Expert Bookkeeping and Accounting Services for Assisted Living Facilities
Simplify your financial management with Vertex Accounting's specialized assisted living accounting services. We help facilities streamline operations, ensure compliance, and gain clear financial insights, so you can focus on delivering exceptional care.
From integrated bookkeeping to financial reporting and operational support, we tailor our services to meet the unique needs of assisted living communities. Senior living accounting services and senior housing accounting carry resident-level billing, occupancy and care-level revenue that ordinary property accounting never touches, and assisted living financial management has to reconcile all three every month.
Book your consultation
Takes about a minute. No obligation.
30-50%Less Than In-House
230+Property Accountants
Sage, AlineAppFolio, Yardi & More
Why Top Real Estate Professionals Choose Vertex Accounting
Care Operations and Real Estate, Accounted for Separately
They're growing too fast for their accountants to handle.
When your business is scaling, the last thing you want to focus on is growing your bookkeeping team. Let our team of experienced accountants scale right along side you without the hiring, firing, and managing of new employees.
They want to spend less on accounting fees.
Our proven monthly property management bookkeeping services are 30-50% less than hiring in-house accounting team. Saving money while reducing operational stress, what's better than that?
They need an expert in their accounting software.
You're in business because you're an expert at property management, not accounting tech. That's where we come in. From Sage to AppFolio, Aline, RealPage, and Yardi, we work with nearly all the accounting software providers for Assisted Living.
Why Vertex Accounting for Assisted Living
Two Businesses, One Building, Separate Books
An assisted living facility is a real estate operation and a care operation sharing an address, and the accounting only works if the two stay legible apart. Property accounting, resident statements and corporate operations accounting each answer to different people and different scrutiny, and blending them produces numbers that cannot be defended to any of them.
We handle the property side and the care operations side as related but distinct sets of books, so you get compliance-ready reporting and a genuine read on where the money is going. You are running a community, not an accounting department, and the tailoring is ours to do.
Care operations and real estate apart
Legible separately, reconciled together.
230+ property accountants
Coverage when someone is out, a specialist to escalate to.
Reporting that survives scrutiny
Compliance-ready, monthly, no reconstruction.

Assisted Living Bookkeeping Services from Vertex Accounting
The Building and the Operation, Both Handled
Property Accounting
As experts in all things real estate, we'll make sure the real estate assets are property accounted for including full balance sheet and accrual accounting.
Assisted Living Accounting
Vertex Accounting's skilled team, in combination with your software's comprehensive toolset, addresses the complexity of your assisted living corporate financial activities.
Bank Reconciliations
Employing your software's state-of-the-art system, Vertex Accounting offers bank reconciliation services that brings meticulous accuracy to your finances.
See how it worksFinancial Cleanup
If there is any clean-up or back books work needed, we'll make sure this gets done and your financials are 100% accurate.
See how it worksStreamline Operations
We streamline assisted living operations by integrating your software systems and optimizing workflows, saving you time, money, and stress.
The Full Scope
- AppFolio, Yardi, Sage, Aline, and more
- Accounts Payable & Receivable
- Monthly Tenant Statements
- Catch-up Bookkeeping
- Accurate NOI, Balance Sheets
- + 4 more below
- AppFolio, Yardi, Sage, Aline, and more
- Accounts Payable & Receivable
- Monthly Tenant Statements
- Catch-up Bookkeeping
- Accurate NOI, Balance Sheets
- Recording HUD's & Accruals
- Bank Reconciliations
- Owner Draws & Management Fees
- Corporate Operations Accounting
Also available on its own
- Trust AccountingTenant, owner, and security deposit money kept separate, tied out, and ready for a state audit at any time.
- Accounts Payable & ReceivableVendor invoices coded and paid, tenant receipts applied, management fees taken, and owner distributions cut on time.
- CAM ReconciliationCommon area maintenance pools built from the lease terms, reconciled against actuals, and billed or credited with a defensible tenant statement.
It Is Two Businesses Wearing One Set of Books
Real Estate Underneath, a Care Operation on Top
An assisted living community is a building with a hospitality and care business running inside it. The real estate has a balance sheet, debt, and depreciation. The operation has census-driven revenue, tiered care charges, payroll that dwarfs every other line, and residents who move in mid-month. Accounting for one as though it were the other is the recurring failure here.
What makes it different
Revenue you can forecast off census
Occupancy and care level between them predict most of the revenue, which makes budgeting genuinely tractable once the level-of-care charges are being captured properly. And because the asset and the operation are separable, a clean set of books shows you exactly which one is producing the return.
Where it goes wrong
Care revenue and property revenue collapse into one number
Base rent, level-of-care fees, community fees, and ancillary charges get posted to a single revenue account, so nobody can see whether the margin is coming from the real estate or the care. Add mid-month move-ins prorated by hand, deposits treated as income, and payroll allocated across communities by guesswork, and the P&L stops being decision-grade.
How we work it
We split the asset from the operation, deliberately
We set up the chart of accounts so property-level results and operating results can each be read on their own, with care revenue broken out by type and payroll allocated on a defensible basis. That is what lets you compare communities honestly and what a buyer or lender will want to see.
Assisted Living Accounting, Platform by Platform
We Play the Software You Bring
The accounting problem changes with the platform underneath it. Each page below is the specific version of assisted living bookkeeping for that system.
- AppFolioLevel-of-care revenue has no native home
- BuildiumOne revenue account hides where margin comes from
- EntrataLevel-of-care revenue collapsing into base rent
- QuickBooksCare revenue and real estate rent share one account
- Rent ManagerCare revenue disappears into custom rent charge codes
- YardiLevel-of-care revenue collapses into one journal entry
- MRIOne MRI revenue account hides where margin comes from
- RealPageStale resident assessments quietly understate care revenue
How Our Assisted Living Bookkeeping and Accounting Services Work
Onboard, Close, Report
- 1
We onboard your account.
We won't waste your time. As soon as we get access to your account, we'll begin analyzing your financials & diagnostic reports. Every property. Every bank account. Every report. If we find any inconsistencies or problems, we fix them, ensuring financial accuracy across the board.
- 2
Monthly bookkeeping begins.
Once your financials are in order, we start our monthly bookkeeping for your assisted living business. We reconcile your accounts, label incoming transactions, streamline your accounts payable process, and more. From the operations to the assets, we'll help with it all.
- 3
Receive monthly reports.
Each month, you'll get audit-ready financial statements and reports. Instead of confusing you with unnecessary charts and jargon, our reports make it easy for you to understand your business' financial situation.
Check Out What Our Clients Have To Say About Us
“Following a series of erroneous financials from my previous bookkeeper, who lacked expertise in real estate, it's been truly remarkable to receive not only accurate financials on a consistent basis but also proactive advice without prompting. The Vertex Accounting team is a game-changer in real estate accounting!”
Sara Crosby
Real Estate Investor
“As Vertex Accounting exclusively specializes in Real Estate, I rest easy knowing my financials are precise every month while saving money at the same time, an invaluable benefit.”
Steve Wilko
Owner Operator
“I highly recommend Vertex Accounting services from this group. They truly are great and have helped us tremendously at a time we needed it the most. I felt very comfortable giving up all my accounting responsibilities to this team and I'm still glad I made the decision to work with this group. Nothing less than an amazing experience!”
Tracy Collins
Property Manager
“Vertex Accounting and team have been nothing but excellent helping our firm with its day to day financial needs. Their expertise, professionalism, and timeliness have made our lives so much easier. We foresee a long relationship with Vertex Accounting and team.”
Brian Cook
Owner Operator
“Real Estate Accounting truly is a special company. They helped as if they were a part of our company, with the concern and caution as an employee would have, but even more. They quickly ascertained our needs and developed an effective team to help with our accounting needs. They were extremely responsive and always accurate. I would recommend their services to anyone who needs help with their property management accounting.”
Kelly Stanaway
Property Manager
“Adam the owner took a personal interest in my situation and was willing to work with me to see if his company was a good fit. I may be too small for them but I would highly recommend them to anyone considering a bookkeeper for their property management business.”
Trevor Smith
Property Manager
Frequently Asked Questions
Ready for Books That Separate the Building From the Business?
Schedule a call with our team to learn how Vertex Accounting handles assisted living accounting, from property-level results to care revenue and payroll allocation.
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