#Client
US Home Healthcare Services Group
#Industry
Healthcare
#Operational Scale
Enterprise (3,600+ Caregivers)
The Bottleneck
Lack of financial visibility and control
Outdated Financial Tracking
Books were maintained primarily for tax reporting purposes, leading to irregular updates and lack of meaningful financial insights for management decision-making.
No Profitability Clarity
Management had no visibility into margins or cost allocation per caregiver, limiting decision-making.
Weak Revenue Controls
No structured tracking of revenue-to-collection cycles, leading to inefficiencies in cash flow.
Unstructured Commission Model
Marketer commissions were paid without linkage to actual performance or revenue contribution.
Decentralized Expense Management
Credit card spending was distributed across locations without centralized monitoring or controls.
Delayed Decision-Making
Lack of timely reporting prevented management from responding effectively to operational and financial challenges.

The Turnaround
Structured financial controls and reporting transformation
Workflow Optimization
Daily bookkeeping and structured monthly reporting were implemented to ensure consistent and real-time financial visibility.
Revenue and Cost Mapping
Caregiver-level cost tracking and revenue contribution models were developed to measure profitability accurately.
Centralized Financial Controls
Credit card expenses and financial processes were centralized to improve control and reduce inefficiencies.
Performance-Linked Compensation
Marketer commissions were aligned with actual business generated and hours billed.
Financial Modeling and Reporting
Overhead allocation and margin tracking frameworks were introduced to monitor business performance.
System Integration and Reporting
Payroll and accounting data were integrated into structured reporting formats for better analysis and decision-making.

Measurable Impact and Efficiency
38% Improvement
Increase in fund flow through structured tracking of revenue and collections.
16% Cost Optimization
Payroll costs reduced from ~70–80% to 64% of revenue.
Improved Collections Efficiency
Rejected claims were tracked, corrected, and resubmitted, improving recovery rates.
Operational Optimization
Underperforming locations were identified, consolidated, and optimized.