Adelpo vs. Stampli: LTC-Native Procure-to-Pay vs. Horizontal AP Automation

Adelpo is a procure-to-pay software platform for multi-facility long-term care operators, covering procurement, AI invoice automation, and payments. Stampli is a well-regarded AP automation platform built for businesses across many industries. The difference isn't quality — it's scope and vertical fit. The simplest way to put it: Stampli automates invoices after they arrive; Adelpo manages the full cycle that creates them — approved vendor storefronts, purchase orders, receiving, then AI invoice capture, 3-way matching, and payments. And AP automation that doesn't know what a census is can't manage a PPD budget. Adelpo is LTC-native, pulling census from PointClickCare or MatrixCare for real per-patient-day budgeting.

	Adelpo	Stampli
Vertical focus	Purpose-built for long-term care	Horizontal — serves many industries
Census/PPD budgeting	Real-time per-patient-day budgets fed by PointClickCare / MatrixCare census	— (verify current capabilities on Stampli’s site)
Procurement controls before the invoice	Requisitions, vendor storefronts, approval workflows, GPO contract compliance, multi-facility catalogs and pricing control	AP-focused — verify current procurement capabilities on Stampli’s site
AP automation	AI capture of any format, automated 3-way match, duplicate detection — $9.87 → $2.81 per invoice	AI-assisted invoice processing
Payments	Integrated payments in the same platform	Payments offering — verify current capabilities on Stampli’s site
EHR integrations	PointClickCare, MatrixCare (census)	Verify current integrations on Stampli’s site
Accounting sync	Sage Intacct, QuickBooks, NetSuite, Microsoft Dynamics	Broad ERP/accounting integrations — verify current list on their site
AP-only option	Adelpo Capture standalone at $130 per facility per month, built for LTC invoice formats	Core offering
Deployment	3–4 weeks, run by your team — no consultants	Varies
Track record	2,500+ facilities, 300+ organizations, $350M+ managed annually	Established horizontal AP vendor — see Stampli’s site

Comparison reflects each company's publicly available materials as of June 2026; we re-verify quarterly. See something outdated? Tell us and we'll fix it.

The census test: can your AP tool tell you spend per patient day?

Here is a one-question test for any finance tool you're evaluating for skilled nursing or senior living: can it tell you what you spent per patient day, by facility, today? If the tool doesn't ingest census data, the answer is no — the best it can do is total spend, which you'll divide by occupancy in a spreadsheet, weeks later.

Why PPD is the metric LTC finance actually manages

Reimbursement is fixed and census is volatile, so raw spend totals are nearly meaningless in long-term care. A facility that spent 8% more last month might be in trouble — or might have run ten more residents. Per-patient-day is how LTC operators budget, benchmark, and hold administrators accountable. A horizontal AP tool isn't wrong for not speaking PPD; it was simply never built for an industry where the denominator changes daily.

What PointClickCare/MatrixCare census integration changes

Adelpo pulls census directly from PointClickCare or MatrixCare, so every facility's budget flexes with real occupancy in real time. Administrators see budget-vs-actual per patient day today, not 45 days from now at close. That is the structural line between LTC-native and retrofitted: census is not a report column in Adelpo, it's the denominator under every number. Customers typically see a 15–20% reduction in total procurement spend in year one.

AP automation fixes the invoice. Procurement control fixes the spend.

Maverick spend, GPO compliance, and approval workflows — what happens before an invoice exists

An AP tool meets your spend at the invoice — after the money is committed. By then, the off-contract order, the wrong-vendor purchase, and the price above your GPO rate have already happened; automation just processes them faster. Adelpo starts upstream: vendor storefronts that show only approved suppliers at negotiated prices, multi-facility catalogs and pricing control, LTC vendor relationships a horizontal tool doesn't carry, approval workflows that average 4.2 hours instead of stalling orders, and GPO contract compliance enforced automatically. The compliant path becomes the easy path.

The full path: requisition → order → receive → match → pay, in one system

Running an AP point solution next to a procurement gap means two systems, two vendor masters, and a seam where errors hide. Adelpo runs the whole cycle — requisition, order, receiving, automated 3-way match, payment — in one platform, with one record per transaction from request to remittance. Adelpo deploys in 3–4 weeks and documents payback in 2–4 months.

For the controller: the daily-work comparison

$9.87 → $2.81 per invoice; 80% less manual AP work; automated 3-way match

Manual processing costs the industry about $9.87 per invoice. Adelpo reduces invoice processing cost from $9.87 to $2.81 per invoice with AI capture trained on the formats LTC suppliers actually send — dietary, pharmacy, and med-supply distributor invoices included — automated 3-way matching against POs and receiving, and duplicate detection before payment. That's roughly 80% less manual AP work, and the exceptions queue holds exceptions, not everything.

Sage Intacct / QuickBooks / NetSuite / Dynamics sync without duplicate entries

Adelpo syncs coded, matched, approved invoices to Sage Intacct, QuickBooks, NetSuite, or Microsoft Dynamics — no re-keying, no duplicate entries, no end-of-month reconciliation between an AP tool and a procurement system that never met. Close the month, not the gap.

When Stampli may fit better

Honesty matters more than winning a page view. Stampli is a genuinely good horizontal AP automation tool, and this page argues fit, not quality. If you're a single facility, or your business sits outside healthcare, or you have no procurement or PO process and want AP automation alone — no census-based PPD budgeting, no procurement controls, no LTC vendor connectivity — Stampli may serve you well. The case for Adelpo is the LTC-native, end-to-end one: multi-facility operators who manage by the patient day and want spend controlled from requisition through payment in a single platform built for this industry.

Frequently asked questions

Is Stampli built for long-term care?

Stampli is a horizontal AP automation platform serving many industries; verify its current healthcare capabilities on its site. Adelpo is purpose-built for long-term care, with census integration from PointClickCare/MatrixCare and per-patient-day budgeting — 2,500+ facilities run on it.

Does Adelpo replace our AP tool or our procurement process?

Both, in one platform. Adelpo covers requisitions, approvals, vendor storefronts, and GPO compliance before the invoice, then AI invoice capture, 3-way matching, and payments after — synced to Sage Intacct, QuickBooks, NetSuite, or Dynamics.

Can we get AP automation alone, without the procurement modules?

Yes. Adelpo Capture is available standalone at $130 per facility per month, purpose-built for the invoices LTC facilities actually receive — with purchasing and payments available when you’re ready.

What does census integration actually do?

Adelpo pulls daily census from PointClickCare or MatrixCare, so budgets are expressed per patient day and flex with occupancy automatically. Administrators and finance see PPD spend in real time instead of computing it in spreadsheets after close.

How long is deployment?

3–4 weeks for a typical multi-facility deployment, run by your own team without consultants. ROI is documented at 2–4 months.

See what LTC-native finds in your invoices — free

Send us 30 days of invoices. We'll find the duplicates, the overcharges against your contracts, and the benchmark gaps a horizontal tool can't see — free, no demo required. And when you're ready for a demo, we'll run it for your AP team, not just the boardroom.

Request the Free Invoice Audit Book a Demo

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