Building a Home Care Accounting Firm from the Ground Up: Amy Taylor’s Journey
From Oklahoma to Austin: Amy Taylor’s unexpected path into home care
When Amy Taylor graduated from college in 1996, she didn’t expect her future would revolve around Medicare cost reports, Medicaid audits, and a deep love for the home care industry. But one faxed resume and a set of disorganized books later, she was all in—and hasn’t looked back since.
In Episode 12 of The Home Care Experience, Amy opens up about how she found her footing in the world of healthcare finance, built Knight Home Care Financial from the ground up, and became a respected voice in the home care space. Spoiler: it wasn’t all spreadsheets and clean starts.
It Started with a Fax and a Folding Chair
Fresh out of the University of Oklahoma, Amy landed her first accounting job not as a staff accountant- but as the internal bookkeeper for a local CPA firm. The role came courtesy of a new technology at the time: broadcast fax, which her then-husband used to send her resume to every listing in the Yellow Pages.
“I didn’t even know what I didn’t know,” she says. But that turned out to be a good thing.
Amy’s first client experience involved helping a home health agency that was under federal investigation. There were matching Lexuses, big houses, and a lot of financial red flags. It was trial by fire- but it taught her more than any classroom ever could.
Meeting Craig, The Catalyst
At that CPA firm, Amy worked alongside Craig Carter, a CPA-attorney hybrid with a knack for connecting with home care clients. Together, they saw a growing need in the industry for someone who could both understand the numbers and speak the provider’s language.
Soon, Craig left the firm to start his own, and Amy joined him- no desk, no fancy setup, just a catalog of office supplies and the will to figure things out. By 1999, Amy had earned her CPA license, and in 2002, she made a major move: leaving Oklahoma for Austin.
Joining TAHCH and Planting Roots in Texas
At Craig’s advice, Amy joined the Texas Association for Home Care & Hospice (TAHCH) as soon as she arrived in Austin. She made a beeline for Mark Kennedy, who helped her connect with the local home care scene. “For a long time, I was known as Craig’s Amy,” she laughs.
It wasn’t long before Amy landed her first client in Texas, Hope Andrade, a provider who would later become Texas Secretary of State. Hope handed Amy an entire financial operation to clean up and streamline, from payroll and taxes to cost reports. That one relationship helped define Amy’s new service model: all-inclusive packages with fixed monthly fees. No hourly billing. No chaos. Just peace of mind.
The Evolution of Knight Home Care Financial
From there, Amy’s brand grew- first as Taylor Accounting & Consulting, then Amy Taylor & Co., and eventually Knight Home Care Financial. Through it all, her vision remained clear: to build a firm that filled the gaps providers were facing. Not just tax prep or reporting, but real partnership, operational insight, and financial clarity.
Today, Knight Home Care Financial serves agencies across the U.S., from startups to multi-entity organizations. And Amy is still a proud, active member of TAHCH, where she was named Associate Member of the Year, twice.
The Takeaway
Amy’s story is one that many agency owners can relate to: unexpected beginnings, hard lessons, and figuring things out on the fly. But what makes her journey powerful is the consistency of her mission- to take care of the people who take care of others.
