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True North

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Bookkeeping, Accounting, Medical Billing, Back Office Outsourcing and Financial Systems Integration. Discover how True North can elevate your corporate success.

True North LLC is a premier provider of essential business services, catering to clients in 43 states. Our diverse clientele includes tech start-ups, small and medium-sized enterprises, real estate developers, and franchise systems. Our core mission is clear: to serve as your trusted corporate partner, offering a comprehensive range of services tailored to meet your specific needs. From fledgling startups to established entities with over $50 million in annual revenues, we offer a suite of services, including bookkeeping, accounting, medical billing, revenue cycle management, real estate contract accounting, and consulting. We step in as your bookkeeper, your analyst, your accountant, your controller, or even your outsourced CFO. Our goal is to assist business owners and CEOs in navigating challenges such as staff turnover while equipping them with the expertise and resources necessary for sustainable growth. With a dedicated team of over 55 full-time professionals, we boast extensive experience, deep industry knowledge, and the capacity to meet your evolving needs. Our typical clients include:
-Tech start-up founders/CEOs seeking financial discipline to manage expenses and present clean books to potential investors.
- Small business owners in search of controller-level expertise and processes on a part-time bookkeeper's budget.
- Growing healthcare organizations overwhelmed by accounts receivable and in need of liquidity.
- Real estate developers aiming to optimize their accounting and contract management practices.
- Mid-sized companies outgrowing their existing financial systems infrastructure, looking to implement robust process controls. Visit us at www.truenorthllp.com or call (866) 520-1989.

11/10/2026

Scheduling just became the #1 operational challenge in home care — 51% of agencies now rank it at the top, up from third place a year ago.

Hiring is no longer the hard part. Keeping shifts reliably covered is. One vacancy can disrupt coverage across a whole service area — and when a scheduling coordinator leaves, roughly five caregivers go with them.

The agencies winning this fight match caregivers to clients proactively, protect consistent pairings, and schedule against live authorization data — not just whoever's free.

Casiva IQ turns scheduling, staffing, and authorization data into decisions owners can act on — and My Franchise Bookkeeper shows you what every uncovered shift actually costs.

Learn more: www.truenorthllp.com

11/09/2026

The private-pay shift is real — and it's where the margin lives.

Families are choosing to pay directly for non-medical home care: $25–$35 an hour nationally, with agencies reporting margins of 40–60%. No rate ceiling set by a payer. No waiting on someone else's rate decision.

Demand isn't the constraint. More than 500,000 caregiver positions sit unfilled nationally. The agencies winning private-pay growth are the ones who can staff it.

That's an operations question, not a marketing one: recruit for fit, keep the caregivers you hire, know your true cost per hour, and reach the families already looking.

Careforce Recruiter + My Franchise Bookkeeper + Casiva IQ: hire well, price with real numbers, and turn operating data into decisions.

Learn more: www.truenorthllp.com

11/07/2026

Three out of four caregivers leave within a year — and most who go, go in their first 100 days.

That's not a hiring problem. It's a retention problem. Every departure means an unstaffed case, overtime for the team left behind, and a client losing the caregiver they trusted.

The fix starts in the first 90 days: structured onboarding, fair scheduling, and managers who can spot who's at risk before they quit.

Careforce Recruiter helps agencies hire for fit and keep the people they hire — and Casiva IQ turns retention data into decisions owners can act on.

Learn more: www.truenorthllp.com

11/06/2026

🏆Honored to Be Nominated!

True North is proud to be nominated for Best Place to Work in the 2026 Best of the Best Awards!

This recognition reflects the dedication, hard work, and commitment of our incredible team. We're grateful for the people who make True North such a special place to work and for the community that continues to support us.

🗳️ Voting is open through November 8th! You can cast your vote once per day.

Vote for us here: https://ogden.revfluent.com/bestof/og/xvjn6e3w47/yk9wlllpnw

Thank you for your continued support! 🧡

11/06/2026

Medicaid is tightening — and home care is first in line.

The One Big Beautiful Bill cut $1 trillion from Medicaid. Home- and community-based services are usually the first thing states trim. And the 80/20 rule is coming: from July 2030, at least 80% of Medicaid payments for personal care, homemaker, and home health aide services must go to direct care worker compensation — with reporting starting in 2028. Its future is uncertain, with a proposed rescission under discussion.

Owners can't control policy. They can control how fast they get paid, how clean their books are, and whether they know their true cost per visit.

That's the work: True North RCM tightens the revenue cycle so nothing owed is left behind, and My Franchise Bookkeeper turns messy books into margins you can actually manage.

Learn more: www.truenorthllp.com

11/06/2026

Home care owners don't have a vendor problem. They have a too-many-vendors problem.

Scheduling in one system. Billing in another. Recruiting, marketing, credentialing — each with its own login, invoice, and integration gap. Every handoff is a place where hours, dollars, and caregiver time leak out.

That's vendor fatigue — and it's wearing owners down exactly when demand is rising and caregiver supply is tight.

True North and Casiva were built the other way: bookkeeping, revenue cycle, recruiting, marketing, and data — one connected team, one view of the business.

Fewer vendors. Fewer handoffs. More time running the agency.

Learn more: www.truenorthllp.com

11/05/2026

🏆WE'VE BEEN NOMINATED!🏆

We're excited to announce that True North has been nominated for Best Place to Work in the 2026 Best of the Best Awards!

We're incredibly grateful for our hardworking team and the community that continues to support us!

🗳️ Now we need YOUR vote! Voting is open through November 8th, and you can vote once every day!

👉 Vote for us here: https://ogden.revfluent.com/bestof/og/xvjn6e3w47/yk9wlllpnw

Thank you for your continued support! 🧡

10/31/2026

Wishing you a Happy Halloween from all of us at True North! 🎃

Whether you’re balancing books, building your business, or just enjoying a few treats today, we hope your Halloween is a good one.

Happy Halloween from True North! 👻🍂

10/30/2026

🎃 The True North team understood the assignment this Halloween. 👏

From superheroes to storybook characters and everything in between, our team showed up and went all out today. Safe to say the creativity around here doesn’t stop with our work.

We’re grateful for a team that knows how to work hard, have fun, and bring the energy. Happy Halloween from all of us at True North! 👻🧡

10/28/2026

🎃 It’s that time! 🎃

The pumpkins are decorated, the creativity is on full display, and now we need your help choosing a winner in True North’s Pumpkin Decorating Contest!

Take a look through this year’s entries and vote for your favorite by commenting the number of your pick below.

We’ll be counting up the votes at the end of the week to see which pumpkin earns this year’s bragging rights. 🏆

So, which one gets your vote? 🎃🧡
Comment your favorite below!

Address

119 E 5th Street
Chester, WV
43920

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm

Website

http://www.truenorthllp.com/

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