In assisted living, a few empty beds or a shift in payer mix can change your whole month. EFS Group gives owners clean books and CFO-level guidance so you can manage your money and scale with confidence.
Book a free discovery call → | Contact us →
Census drives everything — and most reports don’t show it.
- Occupancy changes week to week, but many financial reports only show a monthly total with no link to census.
- Private-pay, Medicaid waiver, and long-term care insurance residents bring in different rates on different timelines.
- Staffing is your largest cost, and overtime or agency staff can wipe out margin fast.
- Rate increases, renovations, and expansion decisions get made on gut feel instead of numbers.
How EFS Group helps assisted living
- Monthly bookkeeping and reporting that tie revenue and labor to census, so you can see cost per occupied bed.
- Payer mix and rate analysis to show how private-pay and Medicaid residents affect your margins.
- Labor and overtime tracking with payroll support that keeps caregiver pay accurate.
- Budgeting and cash flow forecasting for rate changes, capital projects, and new communities — led by a fractional CFO.
- Tax planning that looks ahead, not just back.
We offer Starter, Intermediate, and Premium CFO packages that combine monthly books, strategy, KPIs, payroll options, and tax planning. View CFO packages and services →
How it works
- Preview — A short strategy call to understand your organization, revenue, pain points, and goals.
- Probe — A detailed look at your books, bank activity, payroll, tax history, and systems.
- Plan — Clear recommendations on the areas that drive cash and profit.
- Present — We walk through the plan together and decide if we’re a fit.
- Put into motion — Cleanup if needed, then ongoing books and CFO support.
FAQ
What financial numbers should an assisted living owner watch every month?
Start with occupancy, revenue per occupied unit, labor cost as a share of revenue, overtime, and days of cash on hand. We build reports around these so you can act early instead of reacting at month-end.
Can you help us understand our private-pay vs. Medicaid mix?
Yes. We break revenue and margin out by payer type so you can see how your mix affects cash flow and profitability, and plan admissions and pricing with that in mind.
Do you help with budgets for rate increases or expansion?
Yes. As your fractional CFO, we model rate changes, staffing plans, and capital projects so you can see the impact on cash before you commit.
Do you replace our administrator or billing staff?
No. Your team keeps running operations and billing. We handle the books, financial reporting, forecasting, and tax planning, and we work alongside your team.
How do I get started?
Fill out our short client intake form or contact us. We’ll schedule a discovery call to learn about your community and recommend the right level of support.
Ready to get clear on your numbers?
Let’s clean up the confusion around cash, payroll, and tax — and build a financial engine that supports growth.
See all industries we serve →