Accounting & Financial Reporting
Timely, accurate books you can run your business on.
- Month-end closeClose and adjusting entries, coordinated with your third-party partners.
- Full financial statementsTrial balance, balance sheet and P&L for both OpCo and PropCo.
- Bank reconciliationsMonthly reconciliations for every account.
- Ownership reviewsRegular financial reviews with ownership.
- Budgets and proformasBuilt side by side with facility leadership.
- Audit and tax supportAudit- and tax-ready records for your outside CPA firm.
Accounts Payable
Vendors paid correctly and on time, always with your approval.
Whether you oversee a single building or a multi-facility portfolio, we help you avoid missed payments, overbilling and vendor disputes, so your team stays focused on operations, not paperwork. Available on its own or as part of a bundled package, without giving up visibility or control.
- Invoice intake and trackingCentralized collection of every vendor invoice, with systematic tracking and storage.
- Charge verification and GL codingLine-by-line review of rates and quantities, with the right GL account assigned.
- Three-way matchingPurchase orders, packing slips and invoices checked against each other.
- Dispute managementDiscrepancies flagged immediately and resolved directly with the vendor.
- Payment processingCheck and ACH payments scheduled by terms and cash priorities, released only after facility sign-off.
- Local billsDirect coordination with your Business Office Manager.
- Vendor communicationTimely answers to vendor inquiries and complete payment records.
- Month-end AP aging reviewBalances kept current and vendor relationships strong.
- Spend reportingCustom reports by vendor, category or date range.
- Audit readinessOrganized, documented workflows and backup for internal or external audits.
Cash & Treasury Management
Know your cash position before you need to.
- Rolling cash forecastsShared with your team so you can plan with confidence.
- Banking relationshipsBank account setup and relationship management.
- Investor distributionsProcessing and monitoring.
- Lender complianceBorrowing base certificates and covenant compliance reporting.
- PropCo obligationsDebt service and property tax payments.
- RFMS and reverse-ACHRFMS maintenance and reverse-ACH collection processing.
- Full cost captureCoordinated with your Medicare cost report consultant.
Payroll & HR Support
Accurate pay, compliant reporting and a well-supported staff.
Payroll built for healthcare, where every paycheck has to reflect shift work, overtime, accruals and regulatory requirements. Whether you're outsourcing payroll for the first time or moving off a legacy system, we scale to your operation.
- Full-service payrollEnd-to-end processing for hourly and salaried employees.
- Wages and deductionsBase pay, overtime, shift differentials, bonuses, benefits and deductions.
- Time and attendance oversightPTO, sick and vacation accruals, holidays and missed punches.
- Pay deliveryDirect deposit or printed checks, delivered securely and on time.
- Tax filing and year-endPayroll tax calculation and filing, plus W-2 and 1099 preparation.
- GarnishmentsProcessing and ongoing monitoring.
- PBJ reportingPayroll-Based Journal submissions handled for you.
- Labor reportingPPD labor reporting and staffing budgets.
- OnboardingNew-hire onboarding in partnership with your HR Director.
- Systems and supportIntegration with timekeeping and scheduling platforms, training, and a dedicated support team.
Purchasing & Vendor Management
Better pricing, reliable supply and less waste.
End-to-end procurement support that reduces administrative burden, enforces budget discipline and holds vendors accountable to their agreements. Pick only the pieces you need.
Purchasing & supply management
- Centralized procurementMedical, office, dietary, maintenance, laundry and housekeeping supplies.
- Group purchasing powerBulk ordering and GPO contract alignment to lower cost per unit.
- Order guidesStandardized, streamlined recurring purchases.
- Procurement portalOrdering, tracking and oversight for facility administrators and regional operators.
- Dietary oversightPurchasing for nutritious, cost-effective menus.
- Inventory and deliveryEssentials kept on hand, deliveries on time and accurate.
- Custom workflowsPurchasing workflows and approval chains tailored to each facility.
- On-site visitsRegular visits to every facility we support.
Contract review & negotiation
- NegotiationFavorable terms and real vendor accountability.
- Review and redliningAgreements checked for compliance and fairness.
- Pricing validationContract pricing terms verified against what you're billed.
- Lifecycle trackingOnboarding, exclusivity, renewal and termination dates monitored.
Invoice review & dispute resolution
- Invoice auditsPricing and service delivery verified against agreed rates.
- Dispute resolutionOverbilling resolved with vendors on your behalf.
- Approval workflowsGL code assignment and invoice approval routing.
- Accounting integrationApproved invoices flow straight into your books.
Compliance & survey preparedness
- Life Safety Code inspectionsIdentify NFPA and CMS compliance gaps.
- Mock surveysSimulated state and federal inspections.
- Action plansWritten reports and corrective-action plans.
- Survey coordinationWorking with facility leadership ahead of official surveys.
Billing & Revenue Cycle
Every dollar earned is billed and collected.
A dedicated accounts receivable team of long-term and acute care billing specialists, working every account from initial billing through collections. Each facility is supported by people who understand its payor mix, its challenges and its goals.
- Census accuracyCensus reconciled across AR software, PCC and the facility.
- All payor sourcesMedicaid, Medicare and HMO billing, with every cash receipt posted.
- Claims follow-upTracking, follow-up and resolution of outstanding claims and denials.
- Admission documentationComplete and secured with Admissions and the Business Office.
- Aging reviewsReviewed with the facility, with active follow-up on non-payors.
- Medicaid PendingResidents tracked through to timely resolution.
Our goal is simple: the highest possible collection rate, with payments received on time and accurately, in full compliance with every regulatory and billing requirement.
Reimbursement Services
Securing every reimbursement dollar you're entitled to.
- Billing and collectionsAcross all payor sources for skilled nursing, assisted living and independent living.
- Triple-check reviewWith MDS, the Business Office Manager and therapy, so every claim goes out accurate.
- Aging reviewsWith Business Office Managers to drive collections and close open issues.
- Medicaid cost reportsPreparation, filing and review to maximize what you're owed.
- Enrollment applicationsMedicare and Medicaid applications set up and monitored through approval.