Nathan Stern
Chief Executive Officer & Founder
Twenty years managing and operating skilled nursing facilities, bringing an operator’s perspective to every AGS service line.
We run the back office.
You run the business.
Built for SNF multi-facility owners who want their numbers current, their cash collected, and their attention back on the buildings.
Who we are
A full back office,
built around your needs
Running facilities is hard enough. Most owners end up running a billing company, an accounting firm and a purchasing desk on top of it. Even when it works, it still costs you your attention, and even a simple question about cash can take days to answer.
So we built the alternative: finance, billing, payroll and purchasing under one team, scoped to the pieces you need. Take one service or all four, and get back the time, the margin and the room to grow.
What that means for you:
Every number visible, every dollar accounted for, and someone you can reach.
Who we are
Enterprise-scale people and technology, without building it yourself
Team members1,000+
The people
Our teams have worked across dozens of states and every major payer. They know the state-by-state complexities, the payment offices, the audits, the CHOWs, and the lender conversations.
Your business office manager works with our RCM team. Your CFO works with ours. Close enough that most clients stop thinking of us as a vendor.
The technology
Finance, billing, purchasing and payroll each run on a system built for the job, plus revenue cycle software we built ourselves. We pay for all of it and connect it.
That means automatic bank reconciliation, daily cash visibility, on-demand financial reporting, drill-down data, and connected finance, payroll, and purchasing. Your numbers are always there when you need them.
Our core values
Anyone can promise values.
Here’s what ours require of us.
What those values look like in practice.
We listen to understand what you need, and every interaction with your people is a respectful, professional one.
We own the whole outcome, start to finish. When something blocks us, we bring you the fix.
We’re fully invested in your success. This is a relationship that matters to us, and your outcomes are how we measure our own.
You hear it before you have to ask, and you can see where every deliverable stands. We’d rather have the hard conversation than route around it.
We ask what isn’t working, want the honest answer, and keep building the next improvement into how we work.
Our impact
The numbers behind every partnership
98.5%
Avg. RCM collection rate
50+
Operating groups served
450+
Facilities served
1,000+
AGS team members
$5B+
Revenue under management
25 days
Financial statement guarantee
Leadership
Senior leaders accountable for your results
Ken Milgraum
VP of Finance & Payroll
Your single point for cash flow, monthly close and payroll.
Where we work
Headquartered in New York and New Jersey, working in 36+ states
Headquarters
400 Rella Boulevard, Montebello, NY 10901
477 Oak Glen Road, Howell, NJ 07731
Additional offices
Brooklyn, NY · Baltimore, MD · Detroit, MI · Chattanooga, TN
Coverage
450+ facilities across 36+ states
Get started
Come see how we work
Start with a call. Meet the people who’d manage your numbers.