Manis & Ryan

What Manis & Ryan does

Manis & Ryan, LLC is a privately held, Woodland Hills, California-based healthcare consulting firm that prepares Medicare and Medicaid cost reports for Home Health Agencies, Hospices, Skilled Nursing Facilities, and other Medicare provider-types nationwide. The firm bundles three revenue streams — software licensing (Spirit of 1728), professional cost-report preparation and reimbursement services, and Medicare consulting plus bookkeeping — into multi-year engagements that include CMS submission, ongoing Fiscal Intermediary correspondence, and ad-hoc consultations bundled at no extra charge.

The core technology is Spirit of 1728, the firm's self-developed, in-house CMS-approved Medicare Cost Report software, which the company describes as the only web-based CMS-approved Medicare Cost Report product in the nation for HHAs, Hospices, and SNFs. The platform replicates CMS worksheets as they appear in Medicare Regulations, is updated annually to match CMS changes, runs in the cloud, and is accessible from PC, Mac, iPad, tablet, or iPhone. The firm additionally integrates Authorize.Net for credit card processing.

Commercially, Manis & Ryan operates a sales-led, direct-engagement model with three named principals handling distinct functions (Greg Ryan for cost-report preparation; Jessie Manis-Gonzalez for software and account management; Lynne Martin for bookkeeping). Marketing is conducted primarily through the company website, supplemented by LinkedIn, Facebook, and Twitter. Pricing is quote-based and not publicly disclosed; demo software is gated behind registration. Ownership is concentrated with co-founders Patrick Manis and Greg Ryan, both former managers at the largest U.S. Fiscal Intermediary, with no disclosed institutional or private-equity backing.

Name

Manis & Ryan

Legal name

Manis & Ryan, LLC

Website

https://manisandryan.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

1–10 employees

Short description

Manis & Ryan is a privately held, Woodland Hills-based healthcare consulting firm that prepares Medicare and Medicaid cost reports and licenses CMS-approved Spirit of 1728 software to Home Health Agencies, Hospices, and Skilled Nursing Facilities nationwide.

Ownership category

akta.pro rank

Product category

Healthcare Reimbursement Consulting

NAICS

Software Publishers (513210), Accounting, Tax Preparation, Bookkeeping, and Payroll Services (54121)

SIC

Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Medigap Fraud, Waste & Abuse (FWA) & Payment Integrity (HLAEADAI)

Keywords

• Medicare cost reporting
• Healthcare reimbursement services
• Cost report software
• Medicare consulting
• Bookkeeping services

Headquarters

HQ city

Woodland Hills

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medicare Cost Report Software Licensing: Subscription-based licensing of Spirit of 1728 CMS-approved Medicare Cost Report software, with annual updates to comply with CMS changes.
2. Medicare Cost Report Preparation Services: Professional services for preparing Medicare Cost Reports for healthcare providers, including supporting schedules, cover letters, submission to Fiscal Intermediaries, and ongoing correspondence.
3. Medicare Consulting Services: Consulting services including third-party reimbursement guidance, financial reporting review, management information services, and representation at various proceedings.
4. Bookkeeping Services: Financial record establishment and maintenance services to ensure financial and statistical data reconciles into Medicare Cost Reports, including accounts receivable, accounts payable, payroll, and financial reporting.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Manis & Ryan develops and licenses Spirit of 1728, the only web-based CMS-approved Medicare Cost Report software for Home Health Agencies, Hospices, and Skilled Nursing Facilities. The company also prepares Medicare Cost Reports on behalf of healthcare providers, provides Medicare consulting and reimbursement guidance, and offers bookkeeping services that ensure financial records reconcile into compliant cost reports. Service coverage spans the entire United States, from Alaska to Puerto Rico.

Product overview

Manis & Ryan offers a cloud-based Medicare Cost Reporting platform centered on Spirit of 1728, the only CMS-approved web-based Medicare cost report software. The company provides three complementary service offerings: Medicare Cost Report Preparation & Reimbursement using their proprietary software, Medicare Consulting for audit preparation and reimbursement guidance, and Bookkeeping Services to ensure financial data reconciles into cost reports. Services span Home Health Agencies, Hospices, Skilled Nursing Facilities, and other Medicare provider-types nationwide.

Differentiator

Problem solved

Functional benefit

Products and services

• Spirit of 1728

Quantifiable outcome

• 176+ hours estimated time saved per Cost Report (CMS estimates 4-5 weeks of work)

Segments4 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Partnerships

Three partnerships are on record, tiered core and minor.

• Manis & Ryan BookkeepingcoreStrategic or Co-development PartnerRelated LLC entity providing bookkeeping services. The team has over 25 years of experience and are QuickBooks Certified Pro Advisors. They ensure detailed records reconcile seamlessly into bank statements, general ledger, financial statements, taxes, and Medicare Cost Reports.
• Excellent Management Consulting in Healthcare, Inc.minorStrategic or Co-development PartnerNational healthcare consulting company specializing in home care including Home Health Agencies, Hospice, DME, and Pharmacy. Founded in 2002 by Sharon Kean, RN, MBA. Provides consulting for over 150 different agencies including accreditation, quality improvement, and chart reviews.
• Strong Consulting, IncminorStrategic or Co-development PartnerProvides billing and professional consulting services for the medical industry, specializing in billing strategies for Home Health Care, Medicare and Medicaid in California.

Scale indicators2 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• CliftonLarsonAllen (CLA): National accounting and advisory firm with a substantial healthcare practice providing cost-report preparation and reimbursement consulting to HHAs, hospices, SNFs, and other providers; comparable on the professional services side of Manis & Ryan's business.
• WellSky: Large, established post-acute and home health software platform offering EHR, billing, and analytics for HHAs, hospices, and SNFs; comparable because its customers face the same Medicare cost-report requirements that Spirit of 1728 addresses, and it could plausibly bundle that capability.
• MatrixCare: Established EHR and financial platform for skilled nursing, home health, and hospice providers; comparable as a broader incumbent in the SNF/HHA software stack whose financial modules could overlap with Spirit of 1728's use cases.
• BerryDunn: Large national CPA and consulting firm with a healthcare group serving post-acute and long-term care providers on cost reports, reimbursement, and compliance; comparable as a competing Medicare cost-report consulting firm to Manis & Ryan.
• FORVIS: Top-10 U.S. accounting and consulting firm with significant healthcare reimbursement and cost-report expertise for providers; comparable because it competes for the same Medicare cost-report preparation and reimbursement consulting engagements.
• BKD CPAs & Advisors: Large national accounting and advisory firm with a dedicated healthcare practice serving hospitals, HHAs, hospices, and SNFs; comparable as a professional services provider that helps clients prepare Medicare cost reports and reimbursement workpapers.
• Homecare Homebase: Dominant home health and hospice EHR vendor used by large national providers; comparable because it sits inside the same HHA/hospice operational workflow and could incorporate cost-report tools that compete with Spirit of 1728.

Direct peers

• HealthCare Synergy: Privately held Southern California healthcare software firm serving home health, hospice, and related providers nationwide; explicitly listed as a Manis & Ryan partner and offers a Windows-based information system for financial, administrative, and clinical functions—an overlapping provider base and complementary technology.

Emerging players

• KanTime: Post-acute EHR serving home health, hospice, and related providers with financial and clinical modules; comparable because it targets the same Medicare-certified providers and competes for the same operational and reimbursement software wallet.
• Strategic Healthcare Programs (SHP): Specializes in CMS-quality reporting, OASIS/quality data, and outcomes analytics for home health and hospice providers; comparable because it sells CMS-aligned data products and benchmarking to the same Medicare-certified provider base that Manis & Ryan serves.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xtwitter.com/manisandryan?lang=en
• Facebookfacebook.com/Manis-Ryan-152410161466978
• LinkedInlinkedin.com/pub/patrick-manis/13/597/6b7

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 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 Manis & Ryan