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#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Outdated Financial Tracking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.

Key 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.

Structured financial controls and reporting transformation

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.