Best all-in-one accounting software for Nursing homes
All-in-one finance platform for accounting, bookkeeping, taxes and payroll for nursing homes
Why nursing home owners trust mesha
Hours saved on accounting, bookkeeping and financial admin tasks
saved on bookkeeping and tax fees
accurate financial insights
Financial powerhouse for nursing homes
Intelligent accounting software for modern nursing homes
Supercharge your nursing home’s growth and close your books 3X faster
Expert Bookkeeping tailored to your nursing home's needs
Operating a nursing home comes with specific financial complexities. Our expert accounting and bookkeeping services are tailored to address the unique financial requirements of nursing homes. Whether you're managing an independent nursing home or part of a larger healthcare organization, we comprehend the intricacies of your financial landscape and are fully equipped to manage them with precision and efficiency.
Trusted tax management and filing for nursing homes
Tax Management Software
  • Automated tax calculation for sales, payroll and federal
  • Reminders on taxes and compliance filing
  • Tax ready reports with P&L, expenses and balance sheets
Tax Prep and Filing
  • Instant access to top tax consultants for nursing homes
  • Proficient counsel on healthcare specific tax frameworks and tax-efficient strategies
  • Minimizing tax liabilities and maximizing deductions
  • Stay up to date on dynamic tax laws and regulations impacting the healthcare industry

Tax related FAQs for nursing homes

What tax forms do nursing homes need to file annually?

Nursing homes are typically tax-exempt organizations, and they are required to file an annual information return with the IRS. The specific form to use depends on the size and income of the nursing home. Larger organizations may file Form 990, while smaller ones might use Form 990-EZ. These forms provide detailed information about the organization's finances, activities, and governance, helping the IRS monitor compliance with tax-exempt regulations.

The taxation of nursing home services varies by state. In some states, nursing home services may be subject to sales tax, while others may exempt them. It's essential to consult your state's Department of Revenue or a tax professional to determine the specific tax treatment in your area.

Yes, donations to tax-exempt nursing homes are typically tax-deductible for both individuals and businesses. Donors should obtain a receipt or acknowledgment from the nursing home for their contributions. Individual and corporate donors can claim these deductions on their tax returns, but there are limits and rules to follow, so it's advisable to consult with a tax advisor.

Selling a nursing home property can have capital gains tax implications. The amount of capital gains tax owed depends on the property's appreciation in value and the length of time it was held. Nursing homes may be eligible for certain tax benefits, such as a 1031 exchange, which allows them to defer capital gains taxes if they reinvest the proceeds in a similar property. Consulting with a tax professional is essential to understand and minimize tax liabilities

Yes, employee wages in nursing homes are subject to various payroll taxes, including federal and state income tax withholding, Social Security tax, and Medicare tax. Employers are responsible for withholding these taxes from employees' paychecks and remitting them to the appropriate tax authorities.

Generally, Medicaid reimbursements received by nursing homes are not considered taxable income. Medicaid payments are intended to cover the cost of healthcare services for eligible individuals, and they are usually exempt from income taxation. However, it's essential for nursing homes to keep accurate records of Medicaid reimbursements and ensure they comply with any state-specific reporting requirements or regulations related to Medicaid funding to maintain their tax-exempt status. Consulting with a tax expert with knowledge of healthcare finance is recommended to navigate the complexities of Medicaid reimbursements.

Making payroll painless for nursing homes

Our comprehensive payroll features help make payroll management super simple.

Stay compliant with mesha
  • Off Cycle payroll and flexible payment schedules

  • Next day direct deposit

  • Payroll Deductions and Garnishments

  • Overtime and reimbursement calculations

  • Payroll and taxes across multiple states

  • Payroll for FTEs, contractors and freelancers

Payroll taxes and compliance

We take care of taxes and compliance to adhere to the local regulations and government declarations.

Stay compliant with mesha
  • Automated tax calculation

  • Tax filing and reporting

  • Tax codes and regulation updates

  • Multi jurisdiction compliance

  • Tax liability tracking

  • Work Classification Compliance

  • SUI Reporting

  • Wage Garnishments and Deductions

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