LTC Ally

What LTC Ally does

LTC Ally is a privately held, US-based financial services company that provides outsourced back-office and growth advisory solutions to operators of long-term care (LTC) and skilled nursing facilities (SNFs), assisted living facilities, memory care, and post-acute care facilities. Founded in 2006 by Michael Bauman (CEO) and Mark Josefovic (COO) as LTC Consulting Services and rebranded to LTC Ally in January 2022, the firm is headquartered in Lakewood, New Jersey and operates seven offices across New Jersey, Michigan, Ohio, Florida, Pennsylvania, and Maryland, with contracting specialists serving providers in all 50 states. The company employs 251-500 people and reports serving hundreds of facilities nationwide.

The company's core offerings are organized into Back Office Solutions—Revenue Cycle Management (claims tracking, denial management, AR/billing, collections), Financial Controllership (AP, cash management, financial reporting, ancillary review), Case Management + Authorizations, Managed Care Software + Support, and Payroll Services—and Growth Advisory Services covering Change of Ownership (CHOW) processing, Managed Care Contract negotiation, and Financial Advisory (acquisitions, underwriting, asset management for REITs). These services are delivered through proprietary technology that includes aging and tracking programs with direct feeds from receivable systems, internal task manager dashboards, business intelligence reporting, a custom payroll CRM, an electronic invoice approval system, and an LTC-specific RCM platform. The technology is described as purpose-built for LTC workflows and is used internally to power service delivery rather than sold as standalone software.

The business model is managed services delivered on customizable, multi-year contracts with quote-based pricing. The go-to-market is enterprise field sales, with dedicated account managers assigned to individual operators who develop institutional knowledge of each facility. Revenue streams span ongoing managed services (RCM, controllership, payroll) and project-based professional services (CHOW, contracting, M&A advisory). Quantified outcomes cited include a 15% average cash flow increase within the first six months for AR/billing clients, a nearly 99% collections rate, a 95% success rate in obtaining in-network managed care contracts, and 189 CHOWs and provider enrollments completed in 2021. HIPAA certification is held via Avertium. The firm has received no external funding and remains founder-controlled.

Name

LTC Ally

Legal name

LTC Ally

Website

https://ltcally.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

251–500 employees

Short description

LTC Ally is a financial services company providing outsourced back-office and growth advisory solutions—including revenue cycle management, financial controllership, payroll, managed care contracting, and change-of-ownership services—to long-term care and skilled nursing facility operators across the United States.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Office Administrative Services (5611)

SIC

Services-Engineering, Accounting, Research, Management (8700), Services-Prepackaged Software (7372), Services-Management Consulting Services (8742)

akta.pro primary industry

Financial Planning & Analysis Support (Budgeting, Forecasting, Management Reporting) (BPAAAGAJ)

akta.pro secondary industries

Contract Administration Support (PO/Contract Compliance) (BPAAAJAE), Long-Term Care (LTC) & Post-Acute EHRs (HLACAAAD)

Keywords

• Revenue cycle management
• Long-term care services
• Healthcare financial services
• Skilled nursing billing
• Financial controllership

Headquarters

HQ city

Lakewood

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Back Office Solutions: Full suite of financial and operational services including revenue cycle management, accounts receivable, collections, financial controllership, case management, managed care software, and payroll services. Services are provided as professional managed services to long-term care operators on an ongoing contractual basis.
2. Growth Advisory Services: Change of ownership services, managed care contracts negotiation, and financial advisory including acquisitions, underwriting, and asset management. These are project-based and ongoing consulting services for operators expanding their portfolios.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels8 records

Core offering

LTC Ally provides outsourced back office and growth advisory services to long-term care and skilled nursing facility operators. Its offerings include revenue cycle management, accounts receivable and billing, collections, financial controllership, case management, managed care software and support, and payroll services. The company also delivers growth advisory services covering change of ownership (CHOW) processing, managed care contract negotiation, and financial advisory for acquisitions, underwriting, and asset management.

Product overview

LTC Ally offers a unified platform of back office and growth advisory services for long-term care and skilled nursing facilities. The core offering comprises Revenue Cycle Management and Financial Controllership as the primary service lines, supplemented by Case Management + Authorizations, Managed Care Software + Support, and Payroll Services. Growth Advisory Services include Change of Ownership (CHOW) Services, Managed Care Contracts, and Financial Advisory (which encompasses Acquisitions + Underwriting and Asset Management). Under Revenue Cycle Management, there are sub-products for Accounts Receivables + Billing and Collections Services. Under Financial Controllership, there are sub-products for Accounts Payable, Cash Management, Financial Reporting, and Ancillary Review. All services are delivered as professional outsourcing solutions rather than standalone software products, with proprietary technology used internally to power these services.

Differentiator

Problem solved

Functional benefit

Products and services

• Revenue Cycle Management

Quantifiable outcome

• 15% average cash flow increase within first 6 months for accounts receivable and billing clients
• +5 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• ADP: Dominant payroll and HR services provider competing for LTC Ally's payroll services line; many LTC operators default to ADP before considering a niche specialist.
• Plante Moran: Large accounting and consulting firm with a dedicated healthcare and senior-living practice that provides outsourced finance, audit, and controllership services overlapping with LTC Ally's financial controllership offering.
• Wipfli LLP: Top-20 US accounting and advisory firm with a strong senior-living and healthcare practice providing outsourced finance, payroll, RCM advisory, and consulting services to LTC and skilled nursing operators.
• FORVIS (formerly BKD): Major accounting and advisory firm with a deep healthcare and long-term care practice offering outsourced finance, audit, reimbursement, and operational consulting to LTC operators.
• Marcum LLP: Top accounting firm with a healthcare group serving nursing homes, assisted living, and behavioral health providers with controllership, RCM advisory, and managed care services — directly overlapping LTC Ally's customer base.
• R1 RCM: Large public revenue cycle management company expanding into specialty and post-acute care; represents the kind of scaled, technology-enabled RCM competitor LTC Ally could face as outsourced RCM demand grows in LTC.
• FinThrive: Healthcare RCM platform (formerly nThrive/Change Healthcare RCM) offering end-to-end revenue cycle software and services to hospitals and post-acute providers, overlapping with LTC Ally's RCM offering.
• Paychex: Major SMB-focused payroll, HR, and benefits provider competing for the payroll and HR-administration portions of LTC Ally's offering.

Direct peers

• PointClickCare: Largest EHR and care-coordination platform purpose-built for skilled nursing and senior living operators; overlaps with LTC Ally on data, reporting, and back-office workflows and is increasingly the de facto technology layer LTC Ally integrates with.
• NetSmart Technologies: Healthcare IT platform with a strong post-acute and behavioral health EHR footprint serving LTC operators; competes for the same IT/billing wallet and overlaps in LTC RCM-adjacent workflows.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ltcally
• YouTubeyoutube.com/channel/UCIRoQos5SAdPaBSCVHRVJWg/videos
• Facebookfacebook.com/ltcAlly
• LinkedInlinkedin.com/company/ltc-services

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about LTC Ally