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One Platform for Nursing Home Staffing, Payroll and Pay

Agalia runs shift scheduling, NFC and geofenced clock in, CMS staffing compliance, in house payroll with multi state tax, and embedded banking for skilled nursing facilities, delivered as five client applications on one backend.

Build Your Healthcare Workforce Platform

About the Project

Agalia is a workforce management and payroll platform built for skilled nursing facilities and nursing homes. It combines shift scheduling, time and attendance, CMS compliance reporting, embedded banking and full payroll with tax calculation and ACH disbursement into one system used by nurses, facility staff, owners and internal operations.

Industry

Healthcare Workforce and Post Acute Care

Skilled nursing facilities that must staff every shift, prove hours to CMS, and pay a mixed workforce of internal, external and agency nurses.

  • Skilled Nursing Facilities
  • Nursing Homes
  • Healthcare Staffing
Users

Five personas, five client applications

Nurses on Android and web, facility staff, multi facility owners, and internal Agalia administrators each get a dedicated app on one backend.

  • Android Nurse App
  • Nurse Web
  • Facility Dashboard
  • Owner Console
  • Superadmin
Core Platform

One Django backend serving all five applications across 9 domain modules

REST and WebSockets on one ASGI runtime, Celery for payroll and sync jobs, PostgreSQL, Redis and S3, deployed on Kubernetes.

  • Django and DRF
  • Django Channels
  • Celery
  • PostgreSQL
  • Kubernetes
Embedded Banking

Every facility gets dedicated bank sub accounts, every nurse gets an account and card

Treasury Prime provides the banking rails, Plaid links external accounts, and fifteen categorised money movements run through a seven state transaction machine.

  • Treasury Prime
  • Plaid
  • Book and ACH Transfers
  • Card Issuance
  • Instant Pay Advances
Scope Delivered

12 Step Payroll Engine and 11 Third Party Integrations

Regular pay, overtime, differentials, PTO, bonuses, deductions, benefits, garnishments and multi jurisdiction tax, then ACH, one parallel job per employee.

  • Vertex and Symmetry Tax
  • Paychex Flex Sync
  • Twilio
  • Radar.io Geofencing
  • StreamLineVerify
Build your idea

Talk to our experts

Scope a workforce, payroll or embedded finance platform for your healthcare organisation.

  • Free Consultation

Staffing a Nursing Home Is a Compliance Problem, a Payroll Problem and a Banking Problem at Once

Facilities were running each of those on separate tools, and the gaps between them were where hours, money and compliance evidence went missing.

5 personas
A nurse, a facility scheduler, a multi facility owner, an agency manager and an internal administrator all touch the same shift, but each needs a different view of it. Generic scheduling tools served one persona and left the rest on spreadsheets and phone calls.
Quarterly to CMS
Nursing homes must file Payroll Based Journal staffing hours to CMS every quarter and hold Hours Per Patient Day above thresholds. Assembling that from timesheets, census counts and payroll exports by hand is slow and easy to get wrong.
Pay and prove it
The goal was a single platform where a clocked shift becomes an approved timesheet, a correctly taxed pay run and a settled bank transfer without re keying, and where the CMS report falls out of the same data.

From a clocked shift
to an approved timesheet, a taxed pay run
and a settled bank transfer

Build Your Workforce Platform

Our Solution

  • Scheduling and Shift Fulfilment

    Scheduling and Shift Fulfilment

    Scheduling and Shift Fulfilment

    • Open shifts broadcast to internal, external and agency nurses with invitations and applicant review
    • Replacement offers for overtime shifts routed to eligible staff automatically
    • Real time chat and notifications over WebSockets so schedulers and nurses resolve gaps in the app
  • Fraud Resistant Time and Attendance

    Fraud Resistant Time and Attendance

    Fraud Resistant Time and Attendance

    • NFC tags programmed per facility and validated against a serial whitelist at clock in
    • Geofence check confirms the nurse is physically on site, with a per user bypass for on call staff
    • Credential gating: no approved licence on file, no clock in, with automated monthly re verification
  • Timesheets and Approvals

    Timesheets and Approvals

    Timesheets and Approvals

    • Hourly staff flow from clock events into a seven state approval chain from supervisor to HR to payroll
    • Partial approval lets a manager accept Monday to Wednesday while disputing Thursday
    • Salaried staff enter seventeen hour categories per day through a separate three state path to the same payroll record
  • In House Payroll Engine

    In House Payroll Engine

    In House Payroll Engine

    • A twelve step orchestrator per employee: shifts, bonuses, deductions, benefits, differentials, PTO, tax, garnishments, net pay, banking
    • Symmetry resolves each address to tax jurisdictions and state forms; Vertex computes employee and employer amounts per paycheck
    • Historical tax snapshots are frozen at pay time so later table corrections never rewrite what was actually paid
  • Embedded Banking and CMS Compliance

    Embedded Banking and CMS Compliance

    Embedded Banking and CMS Compliance

    • Treasury Prime accounts per facility and per nurse, Plaid for external funding, book transfers between them settle instantly
    • Instant Pay advances against worked but unpaid shifts, settled automatically at payroll close
    • Quarterly PBJ XML conforming to the CMS schema plus live Hours Per Patient Day tracking against daily census

Challenges: Where Workforce Platforms Usually Break

Hover a row to see what changed.

Why This Build Matters for Healthcare Operators

Workforce software for post acute care has to satisfy regulators, accountants and nurses at the same time. Agalia was engineered for all three rather than bolting compliance and payments onto a scheduling tool.

What We Delivered

Every number below was measured in production after launch — not projected in a pitch deck.

5

Client Applications — Android plus four web apps

Quarterly

CMS PBJ Reporting — Generated from payroll data

11

Integrations — Banking, tax, payroll, comms, geo

12

Step Payroll Engine — Per employee, run in parallel

Global presence

Three offices. One team.

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