Fundamentals of Financial Management | Six Sessions | Six Hours

Program Description:

From understanding financial statements to forecasting future growth, this six-session training on the fundamentals of financial management will walk you through the metrics, dashboards, and management strategies you need to run a financially sound organization. Whether you're preparing for a liquidity event or just trying to make payroll amid rising costs, this symposium gives you the tools to lead with confidence. Learn from seasoned experts and return with practical insights to fuel financial stability, accountability, and long-term success.

Who Should Subscribe & Why It Matters

Developed and presented for the 2026 Fall Virtual Conference, this financial training series was designed for all care-at-home organizations - from small agencies to large multi-site providers - across all payor types and all programs. Many owners, operators, and leaders responsible for managing care-at-home organizations have little or no formal financial management training, yet they are making decisions every day that directly affect organizational stability and long-term success. These six one-hour sessions close that gap. All levels of leadership and business management are encouraged to subscribe, including:

• Owners & Administrators
• COOs, CEOs, CSOs, Regional Directors
• Clinical Leaders, such as RN supervisors, case managers, and interdisciplinary team leads

Every person in a care-at-home organization influences the bottom line - through documentation, scheduling, visit utilization, communication, client experience, and operational efficiency. The question is: how much time and training has your organization invested in helping staff understand that bottom line?

Goal of this Six-Session Series

Participants will walk away with enhanced business management skills tailored to today’s care-at-home environment - skills that strengthen financial awareness, improve operational decision-making, and empower every role to contribute meaningfully to organizational performance.

Session 1 | Navigating the Business of Care at Home

The care at home industry offers great opportunity for those with a passion to care for others and serve the community. But, successfully managing the business and finances of care at home requires owners and operators to navigate clinical and non-clinical operations, constant workforce pressures, and rapidly emerging technology in an increasingly complex regulatory landscape. As the industry continues to evolve, owners and operators must be able to align financial sustainability and operational effectiveness. In this session, you will gain insights from a panel of industry leaders sharing experiences on managing the business aspects of care at home, navigating the challenges of today, and anticipating the opportunities of tomorrow.

Session 2 | Fundamentals of Financial Health: Financial Statements

Understanding how to read and interpret financial statements is a fundamental of financial health. Accurate financial reporting is necessary not only for basic business management, but also for satisfying third-party reporting requirements, such as lenders, regulators, and others. As an owner or operator of a care at home organization, possessing a basic understanding of financial statements is necessary to successfully manage the finances of your organization. In this session, attendees will gain practical insights on how to read and interpret financial statements, including basic tips for accurate financial reporting.

Session 3 | Fundamentals of Financial Health: Budgeting

Financial success is everyone's responsibility. Budgeting is an active step in effective financial management, helping care at home organizations align resources, manage cash flow, control expenses, and improve financial sustainability. This session will explore how building a practical and effective budget helps every team member understand how they contribute to achieving organizational goals while protecting long-term financial health.

Session 4 | Fundamentals of Financial Health: KPIs and Benchmarks

How do you measure whether your care at home organization is successful? What are the key performance indicators (KPIs) that convey success? How does your organization’s performance compare with peers? What insights do your KPIs provide about your organization’s financial and operational performance? This session will outline the KPIs most critical to track and use for budgeting and business management, provide practical industry benchmarks, and explore the cause-and-effect relationships between KPIs.

Session 5 | Fundamentals of Financial Health: Diversity and Sustainability

Care at home organizations that lack diversity of payers and programs can be financially risky. Likewise, diverse organizations often lack tracking and reporting to effectively evaluate individual payer and program financial performance. This session will explore strategies for diversifying your organization’s payor and program sources and measuring and tracking them individually for their respective financial sustainability. This session will also provide an overview of payors and programs available to care at home organizations, including typical benefits and challenges of each.

Session 6 | Preparing Your Business: Succession and Ownership Transition

Business owners eventually must assess options for facilitating an ownership change as either a buyer or a seller, whether due to ownership succession, sales or merger opportunity, or other factors. Many care at home business owners have never navigated an ownership change, which in today’s highly regulated landscape can be very intimidating and complex. In this session, attendees will gain insights from a panel of industry leaders sharing experiences relating to ownership changes, including business factors to consider, financial reporting expectations of prospective buyers, today’s landscape of regulatory complexities, transition and integration considerations post-transaction, and other relevant matters.

HCSSA Topic(s) Addressed:

• §558.259[d][4] agency responsibilities
• §558.260[a][3] basic principles of management in a licensed health-related setting
• §558.260[a][7]financial management

Education-Training Credits:

• TX HCSSA Administrator/Alternate Continuing Education
  • 6.0 Clock Hr(s)

About the Presenter(s)

Marcylle Combs has faithfully served and advocated on behalf of home health and hospice patients for over 40 years. She started her career as a nurse, worked diligently to strengthen her leadership skills and ultimately became the owner/president of a successful home health and hospice company. She has served the home care industry in Texas and nationally throughout her years on multiple committees, boards, associations and dedicated lobbying efforts. Currently, Marcylle served on committees for The National Alliance for Care at Home, the Home Care and Hospice Financial Managers Association (HHFMA) and the Industry Advisory Board. Additionally, she serves on NAHC’s Governance and Nominating Committee, the HHFMA workgroup, Innovations Committee and chairs the Women in Leadership Committee for HHFMA. Marcylle has a passion for mentoring the next generation of leaders, and has had the honor to speak in China, Italy, Belize, Spain and across the US on multiple leadership subjects and a variety of home health and hospice topics. She is the podcast host of 50% with Marcylle Combs, which is focused on women in leadership and the author of Never Hire Your Friends: Leading Your Workplace Through Genuine Connection. As a wife, mother of 5 adult children and as a female in the workplace she aspires to grow and lead others until her last breath on this earth. She continues this quest through three business ventures she founded: MAC Legacy, MAC Legacy Investments and The Marcylle Combs Company.

With over 35 years of experience as a registered nurse, Angela Huff has spent nearly 25 years in executive leadership in home health and hospice operations as well as software development in the post-acute space. In addition, she has global experience in the community care space that includes the United Kingdom, Finland, Canada, and Australia. Angela performs operations improvement assessments and compliance-focused reviews of home health and hospice documentation, including audits and appeals related to the OIG and program integrity contractors as well as compliance risk assessments related to mergers and acquisitions. She is actively involved in the educational and advocacy activities of NAHC and NHPCO and is a member of the HHFMA Innovation, NAHC Education and Women in Leadership Committees. Angela has been a presenter at NAHC and NHPCO, as well as other industry national and state organizations and has been published in the Nursing Administration Quarterly and other industry publications. Before entering the post-acute industry, she served in acute care management positions and was a Certified Critical Care Registered Nurse and a Certified Registered Nurse Infusionist.

A leading national home care and hospice consultant, Aaron Little is a CPA with over 25 years of experience with Forvis Mazars. He routinely performs general financial and operational consulting services for home care and hospice organizations, including operations and compliance assessments, benchmarking, and Medicare cost report preparation. He also oversees the operations of Forvis Mazars’ revenue cycle services, which manages the revenue cycle operations for home health and hospice organizations throughout the nation. He also serves on the Palmetto GBA 16-State Coalition and Provider Outreach and Education Advisory Group.

Morgan Crews has over 10 years of experience with Forvis Mazars and serving a variety of audit and consulting clients in the hospice and home care industries, including many with private equity ownership. Morgan leverages her experience to provide seamless execution in leading her audits and consulting engagements providing an Unmatched Client Experience®. She is also well versed in matters related to mergers and acquisitions, cost reporting, hospice cap management, and other financial issues facing home care and hospice providers. Morgan has presented educational sessions for the National Alliance for Care at Home, the Missouri Alliance for Care at Home, and other industry organizations. She is a member of the American Institute of CPAs and Missouri Society of CPAs, as well as the Home Care & Hospice Managers Association (HHFMA) and its Emerging Leaders and Women in Leadership Committees. She is also a past president of the Springfield chapter of Accounting & Financial Women’s Alliance. She is a graduate of Southwest Baptist University, Bolivar, Missouri, with a B.S. degree in accounting.

Tori Cross has nearly 10 years of experience with Forvis Mazars providing audit and assurance services to a variety of clients in the home care and hospice industries, including many with private equity ownership. She is also a member of the home care and hospice billing and revenue cycle services team, which provides outsourced billing and revenue cycle services for organizations throughout the nation. She is a member of the American Institute of CPAs and Missouri Society of CPAs. She also is involved in firm recruiting efforts and other firm staffing initiatives. Tori is a graduate of University of Missouri, Columbia, with a B.S. degree in accounting and an M.Acc. degree.

With over 25 years of experience as a CPA, Andrea Fairbanks has spent nearly 20 years in executive leadership in home care and hospice finance and operations. Her experience includes oversight of the financial and performance reporting of multi-site, multi-state home care and hospice organizations with experience in effective general ledger and electronic medical record software implementation and use. She has been involved in helping manage numerous post-acute transactions including mergers and acquisitions on both the buy and sell side. Andrea provides financial and operational consulting services to home care and hospice organizations throughout the nation, including outsourced accounting services, optimization of back-office operations, effective financial and performance reporting, benchmarking analyses, and other performance improvement advisory services. She also provides industry expertise related to home care and hospice mergers and acquisitions matters, including operational and financial performance, provider enrollment, and post-transaction integration. She is actively involved in the educational and advocacy activities of the National Alliance for Care at Home (the “Alliance”) and is a member of the Home Care & Hospice Financial Managers Association Workgroup and its committees for Innovations, Payment & Reimbursement, and Women in Leadership. Andrea has been a presenter for the Alliance and other national and state industry organizations. She is a graduate of the University of Central Oklahoma in Edmond, Oklahoma, with a B.S. degree in accounting.

Amanda Thomas is a member of the Forvis Mazars healthcare practice, providing an array of consulting services for home care and hospice organizations nationwide with nearly 15 years of experience. She has oversight of the Forvis Mazars’ Southern Missouri home care and hospice reimbursement team, which prepares more than 400 home care and hospice cost reports annually. Amanda also helps manage the home care and hospice billing and revenue cycle services team, which provides outsourced billing and revenue cycle solutions for organizations throughout the nation. She also provides employee benefit plan audits of defined contribution employee benefit plans, such as 403(b) and 401(k) plans, and has experience with employee stock ownership plans and healthcare plan audits. Prior to focusing on consulting services for home care and hospice providers, Amanda performed financial statement audits and reviews for home care, hospice, senior living, continuous care retirement communities, and other healthcare providers. Amanda is a member of the American Institute of CPAs and Missouri Society of CPAs. She routinely presents educational seminars for the National Alliance for Care at Home and other state industry organizations. She is a member of the Home Care & Hospice Financial Managers Association, serving on its Emerging Leaders, Payment and Reimbursement, and Women in Leadership Committees. She also served for two years as the treasurer of Diaper Bank of the Ozarks, a local nonprofit. She is a graduate of Drury University, Springfield, Missouri, with a B.S. degree in accounting.

Elizabeth Wilson has over 10 years of experience with Forvis Mazars. She manages a specialized team that provides billing and revenue cycle outsourcing services for home care and hospice organizations throughout the nation. In addition to team management, she helps clients recover aged receivables, provides consultations on revenue cycle performance optimization, revenue recognition and regulatory compliance, and she provides extensive client training. She is proficient in numerous home care and hospice software electronic medical record applications and is frequently sought by clients for her expertise. She has over 20 years of accounting and management experience in the manufacturing and healthcare industries. Prior to joining Forvis Mazars, she spent nine years with a major healthcare system, where she worked closely with executive management. Her responsibilities included profit and loss statements, pro forma preparation, product line financial support, and various other analytical functions, as well as critical access hospital and community health center Medicare cost report preparation and Medicare research. Elizabeth has presented at numerous national and state industry events, including the National Alliance for Care at Home, and authored multiple industry articles. She is a member of the American Institute of CPAs, Missouri Society of CPAs, and Accounting & Financial Women’s Alliance, as well as the Home Care & Hospice Financial Managers Association and its Women in Leadership Committee. She also serves on multiple committees for the Missouri Alliance for Care at Home, and she serves on the Board of Directors for Ozark Greenways. She is a graduate of Missouri State University, Springfield, with a B.S. degree in accounting, and a graduate of The University of Tennessee, Chattanooga, with an MBA degree.