Article
Streamlining multi-entity integration in senior living
Feb. 2, 2026
The senior living industry is undergoing significant growth as the aging population in the United States continues to rise. According to NIC, Harvard JCHS, the 80-plus population is expected to climb from 12 million in 2024 to 18 million by 2030 [1]. This drastic growth in the aging population is driving a higher demand for services like skilled nursing, assisted living and senior housing. As a result, merger and acquisition (M&A) activity in the space has accelerated as organizations seek ways to stabilize margins, scale more efficiently and expand care portfolios
The rapid growth brings a new challenge: multi-entity integration, which refers to the process of unifying operations and systems across newly merged or acquired organizations. Today, integrating multiple entities is expected to be compressed into a 90-120 day window, putting mounting pressure on teams to integrate faster than before.
Why speed matters
Faster multi-entity integrations are becoming the new standard in senior living because of the increase in M&A activity. According to PR Newswire, M&A activity has continued to accelerate throughout 2025, with deal volume increasing by 13.6% year-over-year. The total transaction volume also jumped to $5.79 billion in Q1 2025 [2]. Due to the higher frequency of deals, organizations need to speed up their integrations to maintain financial control and support leadership decision making. Speed is no longer a post-deal efficiency metric, but a competitive advantage.
Delayed integration can be costly. When organizations operate on disparate systems and manually enter data, finance leaders lose the ability to make proactive and data-driven decisions. Without access to consolidated, real-time data, finance leaders are slower to respond to labor surges, occupancy changes and reimbursement shifts, causing them to react to issues instead of anticipating them.
The challenges of multi-entity management
Meeting a 90–120-day integration timeline is difficult for organizations without modern senior living software solutions. If an organization’s technology lacks scalability, automation or seamless integration capabilities, multi-entity complexity increases exponentially with each acquisition.
Each additional entity introduces new legal structures, levels of care, payer mixes, funding sources and reporting requirements. Leadership needs consolidated, real-time insight to make informed decisions—yet without the right systems in place, organizations often encounter the following challenges:
- Delayed month-end close: Financial close cycles extend weeks beyond month-end due to manual reconciliations and disconnected systems.
- Lack of real-time visibility: Without real-time data visibility, finance leaders lose timely insight into occupancy, labor costs and margin performance, limiting their ability to act quickly.
- Error-prone and manual consolidation: Spreadsheet-based consolidations increase the risk of errors and inaccurate performance reporting.
Furthermore, for organizations using on-premises software, integration timelines stretch even further, as these systems require more complex integrations due to their sophisticated infrastructure and limited flexibility.
How Baker Tilly and Sage Intacct can help
With Sage Intacct, senior living organizations can meet the 90–120-day integration window while simplifying multi-entity management. Its AI-powered, cloud-based platform is designed with open APIs that connect seamlessly with EHR, payroll and fundraising systems to help facilitate a seamless integration process.
Beyond implementation, Sage Intacct provides real-time dimensional visibility across entities, funding streams, facilities and cost centers—delivering a unified view of financial performance while preserving entity-level detail. Automated consolidations, eliminations and AI-driven variance narratives can reduce month-end close cycles by up to 80%. Plus, Sage Intacct’s Advanced Audit is HIPAA and HITECH compliant, ensuring data security and regulatory confidence.
As Sage Intacct’s 12-time Partner of the Year, Baker Tilly brings deep senior living expertise and a proven implementation approach tailored to industry-specific complexities. Our support doesn’t end once the software is implemented. We support you beyond implementation, helping organizations continuously optimize their financial operations as they grow and evolve.