Skilled nursing · Assisted living

Decide before the money is gone.

“Spend less than you make.” — Charlie Munger

Simple. So, do you know what you'll make this month? What your team is spending?

Most operators find out after the books close. By then it's history.

Decisive tells you while you can still do something about it.

Gap analysis

Five questions. Two minutes. See where the money slips.

Answer for today. Every no marks a gap you can close.

What we're not

Three things you won't get from us.

Not another dashboard.

We provide the numbers, at the moment of decision.

Not a Silicon Valley startup.

We built it around how patients move through our buildings.

Not another system of record.

We've built a layer of financial intelligence that stacks on top of your systems of record.

What Decisive does

Critical moments in a patient's stay that demand a good decision.

01

Before admission.

We check what a patient will pay you under your actual contract, before you say yes.

$958.98 Projected / day Days 4–20 steady state
$1,059.29 LOS-blended / day 17-day stay
$18,007.98 Projected stay total Days 1–17
17 Payment days 3 + 14 tiers

Sample · synthetic data

02

During the stay.

We surface what you could bill but aren't, for your team, throughout their day.

Opportunity scan

Projected — verify before coding

2 documentation opportunities · up to +$61.21 / day

Every item asks you to find the supporting documentation in the EMR. Nothing is applied automatically, and a score only moves when the record exists.

03

At billing.

We flag coinsurance at admission, so you collect up front instead of chasing it later.

CoinsuranceBenefit day 22
No method on file
Coinsurance from day 21$214 a day
Owed so far$428.00
Sample · synthetic data
04

At discharge.

We made it easy to see which SNF patients qualify for assisted living, and what that's worth.

What we recommendAssisted living
Qualifies
Room · one-bedroom suite$5,238 a month
Care level · Level II$925 a month
Estimated monthly cost$6,163 a month
How long savings would cover thisAbout 4 yr 4 mo
Sample · synthetic data
Under all of it

A P&L for every patient.

First

What we expect them to bring in.

Then

What they actually did.

Who built this

We run buildings like yours.

Our family has operated skilled nursing and senior living facilities for 60 years. We built this out of a desire to operate for another 60.

To sustain for generations to come, we needed a more sophisticated layer of intelligence. We couldn't buy it, so we built it.

Read our story

Here's the deal

You can't afford to guess.

Not with cash running thin. Not with a denied claim. Not with an assisted living resident who goes somewhere else. We stand in that gap with you.