Long-Term Care Innovation and Experience

LTCpayroll is the electronic caregiver payment solution from LTCfastpay LLC. With over 100 years of payroll, accounting and long-term care experience on our leadership team, we understand the issues families face when hiring in-home caregivers.

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Management Team


Michael is a seasoned serial entrepreneur, with more than 20 years' experience focused on the use of technology to improve healthcare and long-term care. Prior to co-founding this company, Michael was President of CareScout, a long-term care insurance services company acquired by Genworth Financial in 2008. Prior to CareScout, Michael founded and was President and CEO of Extrio Corporation, a Healthcare technology consultancy acquired by Primix Solutions in 2001. Additionally, Michael has worked with Home Care Technologies, Digital Equipment Corporation and Sapient Corporation, in both the United States and in Europe.

Doris is a registered nurse specializing in gerontology and bioethics. Prior to co-founding this company, Doris was COO and responsible for all client operations of CareScout, a long-term care insurance services company acquired by Genworth Financial in 2008. Prior to CareScout, Doris served as the Director for Extended Care and Medicare Clinical Programs for Harvard Pilgrim Health Care, Vice President for Commonwealth Care, Inc., and as Executive Director of Commonwealth Home Care. For 7 years, Doris also served as the Director of Patient Services for Home Care PRN, a division of Technical Aid Corporation, a for-profit Medicare-certified home health agency.

Mark is a experienced technology executive with deep hands-on experience developing technology for the healthcare and long-term care industries. Mark founded StoryBoard Consulting in 2007, a successful application development firm based in Florida with customers in Healthcare, Insurance, Medicine and Government. Prior to StoryBoard, Mark co-founded and was Vice President of Extrio Corporation, a Healthcare technology consultancy acquired by Primix Solutions in 2001. Mark's additional experience includes work with the University of Miami and Cambridge Technology Partners.

a few words about us

  • LTCpayroll is a turnkey provider of electronic payment services to families receiving long-term care from in-home caregivers.

    Our company helps manage the process of setting up, administering and processing payments for independent caregivers and household employees. We take care of the weekly withdrawals and direct deposit process, can pay a registry or caregiver referral company, and can withhold and pay employer and employee taxes, and perform any associated year-end tax filing requirements.
  • committed to serving families

    Our experienced, trained team of professionals are committed to providing the families we serve with the best service possible. We pride ourselves in taking the time to understand families' needs, and offer help and support via phone, fax, email and internet.

We understand the unique needs and demands of long-term care.

Families in a long-term care situation have different needs from families hiring a nanny or companies hiring office workers. There can be multiple caregivers, different hours or schedules each week, and all decisions must be made in the middle of a difficult family situation. We understand these unique needs and have developed our customer service and technology models to fully support families dealing with these difficult issues. read more

Testimonials

“...I am so very grateful we found you. Business accounting and taxes are a mystery to me. From the very beginning, you have relieved my concerns that I could make mistakes that would complicate things for my parents. No more! You are just what the doctor ordered!...”

“...You have made my life a lot easier. We love our caregiver and we are so happy that we can have her continue to work for us, while you take care of the payroll and long-term care insurance details. It has taken a big load off of our shoulders...”