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#Client

Multi-Entity Healthcare Operations

#Industry

Healthcare

#Client Size

USD 152M Revenue | 400–500 Employees | 32 Entities

Inconsistent Financial Controls and Reporting

Delayed Reconciliations and Closures

Bank reconciliations, credit card reconciliations, and month-end closing activities were delayed across multiple entities and accounts.

Inconsistent Financial Reporting

P&L statements, balance sheets, and trial balances contained discrepancies due to incorrect coding, unsupported balances, and unreconciled accounts.

Weak Process Controls and Documentation

Standard operating procedures, review mechanisms, and supporting schedules were not structured consistently across accounting operations.

Manual Review Dependency on CFO

The CFO was heavily involved in operational accounting reviews, limiting time available for strategic planning and leadership activities.

Intercompany and Ledger Discrepancies

Differences existed across intercompany balances, AP and AR ledgers, payroll reconciliations, and fixed asset schedules.

Lack of Operational Accountability

Tasks, reviews, and follow-ups lacked structured ownership, impacting accuracy, consistency, and turnaround timelines.

Inconsistent Financial Controls and Reporting

Structured accounting controls and CFO support framework

Financial Close and Reconciliation Framework

Established structured month-end close and reconciliation processes across 75 bank accounts, 28 credit cards, and 32 entities, improving accuracy, consistency, and reporting readiness.

Financial Reporting and Review Support

Implemented structured monthly and quarterly financial reviews, providing leadership with greater visibility into financial performance, balance sheet integrity, and entity-level results.

Accounting Governance and Process Controls

Developed SOPs, review checklists, supporting schedules, and documentation standards to improve accountability, strengthen controls, and standardize accounting operations.

Balance Sheet and Reconciliation Integrity

Resolved discrepancies across intercompany balances, AP and AR ledgers, payroll tax accounts, fixed assets, and trial balances to improve the reliability of financial information.

Finance Function Optimization

Defined clear responsibilities, streamlined workflows, and improved coordination between teams, enabling more efficient execution of accounting and finance processes.

Strategic Finance and CFO Support

Supported budgeting, forecasting, FloQast close management, and financial analysis, enabling the CFO to focus on decision-making, strategic initiatives, and business growth.

Structured accounting controls and CFO support framework

Improved financial accuracy, control, and CFO capacity

75 Bank Accounts | 32 Entities Managed

Structured reconciliation and close processes implemented across a complex multi-entity healthcare environment.

40% Faster Tax Filing Timelines

Improved financial accuracy and reporting processes enabled timely tax filings across all entities without extensions.

Improved Reporting Readiness

Structured reconciliations and financial reviews strengthened the reliability of management reporting.

Greater CFO Capacity

Accounting stabilization enabled leadership to focus on strategic priorities rather than operational reviews.