How a 19-facility operator built a high-performing remote finance team with Touch Support. 

Background

Joshua Fineman helps run a long-term care group that operates 19 nursing homes and provides back-office accounting for another 12 facilities. That means his team is responsible for: 

  • Treasury management

  • Accounts payable

  • Financial reporting

  • Payroll

  • A steady stream of ad hoc finance projects

The stakes are high. Residents, families, regulators, lenders, and operating partners all depend on clean numbers and on-time reporting.

The Challenge

The biggest constraint was not systems. It was people.

Finding finance staff who are both highly competent and genuinely committed had become increasingly difficult and expensive in the US market. Joshua needed: 

  • Reliable preparation of preliminary financials for 30+ facilities

  • Consistent execution of AP, payroll, and treasury routines

  • Capacity to tackle backlog and one-off projects

  • A partner that felt like an extension of his team, not a low-touch vendor

As Joshua puts it, hiring “good people that care and work hard” is one of the hardest problems any business faces. 

The Solution

Joshua partnered with Touch Support to build a dedicated remote finance team that plugs directly into his existing processes.

Touch Support now helps his organization with: 

  • Preparing preliminary financial statements for all supported facilities

  • Running AP and vendor payment workflows

  • Supporting treasury management and cash routines

  • Assisting with payroll

  • Handling ongoing ad hoc and clean-up projects

Touch Support’s team prepares the prelims, then hands them off to Joshua’s onshore team for review and publishing. That structure lets his local staff focus on higher-value analysis and decision-making instead of being buried in reconciliations and data entry. 

Just as important as the workflow is the mindset. Joshua describes the relationship not as a vendor contract, but as a partnership.

The team shows up, works hard, takes feedback, and cares. It feels like an extension of our organization. 

The Impact

Since rolling out the partnership, Joshua’s team has seen several tangible benefits: 

  • Greater capacity without adding local headcount

    They now support 30+ facilities’ back office using a blended onshore and Touch Support model.

  • Stronger reliability in core finance processes

    Preliminary financials are delivered on time, which keeps lenders, owners, and internal stakeholders aligned.

  • Room for value-add work

    With routine work handled by Touch Support, the onshore team can focus on higher-impact projects instead of fighting fires.

  • Economic advantage

    According to Joshua, there is no way they could build an equivalent internal team in the US at a comparable cost level, especially with the level of education and experience Touch Support’s staff brings.

The relationship is also cultural. Touch Support’s team joins all-hands meetings and participates as part of the broader finance organization, not as an anonymous outsourced function. 

Why Joshua Recommends Touch Support

Joshua has already recommended Touch Support to peers in the long-term care space. For organizations looking for finance support that is both cost-effective and high quality, his reasoning is straightforward: 

  • The team cares about results.

  • They are smart, well-educated, and solution oriented.

  • They take feedback seriously and use it to improve.

“If people are looking for good value, hard workers, and results, you should absolutely consider Touch Support as a partner.” 

Continuous Improvement

When asked what Touch Support could improve, Joshua’s answer focused less on gaps and more on mindset. He values that the team is “an open book,” always willing to hear criticism and adjust. That mirrors the expectations he sets for his own staff and reinforces the sense of a single, integrated organization working toward the same goals.