by location or program so you can compare revenue, staffing, and facility costs side by side and make better expansion decisions.

How do you help with late state or county payments?

We build a cash flow forecast around your real payment timing so you can see shortfalls early and plan for them with reserves, a line of credit, or adjusted spending.

Can you help us prepare for a rate review or contract renewal?

We can pull together clean cost and staffing data that shows what it really costs to deliver care, which gives you better information for those conversations.

Is your service virtual?

Yes. We work with providers across the U.S. via Zoom and cloud accounting tools.

Ready to get clear on your numbers?

Let’s clean up the confusion around cash, payroll, and tax — and build a financial engine that supports growth.

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