Family-Managed Home Care (FMHC) Bookkeeping in Ontario
Introduction to the Family-Managed Home Care Program
What Is Family-Managed Home Care (FMHC)?
Family-Managed Home Care (FMHC) is an Ontario Health atHome program that gives eligible patients — or their substitute decision-makers (SDMs), such as a parent or spouse — funding to purchase home care services or employ their own care providers, instead of receiving services from a contracted agency.
To qualify, a patient must first be assessed and meet the eligibility criteria for traditional home care and have a care plan developed by Ontario Health atHome. The patient or SDM also signs an agreement with Ontario Health atHome and takes on responsibility for managing care providers, the funding and the reporting.
We provide specialized FMHC bookkeeping for Ontario families, so the financial side of caregiving is handled accurately and on time — and you can focus on care.
Your Responsibilities as a Patient or Substitute Decision-Maker
Under the Family-Managed Home Care (FMHC) program, patients or their Substitute Decision-Makers (SDMs)—such as a parent, spouse, or legal guardian — take on significant responsibilities. These include overseeing both the care and financial aspects of home-based services.
They are responsible for:
Identifying the care needs of the patient and planning when and how services should be delivered
Recruiting, scheduling, and supervising care providers, including setting up contingency plans when needed
Acting as an employer, often for multiple providers, and managing contracts, schedules, and performance
Managing financial operations such as maintaining the SDC bank account, paying service providers, withholding taxes, obtaining insurance, and keeping accurate records
Submitting reports to Ontario Health atHome, ensuring compliance with program guidelines
Our FMHC Bookkeeping Services
CPA-led bookkeeping built around Ontario Health atHome’s FMHC reporting requirements.
What’s Included
- Recording and categorizing every transaction in your FMHC bank account
- Monthly financial reports prepared for Ontario Health atHome’s reporting schedule
- Payroll support for your care providers, including source deductions, remittances and T4s
- Monthly bank reconciliations and funding-balance tracking
- Audit-ready records and tax-ready documentation
How We Keep You Compliant
Our reports follow FMHC funding rules, so submissions are complete and on time. If Ontario Health atHome asks a question, your records are organized and ready.
Why Choose Carnation Consulting?
We understand the specific compliance and reporting standards set by Ontario’s healthcare programs. We keep your records clear, complete, and always ready.
Our Team
Afrouz Baghaki
MBA, Senior Account Manager
Reza Soltanmohammadi
CPA, Founder
Ali Morakabati
MSc, Account Manager
FMHC Bookkeeping Across Ontario
We work 100% remotely with FMHC families in every Ontario Health atHome region, including Toronto, Ottawa, Mississauga, Brampton, Hamilton, London, Markham, Vaughan, Richmond Hill, Oakville, Kitchener-Waterloo, Windsor, Barrie and Bradford. Wherever you are in Ontario, your books are handled by the same CPA-led team.
Frequently Asked Questions
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.
Send Us a Message
Tell us about your FMHC situation and we will reply within one business day.