Procurement Insights
Expert guidance on procurement automation, cost control, and operational efficiency for long-term care facilities.
What the Price Discrepancies Report compares, line by line
What Adelpo's Price Discrepancies Report compares on each invoice line, which lines appear, what it does not catch, and who acts on a flagged price.
Sage Intacct and procurement in a multi-entity nursing home group
What a purchasing-to-Sage Intacct sync has to carry in a multi-entity nursing home group so approved invoices post without re-keying at close.
GL coding invoices by facility and department
How invoice lines get a GL account, department, and building in a multi-facility nursing home operator, where the codes come from, and what posts.
What a budget alert should tell a department head
A budget alert should give a department head the budget figure, the census behind it, the spend counted so far, and what to do next.
What procure-to-pay means, step by step
Procure-to-pay in eight steps, from requisition to accounting sync, what each step leaves behind, and what happens to an invoice with no PO.
What PPD means in long-term care finance
PPD means per patient day, a period's spend divided by its patient days. How to compute it, what a patient day is, and why it moves with census.
Purchase order approval workflows for nursing homes
What a purchase order approval workflow does in a nursing home, who signs, how amount and budget thresholds work, and what the approver sees.
Does procurement software need a BAA under HIPAA?
When procurement software needs a HIPAA BAA, where PHI shows up on orders and invoices, and what to ask a vendor before signing.
What a three-way match compares, and where it breaks
What the PO, receiving record, and invoice have to agree on, where a three-way match fails, and what the AP clerk does with the line that failed.
Adelpo vs Stampli for long-term care AP
What stampli.com says about skilled nursing AP and MatrixCare, next to Adelpo's procure-to-pay for long-term care with budgets tied to census.
What it costs to process an invoice, by source
Ardent Partners' 2025 average cost to process an invoice is $9.84; APQC's 2018 median is $5.83. Why the two can't be mixed, and how to compute your own.
What the "$0.72 per patient day" supply figure measures
The $0.72 supply cost per patient day is ANFP's first-survey median for dietary non-food supplies, not a whole-building figure. The 2024 median is $1.00.
How procurement works for an assisted living operator
How procurement works at an assisted living operator, from the community's food order to the invoice match and the home office's per-resident-day view.
How procurement connects to MatrixCare census for PPD budgets
Census totals sync from MatrixCare to Adelpo once a day, and PPD budgets adjust daily on the month's projected census. What crosses and when.
Adelpo vs DSSI for long-term care procurement
Adelpo and DSSI compared for long-term care operators, covering who runs each platform, the invoice after the order, and who does the work.
What happens to approvals when an administrator leaves
When the administrator who approves POs leaves, orders stall in a queue nobody opens. How role-based approvals, retraining and a named rep help.
How a per patient day budget moves when the census moves
A PPD budget is a rate. What happens to a department's dollars and its actual PPD when the census drops, and where the census number has to come from.
What a supply PPD benchmark has to state before you can use it
Two operators' supply PPD numbers are rarely built on the same rules. What a benchmark has to state before you can use it, and how ours is put together.
Best Procurement & AP Software for Skilled Nursing Facilities (2026)
An honest 2026 comparison of procure-to-pay and AP automation software for skilled nursing and long-term care: Adelpo, Procurement Partners, DSSI, Stampli, Envi — who each is actually best for.
What's the Average Supply Spend Per Patient Day in Skilled Nursing?
The honest answer: no authoritative benchmark exists. Here's what data is out there, why it falls short, how to benchmark yourself in the meantime — and the dataset being built to fix it.
PPD Budget Tracking in Long-Term Care: A Practical Guide
How to build a per-patient-day budget that actually works: setting your baseline, department-level targets, the census denominator, and a review cadence that catches overruns mid-month.
What SNF Invoice Automation Actually Costs and Saves
An honest accounting of invoice automation for skilled nursing: the savings mechanics ($9.87 vs $2.81 per invoice), what it costs in software and effort, and when it doesn't pay off.
Connecting Procurement to PointClickCare: What to Know
Why census-connected procurement matters, what an EHR integration should actually do for purchasing and PPD budgets, and the questions to ask any vendor before you sign.
Medicaid Cuts Are Coming: How SNF Operators Can Protect Margins Through Smarter Procurement
With Medicaid cuts underway under the OBBBA, SNF operators need to protect margins now. Here's how smarter procurement can offset reimbursement losses before they hit.
AI Invoice Capture: What It Actually Does (And What It Doesn't)
AI invoice capture promises to eliminate manual data entry. Here's what the technology actually does, where it falls short, and what to look for in a solution that delivers real results.
The Complete Guide to Procure-to-Pay for Long-Term Care Operators
Procure-to-pay is the full lifecycle of every purchase your SNF or LTC facility makes — from requisition to payment. This guide walks through every step, what breaks in a manual environment, and what automation actually fixes.
Maverick Spending in Long-Term Care: What It Is, Why It Happens, and How to Stop It
Maverick spending — purchases made outside approved contracts and systems — is quietly draining 10–20% of procurement savings from skilled nursing and assisted living facilities every year. Here's what it costs, why policies alone don't fix it, and what actually works.
Why Most Procurement Software Fails Multi-Location Skilled Nursing and LTC Organizations
Most procurement software wasn't built for skilled nursing or long-term care. Learn why generic tools fail multi-location SNF and LTC operators — and what to look for in a platform that actually works.
How Multi-Location LTC Operators Control Procurement Across All Their Facilities
Managing procurement across multiple skilled nursing and assisted living facilities introduces a unique set of challenges — fragmented spend, inconsistent compliance, and lost buying power. Here's how operators with 5 to 50+ locations get it under control.
The Hidden Cost of Manual Procurement in Long-Term Care
Manual procurement processes drain time, inflate costs, and create compliance gaps at skilled nursing and assisted living facilities. Here's what it's really costing you — and how to fix it.
How to Track Spending Against PPD Budgets in Real-Time
Per-patient-day budgets are the financial backbone of skilled nursing and assisted living operations. Here's a practical guide to tracking PPD spending in real-time — and why census fluctuations make static spreadsheets dangerously unreliable.
5 Ways to Reduce Invoice Processing Time in Skilled Nursing Facilities
The average skilled nursing facility's AP team spends 15–20 hours per week on manual invoice processing. Here are five proven strategies to cut that time — and close the books faster.
How to Reduce Purchase Order Processing Time in Long-Term Care Facilities
In long-term care, slow purchasing doesn't just create paperwork headaches. It creates operational drag.
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