LedgerEvery resident. Every charge.
Every facility. One screen.
Ledger replaces Sunday-night spreadsheet reconciliation with a single real-time dashboard built for assisted living, memory care, and CCRC operations.
Census
142
active residents
Today's Transactions
STREAMINGMargaret T. · AL-2
Breakfast — scrambled eggs, OJ
$8.40
Private Pay
Robert H. · MC-1
Medication copay — Lisinopril
$3.20
Medicaid
Dorothy K. · AL-4
Morning snack — yogurt parfait
$4.75
Family Acct
Harold M. · MC-2
Breakfast — oatmeal, coffee
$7.90
Private Pay
Evelyn R. · AL-1
Guest meal — daughter visiting
$12.50
Family Acct
Medicaid Recon
100%
142 / 142 matched
Today Revenue
$2,841
↑ 4.2% vs yesterday
Pending Claims
0
all cleared
Active Residents
142
census synced 6:00 AM
Today's Charges
$2,841
across all payers
Medicaid Recon
100%
all claims matched
Your census is the
foundation of everything.
Ledger syncs with your EHR every morning at 6:00 AM — admissions, discharges, room transfers, dietary flags, and payer sources all resolved before the first resident walks into the dining room. No manual entry. No mismatched names on the receipt.
Margaret Thornton
Room 214 · AL Wing 2
Select Resident by Photo
Tap menu items to add
Memory care checkout
without the PIN.
Residents in memory care can't enter a PIN. Ledger uses photo identification and dietary flags to deliver a frictionless checkout that still logs every pudding cup — with full audit trail, payer routing, and staff accountability.
Staff selects resident photo → items auto-filtered by diet → one tap charges correct payer.
Every item, every charge, every staff member — logged with timestamp and payer source.
Medicaid and Medicare charges route automatically. No end-of-day batch entry.
Medicaid copays routed
before the pill is dispensed.
Ledger reads each resident's payer source and routes pharmacy charges to the correct destination automatically — Medicaid portal, Medicare Part D, LTC insurance, or private pay — with a claim status you can see in real time.
99.4%
Claims Auto-Submitted
11 days
Avg. Reimbursement Time
100%
Manual Entry Eliminated
14+
Payer Sources Supported
Select Medication
Resident Payer Source
Resident Copay
$3.20
Insurance
$48.80
Route To
State Medicaid Portal
Dining Account Balance
$141.60
Sunrise Senior Living · AL Wing 2
Last Charge
$8.40
Breakfast · 6:47 AM
Top Up Account
Recent Activity
Daughter tops up from
three states away.
Families get a private portal showing their loved one's account balance, recent charges, and low-balance alerts — with a one-tap top-up from any device. No phone calls. No facility staff in the loop.
Real-Time Balance
Families see every charge the moment it posts — dining, pharmacy, guest meals.
Low-Balance Alerts
Automated SMS and email when account drops below your configured threshold.
Multi-Resident View
Families with two parents in the same facility manage both accounts from one login.
ACH & Card Accepted
Families pay by bank transfer or credit card. Funds post to the resident account instantly.
Sunday night is just
another night now.
Ledger consolidates census data, transaction history, payer reconciliation, and family account activity across every facility into a single reporting dashboard. The spreadsheet you've been building every week already exists inside Ledger. It's just already reconciled.
313
Total Residents
$158K
MTD Revenue
$1,120
Pending Claims
99.1%
Overall Recon
Facility
Res.
Revenue
Pending
Recon
Sunrise AL – Main Campus
142
$48,420
$0
100%
Sunrise MC – Eastside
48
$18,240
$240
98.7%
Sunrise CCRC – Westpark
89
$62,100
$0
100%
Sunrise SNF – Northview
34
$29,880
$880
97.1%
From the field
Operators who stopped reconciling on Sunday nights.
"We reconciled census against cafeteria receipts every Sunday night for four years. Ledger made that ritual disappear in the first week. My finance director cried — genuinely."
Sandra Kowalski
VP Operations · Meridian Senior Care Group
6 facilities · 890 residents
"Memory care checkout was our biggest pain point. Families complained, staff made errors. Zero-PIN with photo ID changed everything. We've had zero billing disputes in three months."
James Okafor
Executive Director · Harborview Assisted Living
AL + MC · 218 residents
"When a state auditor asked for two years of Medicaid pharmacy claims, I exported the complete file in 90 seconds. That's when I knew we'd made the right call switching to Ledger."
Patricia Nguyen
CFO · Cascadia CCRC Communities
CCRC · 3 campuses
Start your
30-day pilot.
Ledger onboards in one business day. We sync with your EHR, configure payer routing for your specific mix, and have you running live transactions before end of week. No IT project. No consultant.
1-day onboarding
EHR sync configured by our team, not yours.
HIPAA-compliant
SOC 2 Type II certified. BAA included.
Dedicated CSM
A senior living specialist assigned to your account.
Prefer a personalized demo?
"See It With Your Census Data" — import your resident roster and we'll walk you through a live demo built around your facility.
Book a census demo →