Back office for skilled nursing

Run the building. We'll run the numbers.

AGS runs revenue cycle, finance, purchasing, and payroll for skilled nursing operators. Enterprise technology, a team of CPAs, and one partner that treats your money like its own.

Trusted across 400+ facilities in 20 states. Flat-fee pricing. No surprises.

Portfolio snapshot Live
0%Collections
AR aging, trailing 6 mo. Down 40%
50
DSO, days
$18M
AR, from $30M
Day 25
Close, guaranteed
The people running your numbers came from
Deloitte·PwC·Goldman Sachs·Jefferies·Prudential·FactSet·Seeking Alpha·BNY Mellon·
0%
Average collections rate, well above the industry benchmark
0
DSO, cut from 90 days, freeing trapped cash
$0
AR reduced, from $30M to $18M across a portfolio
0
Skilled nursing facilities served, and scaling
The real cost of cheap
"We learned the hard way that cheaper financial services cost more in the long run. With AGS, everything is handled with precision and accountability. No surprises, no scrambling, fewer headaches."
Executive, multi-state SNF group

A discount back office is the most expensive thing an operator can buy.

Missed collections, late closes, surprise audit takebacks, and overspend do not show up on the invoice. They show up in your cash flow.

AGS exists to end that. We chase the hard money, close on time, and tell you the truth about your numbers, every month.

What we run

Four service lines.
One accountable team.

01
Revenue Cycle Management

Billing, coding, revenue recovery, and automated payer tracking through AMP. Coverage verified across the whole stay, so retrospective billing problems never start.

90%
of resources go to the hardest 9% of collections
02
Finance

Treasury, accounting, FP and A, and CFO advisory on a Workday ERP. Accurate, early financials you can take to any lender or board with confidence.

Day 25
financial close, guaranteed every month
03
Purchasing

A full-service GPO, dedicated specialists, and a curated formulary on DSSI. Real buying power and real-time spend visibility instead of guesswork.

$175K
saved for three facilities in a single year
04
Payroll and Workforce

Pre-payroll audits, PBJ reporting, and a live staffing dashboard. Errors caught before the paycheck, staffing tied to your star rating.

98%
client satisfaction across payroll operations
Run your own numbers

See what AGS would recover for you.

Adjust the three sliders to match your portfolio. The estimate updates against AGS benchmarks in real time.

Your portfolio

Directional estimate. Your real assessment uses your actual aging and payer mix.

5
140
$900,000
$300K$2M
88%
75%98%
Estimated annual impact
$0
in recovered revenue and savings, every year
Collections lift to 98.5%$0
Purchasing savings$0

Collections lift assumes AGS benchmark of 98.5%. Purchasing savings based on roughly $58K per facility per year, in line with documented results. For illustration, not a guarantee.

Get this verified for free
The platform

A tech company that runs your back office.

Not a back office that bought some software. Proprietary, enterprise-grade systems give you visibility into every dollar, in real time.

AMP

Automated payer tracking

New admissions alert the tracking team automatically. Coverage is verified throughout the stay, with census updated multiple times a day. One-click reporting on cash, collections, DSO, and AR aging.

DSSI

Purchasing and spend control

A curated formulary and real-time dashboards. Every purchase shows its impact on your budget, with proactive alerts before an overage happens.

Workday

Tier-1 financial ERP

Daily touchless banking, automated cash posting and reconciliation, and an industry-leading FP and A tool. Built for the 25-day close.

$1.2B
Transacted yearly
99.999%
Platform uptime
900+
Bank accounts managed
Who runs your numbers

Run by people who came from the top.

This is why cheap costs more. The bench is full of CPAs and finance leaders from Big 4 firms and Wall Street. That depth is the difference.

BK
Ben Katz
Director of Finance
ex-Deloitte
SW
Steven Weidberg
Director of Revenue Cycle
ex-PwC
DS
David Smith
Director of Finance Systems
10 yrs, Goldman Sachs
LL
Leibish Leser
Chief Information Officer
ex-Prudential, Jefferies
ME
Moss Ellenbogen
Chief Financial Officer
$3M+ in takebacks saved
DH
Daniel Hochman
VP of Product
ex-Seeking Alpha, FactSet

A single point of contact is assigned to every client, backed by controllers, AP teams, banking experts, and a cost-reporting team that knows skilled nursing inside out.

Results, not promises

Resolving a complex federal payer.

Recovered in full
$6M
Owed across a portfolio, recovered within 60 days.
Challenge
Over $6M owed to a portfolio by a single federal payer, stalled and aging.
Solution
Senior staff secured a high-level, face-to-face meeting with the payer, worked each claim systematically, and set weekly follow-ups.
Outcome
The full balance recovered within 60 days, with a consistent payment cycle established going forward.
Start here

Get a free back-office assessment.

We look at your AR aging or your close timeline and show you the gap. No pitch deck. Just your numbers and where the money is sitting.

Call AGS · 518.595.9784