Reliable Health Systems, LLC

What Reliable Health Systems, LLC does

Reliable Health Systems, LLC (RHS) is a privately held, Brooklyn-headquartered software vendor founded in 1978 by Harry Zelcer and Jerry Solomon that develops and licenses the VISUAL Suite, an integrated clinical and financial SaaS platform purpose-built for U.S. Skilled Nursing Facilities (SNFs) and Assisted Living Facilities (ALFs). The company began as a single-facility payroll solution and has evolved into a multi-module platform that bundles an Electronic Medical Records system (VISUAL EMR) with a financial back-office suite (VISUAL Financial) around shared Census and MDS modules, supplemented by PDPM analysis tools, EPCS-certified e-prescribing, a mobile application, and a 64-bit client variant called VISUAL 64.

The product architecture is built around a unified Census data model that tracks admissions, discharges, and transfers across clinical and financial modules, with domain-specific workflows for MDS assessments, therapy tracking, PDPM reimbursement optimization, insurance eligibility checking (Medicare, Medicaid, HMO), accounts receivable, accounts payable, general ledger, payroll, and resident funds management. A bi-directional interface layer connects the platform to 40+ third-party systems across pharmacies (PharMerica, ProCare, Adler's), labs (Aculabs, Centers Lab, Acutis), radiology (RapidX, BDL), RHIOs (Healthix, NJII, Rochester RHIO, Northwell), banking (KeyBank), and adjacent long-term-care EHRs (PointClickCare, MatrixCare, NetHealth, SigmaCare, Casamba). The platform targets two primary verticals: SNFs, which require clinical documentation, MDS assessments, and PDPM-driven reimbursement; and ALFs, which require clinical documentation plus financial management. Affiliates such as Superior Back Office Solutions, FHS Consultants, PIMM Communications, and Senior Care LLC provide complementary back-office services and act as a referral channel.

Commercially, RHS operates a sales-led model with direct phone and email outreach, a Request-a-Demo lead-capture form on the company website, and affiliate-driven referrals. Pricing is contact-based and not publicly disclosed, with annual subscription billing for VISUAL EMR and VISUAL Financial either as standalone or bundled licenses; professional services revenue is generated from guided migration and 24/7 EMR support plus weekday financial software support. The company has 51-100 employees, operates as an LLC with no disclosed institutional investors, no funding rounds, no M&A activity, and remains founder-controlled with no parent entity.

Name

Reliable Health Systems, LLC

Legal name

Reliable Health Systems, LLC

Website

https://reliablehealth.com

Company type

Private

Founded year

1978

Operating status

Operating

Headcount range

51–100 employees

Short description

Reliable Health Systems, LLC is a privately held, Brooklyn-based software vendor founded in 1978 that builds the VISUAL Suite, an integrated clinical and financial SaaS platform for U.S. Skilled Nursing Facilities and Assisted Living Facilities, covering EMR, billing, payroll, MDS assessments, and PDPM reimbursement, distributed via direct sales and an affiliate referral network.

Ownership category

akta.pro rank

Product category

Long-Term Care Software

NAICS

Software Publishers (5132)

SIC

Services-Prepackaged Software (7372), Services-Skilled Nursing Care Facilities (8051)

akta.pro primary industry

EHR Implementation, Optimization, Training & Managed Services (HLACAAAL)

akta.pro secondary industry

Healthcare Provider ERP (Hospital Operations, Supply Chain, Finance) (HDAEAEAH)

Keywords

• Long-term care software
• Skilled nursing software
• Assisted living software
• Electronic medical records
• Healthcare financial software

Headquarters

HQ city

Brooklyn

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. VISUAL EMR Software: Subscription-based SaaS model for Electronic Medical Records software. Can be used as standalone or together with VISUAL Financial Software. Revenue generated from licensing the EMR platform to SNF and ALF facilities.
2. VISUAL Financial Software: Subscription-based SaaS model for financial management software covering accounts receivable, billing, accounts payable, payroll, and more. Can be licensed standalone or bundled with EMR.
3. Implementation & Support Services: Guided migration and transition services included as part of the customer onboarding experience. Support services including 24/7 EMR support and 9-5 M-F support for financial software.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Reliable Health Systems develops and licenses the VISUAL Suite, a fully integrated SaaS platform that combines clinical (EMR) and financial software for Skilled Nursing Facilities (SNFs) and Assisted Living Facilities (ALFs). The platform covers clinical documentation, MDS assessments, PDPM reimbursement analysis, census tracking, electronic prescribing (EPCS), accounts receivable, billing, payroll, and general ledger, and can be licensed as standalone EMR, standalone financial, or as a bundled integrated suite. The company also provides implementation/migration services and ongoing customer support.

Product overview

Reliable Health Systems, LLC offers the VISUAL Suite, a fully integrated clinical and financial SaaS platform for Skilled Nursing Facilities (SNFs) and Assisted Living Facilities (ALFs). The platform consists of VISUAL EMR (Electronic Medical Records) and VISUAL Financial Suite as the two core integrated products. VISUAL EMR provides clinical documentation including census tracking, MDS assessments, therapy tracking, PDPM analysis tools, provider panel, custom forms, mobile access, EPCS (electronic prescribing of controlled substances), and discharge planning. VISUAL Financial Suite handles accounts receivable, billing, insurance eligibility checking, accounts payable, resident funds, general ledger, payroll, reporting, census, MDS, and PDPM analysis tools. Both products share a unified census module and MDS module, and can operate stand-alone or fully integrated with each other. The company was founded in 1978 and is headquartered in Brooklyn, NY.

Differentiator

Problem solved

Functional benefit

Brands

• VISUAL Suite: Integrated clinical and financial software package for SNFs and ALFs.
• VISUAL EMR
• VISUAL Financial
• VISUAL 64

Products and services

• VISUAL EMR Electronic Medical Records software for Skilled Nursing Facilities (SNFs) and Assisted Living Facilities (ALFs) that streamlines clinical workflows including census tracking, MDS assessments, therapy tracking, PDPM analysis tools, provider panel, custom forms, mobile access, EPCS electronic prescribing, and discharge planning. Can be licensed standalone or bundled with VISUAL Financial.
• VISUAL Financial Suite Financial management software for SNFs and ALFs covering accounts receivable, billing, insurance eligibility checking (Medicare/Medicaid/HMO), accounts payable, resident funds, general ledger, payroll, reporting, census, MDS, and PDPM analysis tools. Can be licensed standalone or bundled with VISUAL EMR.
• VISUAL 64

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration46 records

Feature7 records

Partnerships

42 partnerships are on record, tiered affiliate and partner.

• Superior Back Office SolutionsaffiliateStrategic or Co-development PartnerComprehensive outsourcing services for healthcare organizations including census management, revenue cycle management, billing, accounts receivable, collections, accounts payable, and payroll. Referrer of clients to Reliable Health Systems.
• PIMM Communications, LLCpartnerTechnology or IntegrationManages and pre-processes Medicaid applications for facilities throughout New York City. Developed comprehensive Medicaid software and is an approved EDITS submitter for NYC HRA.
• FHS Consultants, LLCaffiliateStrategic or Co-development PartnerProvides accounts-receivable reduction services including Medicaid, Medicare, HMO, Insurance, NAMI and Private collections. Offers Business Office Management services for Nursing Homes.
• Senior Care, LLCaffiliateStrategic or Co-development PartnerAssists members in the community with financial planning for Community and Nursing Home Medicaid. Assists with documentation gathering and Medicaid application filing.
• Cherry (CherryNet.com)partnerTechnology or IntegrationTechnology partner listed under CRM | EMR category for integration capabilities.
• KeyBankpartnerTechnology or IntegrationFinancial services partner for banking integration.
• OnCarepartnerTechnology or IntegrationTechnology integration partner.
• StamplipartnerTechnology or IntegrationAP automation and invoice management integration partner.
• Direct Supply (DSSI)partnerTechnology or IntegrationEquipment and supply vendor integration for SNF industry.
• CardknoxpartnerTechnology or IntegrationPayment processing and card transaction integration.
• SherpapartnerTechnology or IntegrationIntegration partner in the ecosystem.
• SigmacarepartnerTechnology or IntegrationEMR/EHR system integration partner.
• MatrixCarepartnerTechnology or IntegrationLTC EHR platform integration partner.
• AculabspartnerTechnology or IntegrationLaboratory services integration partner.
• Centers LabpartnerTechnology or IntegrationLaboratory services integration partner.
• LabQpartnerTechnology or IntegrationLaboratory services integration partner.
• Northwell HealthpartnerTechnology or IntegrationMajor health system integration partner through RHIO connectivity.
• LabLogixpartnerTechnology or IntegrationLaboratory diagnostic services integration partner.
• AcutispartnerTechnology or IntegrationDiagnostics and testing services integration partner.
• United West LabspartnerTechnology or IntegrationLaboratory services integration partner.
• MedtechpartnerTechnology or IntegrationLaboratory services integration partner.
• EMDSpartnerTechnology or IntegrationEMR/EHR system integration partner.
• PCA (PointClickCare)partnerTechnology or IntegrationMajor LTC EHR platform integration partner.
• RapidXpartnerTechnology or IntegrationRadiology services integration partner.
• BDLpartnerTechnology or IntegrationRadiology services partner.
• MedfaxpartnerTechnology or IntegrationFax and document services integration partner.
• UMedExpartnerTechnology or IntegrationMedical document and form management integration partner.
• Casamba (NetHealth)partnerTechnology or IntegrationTherapy and rehabilitation EHR platform integration partner.
• NetHealthpartnerTechnology or IntegrationHome health and hospice EHR platform integration partner.
• PointRightpartnerTechnology or IntegrationAnalytics and reporting platform integration for MDS/rehabilitation analytics.
• Adler's PharmacypartnerTechnology or IntegrationPharmacy services integration partner.
• PharMericapartnerTechnology or IntegrationPharmacy services integration partner for long-term care.
• HealthIXpartnerTechnology or IntegrationHealth information exchange RHIO partner for New York.
• NJII (New Jersey Innovation Institute)partnerTechnology or IntegrationHealth information exchange RHIO partner for New Jersey.
• Rochester RHIOpartnerTechnology or IntegrationRegional health information organization for Rochester, NY area.
• Health DirectpartnerTechnology or IntegrationHealthcare services integration partner.
• Health ElinkpartnerTechnology or IntegrationHealthcare data exchange integration partner.
• AidacepartnerTechnology or IntegrationDocument management and e-signature integration partner (DocuSign, Identrust).
• DocuSignpartnerTechnology or IntegrationElectronic signature integration partner.
• Meal TrackerpartnerTechnology or IntegrationNutritional tracking and meal management integration partner.
• Gener8partnerTechnology or IntegrationRisk mitigation and insurance services integration partner.
• ProCarepartnerTechnology or IntegrationLong-term care pharmacy services integration partner.

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• PointClickCare: Market-leading cloud-based EHR platform purpose-built for skilled nursing facilities, senior living, and home health. Closest direct competitor to RHS — both serve SNFs/ALFs with integrated clinical, financial, and billing workflows, but PointClickCare operates at substantially greater scale and is owned by Hellman & Friedman.
• MatrixCare (ResMed): Long-term and post-acute care EHR and financial platform serving skilled nursing, senior living, home health, and hospice. Owned by ResMed; directly competes with VISUAL Suite in SNF and ALF segments with a broader, more enterprise-oriented footprint.
• SigmaCare: Long-term care EHR platform designed for SNFs and senior living communities. Listed by RHS as an integration partner, indicating overlapping customer bases and similar clinical/billing feature focus on MDS, PDPM, and pharmacy interoperability.
• NetHealth (formerly Casamba): EHR and clinical documentation platforms for outpatient therapy, rehab, home health, hospice, and skilled nursing. Listed as a VISUAL integration partner; competes in therapy tracking, MDS workflow, and rehab-focused SNF documentation.
• AOD Software: Long-term care software provider offering EHR, billing, and point-of-care solutions for SNFs and assisted living. Direct competitor in the same niche vertical with comparable MDS, PDPM, and AR/billing functionality.
• Eldermark: Senior living software platform for assisted living, memory care, and independent living communities. Overlaps with RHS's ALF segment on clinical documentation, eMAR, and resident management.

Emerging players

• Intellicure: Specialty wound care EHR with strong presence in SNF and home health segments. Overlaps with VISUAL's wound care documentation and clinical workflow capabilities; more specialized but comparable in serving post-acute facilities.
• SimpleLTC (Definitive Healthcare): SNF-focused pharmacy and MDS analytics platform. Partial overlap with VISUAL's MDS module and pharmacy integration capabilities; serves the same regulatory and reimbursement intelligence buyer.

Others

• PointRight: Analytics and reporting platform for post-acute care providers with deep SNF MDS data sets. Listed as a VISUAL integration partner; functions as a complementary data and benchmarking layer that RHS customers consume rather than competes head-on.
• PharMerica (BrightSpring Health Services): Long-term care pharmacy services provider with deep SNF/ALF relationships and pharmacy-to-EHR integration. Functions as both a customer-facing supplier and integration partner — listed as a VISUAL integration partner and represents the pharmacy side of the SNF workflow.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/ReliableHealthSystems
• LinkedInlinkedin.com/company/reliablehealthsystems

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Reliable Health Systems, LLC