Registry Fact Sheet for Clients

- CONSUMERS DO PAY A LOWER PRICE FOR A CAREGIVER OBTAINED THROUGH A REGISTRY

Home care is less expensive when obtained thru a registry because a registry is a more efficient home­ care delivery model. For consumers who seek to self-manage their home care, a registry provides just­ in-time access to pre-background screened, pre-credential verified caregivers at very affordable rates. The rate consists of the fee a caregiver charges and a modest additional fee to the registry.

- REGISTRIES DO CHECK CAREGIVER REFERENCES

Registries are required to check references the same as agencies, Directed by the Department of Health regulations.

- REGISTRIES DO PERFORM CRIMINAL BACKGROUND CHECKS

Registries are required to check criminal backgrounds the same as agencies, directed by the Department of Health regulations.

Registries are allowed to do ongoing, updated criminal background checks on their caregivers.

- REGISTRIES DO INTERVIEW EACH CAREGIVER PERSONALLY

Registries, the same as agencies, are required to conduct one-on-one interviews, directed by the Department of Health regulations.

- REGISTRIES DO KNOW THEIR CAREGIVERS

Like any other business, you get to know the people you do business with. The longer you do business with them, the better you know them. Referring a caregiver to a consumer and getting the consumer's feedback is essential in getting to know a caregiver.

- REGISTRIES ARE REQUIRED TO BE LEGAL ENTITIES

- REGISTRIES DO HEALTH SCREENINGS OF THEIR CAREGIVERS

Registries are required to perform health screening of caregivers in the same manner as agencies.

- CONSUMERS WHO HIRE REGISTRIES DO NOT HAVE TO OBTAIN AN EIN

Consumers who obtain a caregiver though a registry are not required to obtain an Employer Identification Number. This registry offers, thru an individualized "care plan", the services of a book­ keeping service that will issue 1099's on behalf of the consumer. Please see the Instructions for IRS Form 1099 or speak to your tax advisor. This does not constitute tax or legal advice.

- REGISTRY REFERRED CAREGIVERS DO PAY TAXES

Everyone who earns taxable income is required to pay taxes, self-employed individuals included. Caregivers registered with a registry sign a statement acknowledging they are responsible for paying their own taxes and to do their own taxes and book-keeping.

- REGISTRIES DO FOLLOW-UP ON THE REFERRAL SERVICES PROVIDED

Like any business, registries want to make sure that their clients are pleased with the caregiver referrals they are receiving and the service the office has provided.

- REGISTRIES DO NOT HANDLE PAYROLL TAXES

Neither registries nor consumers are responsible to pay payroll taxes for self-employed caregivers. Registry caregivers have proven they are legitimate Independent Contractors having a business license, business bank account and business card. Self-employed caregivers are responsible for all taxes related to their work The caregiver has signed a statement acknowledging their responsibility to pay their work related taxes.

- THE STATE OF CALIFORNIA DOES NOT DEEM THE CLIENT AND/OR FAMILY RESPONSIBLE TO PAY THE CAREGIVERS EMPLOYMENT TAXES WHEN REFERRED BY A REGISTRY

A client is NOT responsible to pay State or Federal taxes with respect to independent contractors. Self­ employed caregivers are responsible to pay their own employment taxes as acknowledged in the statement they sign with the registry.

- THE CLIENT IS NOT RESPONSIBLE TO PAY WORKERS COMPENSATION ON THE CAREGIVER WHEN REFERRED BY A REGISTRY

A caregiver registered with this agency, has proven that they are a legitimate business entity operating as an independent contractor. They are NOT the client's employee, and are NOT entitled to WC benefits. They have signed a statement attesting that they agree and understand they are not entitled to this insurance as a self-employed person.

- A CAREGIVER REFERRED BY A REGISTRY CAN NOT SUE THE CLIENT, OR THE REGISTRY, FOR UNEMPLOYMENT COMPENSATION IF THEY LOSE HOURS OR NO LONGER NEEDED TO PROVIDE SERVICES

Self-employed, independent contractors referred by a registry are not entitled to, or eligible for, unemployment compensation. Caregivers have signed a statement attesting, agreeing and acknowledging that they are not guaranteed any minimum number of hours or length of service time frame.

- REGISTRY CAREGIVERS ARE NOT BONDED

Bonding in this industry generally is for theft only. The bonding company generally will NOT pay out unless the person who stole has been formally charged and convicted. It is rare to get a conviction especially if there are a number of people in and out of the home, as is usually the case when someone requires home care. Even IF a person is convicted, it does NOT mean the bonding company will pay out the total amount of the loss. It will only pay the bond limit. Most self-employed, independent  contractors, do NOT carry bonding, so attempting to collect from them is usually pointless. AMAH 's Heart feels that the client should be aware that bonding companies RARELY pay out and bonding does not stop a caregiver from stealing. Bonding is NOT an assurance of quality or honesty. It is better to rely on a thorough criminal, personal and employment background checks as well screening and competency checks than to rely on bonding that may never pay off. It is more important for the client to have their valuables properly insured and locked in a safe place than to leave them in the open.

- REGISTRY REFERRED CAREGIVERS ARE TRAINED AND MEET COMPETENCY REQUIREMENTS FOR THE JOBSITES THEY ARE INTERVIEWING FOR

AMAH's Heart has specific training and competency requirements for their caregivers who are referred by us. All caregivers must meet these requirements before they can be placed on certain jobsites. Self­ employed caregivers understand that the more training and skills they have, the more marketable they are and the more referrals they will receive.

- REGISTRY'S CANNOT CONTROL THE RELATIONSHIP BETWEEN THE CLIENT AND THE CAREGIVER

Since caregivers obtained thru a registry are NOT registry employees, only a client can take direct and immediate action against a caregiver who under performs. The client can take immediate action and then inform the registry. Self-employed individuals do tend to work harder for their clients since their jobs  are NOT guaranteed.

- REGISTRY REFERRED CAREGIVERS ARE INDEPENDENT CONTRACTORS NOT SUBCONTRACTORS

Independent contractors are self-employed individuals. A self-employed individual does the work THEY are contracted to do. In the case of a registry, a caregiver is NOT a subcontractor to the registry; the caregiver is a direct contractor to the client whom the caregiver obtains through a registry referral.

- REGISTRIES DO INTERVIEW THE CAREGIVER FOR THE CLIENT

A registry is responsible to conduct a face-to-face interview with the caregiver, as well as obtain all the background checks, reviewing their training and competencies and do all the appropriate screenings.

- REGISTRIES ARE ACCOUNTABLE

If a consumer is not happy with the caregiver referred and wants a replacement, the consumer need only request a new referral, which will be handled immediately. The consumer does not have to put up with lateness, inappropriate behavior or lack of apparent skills to handle the position. The consumer may request a new referral for that day or they may choose to do the care themselves or make other arrangements. There is no penalty for not wanting a replacement. AMAH" Heart does have an after­ hours system to get in touch with someone from our office for emergencies such as these.

- CAREGIVERS REFERRED BY THE REGISTRY ARE ACCOUNTABLE

If a consumer is not happy with the caregiver referred and wants a replacement, the consumer need only request a new referral, which will be handled immediately. The consumer does not have to put up with lateness, inappropriate behavior or lack of apparent skills to handle the position. The consumer may request a new referral for that day or they may choose to do the care themselves or make other arrangements. There is no penalty for not wanting a replacement. AMAH" Heart does have an after­ hours system to get in touch with someone from our office for emergencies such as these.

- CAREGIVERS REFERRED BY A REGISTRY ARE HIGH QUALITY PROFESSIONALS

Caregivers referred by a registry must pass the same stringent qualifications, competencies and screenings as agency caregivers/employees. All in-home caregivers must be in compliance with AMAH's Heart's requirements for Independent Contractors, showing proof of legitimate business entity via business bank account, business license and business card. These requirements are reviewed on an annual basis to make sure the caregivers are in compliance. Certain certifications are renewed annually or every other year as well, and are checked for current active status.