We've brought together a team of educators and home care experts to answer the burning questions that you and every home care owner will ask at some point.
Brian Cottone Jr.
Benefits expert at VItable Health
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Jeremy Fuller
Managing Director of Grow Home Care Marketing; website, SEO, and digital marketing expert
Julio Briones
CEO of Briones Consulting - helping 7-figure home care agencies grow
Debbie Miller
Former pharma sales rep who built a $10M home care company and founded 52 Weeks Marketing
Debbie Miller
Former pharma sales rep who built a $10M home care company and founded 52 Weeks Marketing
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Mark Johnson
EA specializing in home care agencies
Shelby Palmeri
Hiring expert at CareerPlug
Jason Chagnon
CEO of Home Care Marketing Pros; digital marketing consultant to senior care businesses
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Jonathan Chapman
Director of Customer Education at Careswitch, former head of franchisee training at SYNERGY HomeCare corporate
Becki Harrington-Davis
Senior Content Marketing Manager at CareAcademy
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Becki Harrington-Davis
Senior Content Marketing Manager at CareAcademy
Ilya Vakhutinsky
Careswitch CEO, home health aide's son, Forbes 30 Under 30, caregiver advocate
Sabrina Sattler
Account Executive at Careswitch, home care agency advisor specializing in startup success and longevity
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Jonathan Chapman
Director of Customer Education at Careswitch, former head of franchisee training at SYNERGY HomeCare corporate
Rachel Gartner
Former home care recruiter who was so successful that she founded her own recruitment firm (Carework)
Gregg Mazza
Founded a home care agency, almost ran out of capital after two years, figured things out and scaled past $5M
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Jennifer Ramos
Managed and sold three different home care agencies; CEO of JR3 Consulting
Jennifer Ramos
Managed and sold three different home care agencies; CEO of JR3 Consulting
Brett Ringold
Vice President of A Long-Term Companion
Erica Horner
Home care sales consultant & project manager at corecubed
Erica Horner
Home care sales consultant & project manager at corecubed
Jennifer Ramos
Managed and sold three different home care agencies; CEO of JR3 Consulting
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Angelo Spinola
Home health, home care and hospice chair at Polsinelli
Brett Ringold
Vice President of A Long-Term Companion
Jennifer Ramos
Managed and sold three different home care agencies; CEO of JR3 Consulting
Jessica Nobles
Co-founder and business coach for Home Care Ops, built a 7-figure home care business in one year
Madeline Cecil
Content Writer @ Hireology
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Adam Corcoran
Director of Business Development at Golden Care, owner of Home Care Flyers, helped build a multimillion dollar agency from the ground up
Jason Chagnon
CEO of Home Care Marketing Pros; digital marketing consultant to senior care businesses
Ilya Vakhutinsky
Careswitch CEO, home health aide's son, Forbes 30 Under 30, caregiver advocate
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Rachel Gartner
Former home care recruiter who was so successful that she founded her own recruitment firm (Carework)
Gina Murray
Started and sold a $5M agency in 6 years; co-founder of CINCH Community Care Management
Tim Murray
Started and sold a $5M agency in 6 years; co-founder of CINCH Community Care Management
Tim Murray
Started and sold a $5M agency in 6 years; co-founder of CINCH Community Care Management
Jonathan Chapman
Director of Customer Education at Careswitch, former head of franchisee training at SYNERGY HomeCare corporate
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Clint Nobles
Built a multimillion dollar home care agency, founded Home Care Ops, operational methodologist for Fortune 500 companies
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Gina Murray
Started and sold a $5M agency in 6 years; co-founder of CINCH Community Care Management
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
Connor Kunz
VP @Careswitch, former head of education @ Home Care Pulse, scaled a service business 7 figures in 3 years
There are several very important, very specific ways. Before we get to that, let’s talk briefly about why it’s important:
The Department of Labor (DOL) has significantly ramped up its audits of home care agencies over the past several years.
Here’s what happened: with several major legislative changes to home care in the 2010s, such as removing companion care overtime exemption and mandating that home care workers be treated as W-2 employees rather than 1099 contractors, home care become a Wild West as agencies tried to adapt to the new landscape.
In 2021, the DOL became aware of this and announced a new Home Care Initiative aimed specifically at wage and payroll compliance within our industry. As of September 2022, 7% of all DOL audits in the last year have been within the home care industry. Many of these resulting in settlements in the hundreds of thousands of dollars or more.
The bottom line is that litigation against home care agencies is ramping up, and it’s more important than ever to run a tight ship.
It’s the right thing to do.
While no one is obligated to agree with every point of legislation regarding their business (and let’s face it, does anybody?), these laws are generally enacted to protect caregivers and their livelihoods. Failing to comply with payroll laws typically hurts the caregiver’s paycheck long before it hurts the agency.
So, what are the main areas where agencies often fail to comply with laws and what can you do to make sure you’re operating within the law?
Misclassifying your employees as 1099 contractors.Your employees need to be classified as W-2 employees, not 1099 independent contractors. Home care registries, as opposed to agencies, are allowed to classify their employees as 1099s. However, registries are a very different business model from agencies, and they involve sacrificing a great deal of the control that agency owners have over their business.
It’s not unusual to hear an agency owner wonder if they’re allowed to classify employees as 1099s based on the fact that their competitor down the street is doing so.
If your competitor is classifying their employees as 1099s, there are only two reasons: they’re either a registry, or they’re breaking the law. There are no other alternatives.
Not including all relevant types of pay when you’re calculating their overtime pay.You’re aware that overtime is 1.5x an employee's effective pay rate—but the effective rate isn’t always the same as their hourly base pay rate.
The effective rate is calculated as the total renumeration (legally relevant/includable pay) divided by the hours they worked. As such it can often be a little higher than the employee’s base hourly rate, resulting in a slightly higher overtime rate.
The effective rate isn’t only an employee’s normal wage; it should also include various types of other compensation that they may or may not be receiving.
If, for example, you’re paying a caregiver on-call pay, performance bonuses, and shift differentials, those should be added to their pay as the renumeration to determine the overtime rate for the designated time period.
For a list of what should and shouldn’t be included in these calculations, go to the DOL website and/or consult your own legal counsel.
For Careswitch payroll customers, you can ensure that renumeration expenses are included in overtime calculations by adding them to the Non-Discretionary Earnings field.Not paying for travel time between shifts.
This one gets DICEY.
Travel time between clients during the workday is legally compensable as hours worked. Thus, if you’re requiring caregivers to drive between multiple clients in a day, you’re required to pay them for the travel time—and possibly the break between, if it’s not long enough to pursue personal activities.
If there is a long break (typically 30 minutes or more uninterrupted) between two client visits AND the caregiver is completely free to pursue personal activities, you can exclude the break time from hours worked. Otherwise, you’re required to pay for the entire time between shifts.
However, DOL has taken the position that you must still pay for estimated travel time driving between the two clients.
Avoid any problems with this by making sure your caregivers know that you want to pay for all time worked. Write the travel time into their contracts – “if at any point the travel time increases, make us aware immediately and we’ll pay you for the additional time.” You need to have a reasonable process in place to ensure that caregivers can get paid for an increase in travel time if it changes.
Rate manipulation is essentially any changing of rates to evade paying your employees full overtime. This may include reducing hourly rates when they start working overtime, or changing rates on a weekly basis in order to pay a set target amount every week.
Rate adjustments are permissible if it’s paying the caregiver for a different type of work (they’re working as a mentor or in the office in addition to caregiver, for example), or premiums for certain types of shifts (24-hr shifts, weekends, holidays, etc.).
If you’re in any doubt as to whether what you’re doing is legal, contact your legal counsel. Don’t take the risk.
Failing to properly pay on-call shifts.
This can include:
If you haven’t realized yet, it’s all too easy to miss the mark on compliance with payroll laws.
There are two things we strongly recommend:
Get your own legal counsel with state-specific knowledge to ensure that you’re staying legit.
Invest in a solid payroll processing software rather than trying to wing it all yourself.
Careswitch's payroll processing is the most affordable on the market. Like other payroll providers, Careswitch charges per employee. Unlike other payroll providers, we know that home care agencies often get the short end of the stick with this pricing model, because they tend to have a high volume of part-time employees—so we prorate your cost per employee down if employees work less than 40 hours a week.
The result is a uniquely affordable payroll solution for home care agencies. Estimate your cost with us here and request a demo of Careswitch's payroll software here.
This is legal content so we gotta include our legal disclaimer: the above content was adapted in part from a presentation by Josh Vaughn of Littler, a law firm focused on labor law. Josh specializes in defending home care agencies, and Littler is among the leading firms in the space. The above content is educational in nature and in no way replaces the advice of your own legal counsel; likewise, this content doesn’t represent Littler in any way.