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Accounting for skilled nursing facilities

Cost reports, monthly financial statements and payer analysis for skilled nursing facilities, CCRCs and hospice organizations. Family-owned in Phoenix, with 30+ years in healthcare.

Years in healthcare accounting
30+
Buildings supported
20+
Medicaid cost report committee
Arizona

Services

What we do

  • Annual services

    Federal and state cost reports, year-end audit preparation, working budgets with what-if scenarios, and Medicare rate schedules for your location.

    • Federal and state cost report preparation
    • Preparation and documentation of year-end audits
    • Working annual budgets with what-if scenario development
    • Medicare reimbursement rate schedules for your location
    See what’s included in Annual services
  • Monthly services

    Financial statements with every balance sheet account reconciled, business office audits, and 12-month trended reports that explain your results.

    • Monthly financial statement preparation, including reconciliation of all balance sheet accounts
    • Audits of business office input for accuracy of ancillary services and monthly recording of patient revenue
    • Specialty reports prepared monthly

      Analysis trended over 12 months that shows what is behind your financial statement results. The reports answer questions like these:

      • Which patient types hinder your success?
      • When is an empty bed the right approach?
      • Which payers make you the most money?
      • How important is resource contouring to your operational success?
      • How well are you moving patients through the PDPM system?
    • Documentation for evaluating HMO contracts
    See what’s included in Monthly services
  • Data analytics

    Cost report data for any skilled nursing facility in the country, pulled together and analyzed for you.

    • Cost report data for any skilled nursing facility nationwide
    • Compilation and analysis of cost report data
    See what’s included in Data analytics

Testimonials

In our clients’ own words

Larry has helped our accounting needs for over 20 years!

Santa Rita

We love working with Larry and Tyler!

Villa Maria

Larry and Tyler have helped our business financials go from 0 to hero.

Immanuel

Thirty years in long-term care accounting

Healthcare Systems & Services is a family-owned firm in Phoenix. We work with skilled nursing facilities, CCRCs and hospice organizations. Our founder, Larry Litman, helped develop Arizona’s Medicaid cost report, and the firm works with the Arizona Health Care Association on long-term care rates.

Who we serve

  • Skilled nursing facilities
  • Continuing care retirement communities (CCRCs)
  • Hospice organizations
More about the firm

Talk to us about your facility

Call 602-300-8519 or send a message. Tell us about your building and what you need, and we will get back to you.