What types of services are included in Family-Managed Home Care?

FMHC funding can be used to hire Personal Support Workers (PSWs), nurses, occupational therapists, physiotherapists, and other approved healthcare providers. Additionally, you can hire a bookkeeper to assist with FMHC-related reporting. Personal expenses such as rent, groceries, and other non-care-related costs are not covered.

What is the cost of hiring a bookkeeper for FMHC?

There is no additional cost for bookkeeping services, as the expense is included in your FMHC funding.

Is Carnation Consulting eligible to be my bookkeeper for FMHC?

Yes. Our firm has all the requirements set forth by Ontario Health atHome including but not limited to CPA designation, National Payroll institution membership, Business number and proof of Insurance.

How much financial support is available?

The amount of funding depends on the individual's care needs and the required hours of support. Ontario Health atHome will assess the situation and determine the appropriate funding based on the evaluation.

Can I employ a family member as a caregiver?

Yes, family members can be paid as caregivers under FMHC, provided they meet the eligibility criteria and are delivering direct care services.

What duties do I have as a family manager?

As a family manager, you are responsible for recruiting, hiring, and training caregivers, managing payroll, submitting documentation, and ensuring compliance with Ontario Health atHome requirements.

Is Family-Managed Home Care available throughout Ontario?

Yes, FMHC is available across Ontario, although funding availability and eligibility criteria may vary depending on the region.

What happens if the care needs change over time?

If care needs increase, families can request a reassessment from Ontario Health atHome to determine if additional funding or services are necessary.

Ontario · Toronto

FMHC Bookkeeping in Toronto

Bookkeeping, caregiver payroll and monthly reporting for Toronto families managing Family-Managed Home Care funding through Ontario Health atHome.

Local FMHC support

Family-Managed Home Care bookkeeping for Toronto families

Toronto families who self-manage home care through Family-Managed Home Care (FMHC) take on an employer’s paperwork on top of caregiving: hiring personal support workers or nurses, running payroll, and reporting every dollar to Ontario Health atHome each month.

Most of the city is served by the Toronto Central office of Ontario Health atHome, while parts of North York, Scarborough and Etobicoke are served by neighbouring offices. Whichever office your care coordinator works from, the FMHC reporting rules are the same, and so is our process.

Read about FMHC on the Ontario Health atHome website

How it works

Getting Started with FMHC Bookkeeping in Toronto

Three steps from approval to a steady monthly routine.

Talk to your care coordinator
Your Ontario Health atHome care coordinator confirms eligibility and walks you through the FMHC application meetings and agreement.
Meet with us before your first billing cycle
Ontario Health atHome suggests an optional meeting with your bookkeeper before the first billing cycle. It is a good time to review your agreement, budget and payroll set-up together.
We handle the monthly cycle
Each month, receipts, timesheets and invoices are recorded, payroll is prepared, the account is reconciled and your monthly report is ready to submit.

What we do

FMHC Bookkeeping Services for Toronto Families

CPA-led bookkeeping built around Ontario Health atHome’s FMHC reporting requirements.

What’s included

Transaction recording. Every deposit and payment in your FMHC bank account recorded and categorized against your approved plan of service.
Monthly expense reports. Your monthly submission prepared in the format Ontario Health atHome requires, with receipts and invoices matched to each line.
Caregiver payroll. Payroll for the care providers you employ, including CPP, EI and income tax source deductions, remittances to the CRA and year-end T4s.
Reconciliations. Monthly bank reconciliations and a running funding balance, so you always know what is left in your budget.
Audit-ready records. Organized files you can hand to your care coordinator or a reviewer at any time.

Organized for reporting

Our reports follow the FMHC funding rules in your agreement, and every figure is supported by a receipt, timesheet or reconciliation. If Ontario Health atHome asks a question, your records are organized and ready.

Employer obligations in Ontario

When you employ caregivers directly under FMHC, you generally have obligations under federal and Ontario rules: CPP, EI and income tax source deductions remitted to the Canada Revenue Agency; vacation and public holiday pay under Ontario’s Employment Standards Act; and WSIB coverage for a domestic worker you employ for more than 24 hours a week. We keep your payroll and records in line with these requirements. This is general information; your FMHC agreement and the relevant agencies set the rules for your situation.

Your team

Meet Our Professional Team

Reza Soltanmohammadi

CPA (Canada, UK & Australia) · Founder

Over 17 years in accounting and finance, leading accounting teams and specializing in IFRS and assurance.

Afrouz Baghaki

MBA · Senior Account Manager

MBA in Strategy with experience across key financial roles. Specializes in forensic accounting.

Ali Morakabati

MSc · Account Manager

In accounting since 2006, ACCA diploma holder and former financial and economic researcher.

Service area

Serving FMHC families across Toronto

We work fully remotely, so there is no office visit to arrange around care schedules. We support families in:

Downtown TorontoMidtownNorth YorkScarboroughEtobicokeEast YorkYorkLeasideThe BeachesWillowdale

Other regions we serve: Peel & Halton · York, Durham & Simcoe · Ottawa & Champlain · Hamilton, Niagara & Brant · Southwestern Ontario · FMHC bookkeeping across Ontario

Questions families ask

Frequently Asked Questions

Straight answers about funding rules, bookkeeping costs and what we handle for you. Don’t see your question? We’re happy to help.

Which Ontario Health atHome office handles FMHC in Toronto?

Most Toronto addresses are served by the Toronto Central office, and some areas at the edges of the city are served by the Central, Central East, Central West or Mississauga Halton offices. Your care coordinator will confirm which office manages your file. The FMHC reporting requirements are the same in each.

Do you meet Toronto families in person?

Our service is fully remote, so it fits around care schedules wherever you are in the city.

Can bookkeeping be paid from my FMHC funding?

Bookkeeping is generally an eligible FMHC expense, but the details are set out in your agreement and some costs need pre-approval. Please confirm with your care coordinator; we are happy to provide what they need.

What do you need from me each month?

Receipts and invoices for approved expenses, caregiver timesheets and access to your FMHC bank account statements.

Get in touch

Get Help With FMHC Bookkeeping in Toronto

Tell us about your FMHC situation and a CPA-led team member will reply within one business day.

Send Us a Message

Prefer to pick a time? Book a free consultation online.