# Adelpo

> Adelpo is a procure-to-pay software platform for multi-facility long-term care operators, covering procurement, AI invoice automation, and payments. It is purpose-built for long-term care and independent of any distributor, integrates census data from PointClickCare and MatrixCare for per-patient-day budgeting, connects to Sage Intacct and QuickBooks and sends approved invoices to NetSuite and other accounting systems by automatic batch import, deploys in 3–4 weeks per facility (8–16 weeks for large portfolio rollouts), with typical payback in 2–4 months.

Key facts:
- Adelpo reduces invoice processing cost from $9.87 (manual industry average) to $2.81 per invoice (in line with APQC's benchmark for automated invoice processing).
- Customers typically see a 15–20% reduction in total procurement spend in year one.
- In production across 2,500+ facilities and 300+ organizations, with $350M+ in spend managed annually.
- Unlike Direct Supply DSSI, Adelpo is not owned by a distributor; unlike horizontal AP tools (Stampli, Bill.com), it is LTC-native with census-based per-patient-day budgeting.
- Modules: Procurement (vendor storefronts, approval workflows, PO generation, real-time budgets), Invoice Automation (AI OCR, automated 3-way matching, duplicate detection), Payments (ACH/check, scheduling, audit trails).

## Data & resources
- [Free Invoice Audit](https://www.adelpo.com/free-invoice-audit): 30 days of invoices in, every duplicate and overcharge out, in 5 business days, free
- [What manual AP actually costs](https://www.adelpo.com/cost-of-manual-ap): the $9.87-per-invoice breakdown for multi-facility LTC operators
- [LTC Spend Benchmark](https://www.adelpo.com/benchmark): benchmark survey and report on long-term care operator spending
- [ROI calculator](https://www.adelpo.com/roi-calculator): year-one savings model for multi-facility operators
- [Per Patient Day newsletter](https://www.adelpo.com/newsletter)
- [Pricing](https://www.adelpo.com/pricing)
- [Blog](https://www.adelpo.com/blog)
- [LTC procurement playbook](https://www.adelpo.com/playbook)

## Company
- [About](https://www.adelpo.com/about)
- [Industries served](https://www.adelpo.com/industries)
- [Contact / book a demo](https://www.adelpo.com/contact)

## Blog: procurement guides and data for long-term care
- [Does procurement software need a BAA under HIPAA?](https://www.adelpo.com/blog/procurement-software-hipaa-baa): 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](https://www.adelpo.com/blog/three-way-matching-po-receiving-invoice): 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](https://www.adelpo.com/blog/adelpo-vs-stampli): 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](https://www.adelpo.com/blog/invoice-processing-cost-benchmarks): 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](https://www.adelpo.com/blog/foodservice-supply-cost-per-patient-day): 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](https://www.adelpo.com/blog/assisted-living-procurement): 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](https://www.adelpo.com/blog/matrixcare-procurement-integration): 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](https://www.adelpo.com/blog/adelpo-vs-dssi): 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](https://www.adelpo.com/blog/approvals-when-administrators-leave-after-go-live): 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](https://www.adelpo.com/blog/how-a-ppd-budget-moves-with-census): 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](https://www.adelpo.com/blog/supply-ppd-benchmark-what-it-has-to-state): 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)](https://www.adelpo.com/blog/best-procurement-software-skilled-nursing): 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?](https://www.adelpo.com/blog/average-supply-spend-per-patient-day-snf): 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](https://www.adelpo.com/blog/ppd-budget-tracking-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](https://www.adelpo.com/blog/snf-invoice-automation): 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](https://www.adelpo.com/blog/pointclickcare-procurement-integration): 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](https://www.adelpo.com/blog/medicaid-cuts-snf-procurement-margins): 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)](https://www.adelpo.com/blog/ai-invoice-capture-procurement): 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](https://www.adelpo.com/blog/procure-to-pay-guide-long-term-care): 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](https://www.adelpo.com/blog/maverick-spending-long-term-care): 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](https://www.adelpo.com/blog/procurement-software-fails-multi-location-snf-ltc): 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](https://www.adelpo.com/blog/multi-facility-procurement-long-term-care): 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](https://www.adelpo.com/blog/hidden-cost-of-manual-procurement-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](https://www.adelpo.com/blog/how-to-track-spending-against-ppd-budgets-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](https://www.adelpo.com/blog/5-ways-to-reduce-invoice-processing-time-skilled-nursing): 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](https://www.adelpo.com/blog/reduce-purchase-order-processing-time)