Industry · Healthcare

Fractional CFO for healthcare clinics and care groups

Payer mix, collections and multi-site reporting for clinics and care groups.

01

Overview

01

Overview

A multi-site healthcare business can be busy in every clinic and still short of cash. Claims are paid 30 to 90 days after the visit, each payer pays a different rate, and denials sit in a queue nobody owns. By the time a problem shows up in the bank balance, it is two months old.

We work with outpatient clinics, therapy groups and other care businesses, typically with 3 to 30 locations and $5M to $40M in revenue. The first step is usually a site-level view of visits, collections, payer mix and contribution for each location, built from aggregated billing and scheduling reports. Patient records stay in your systems.

From there we build a collections forecast, a monthly pack that compares sites on the same basis and board reporting that shows owners and investors where margin is made. Reimbursement rules, billing compliance and regulatory questions go to your billing specialists and healthcare counsel.

02

02

Key metrics

Key metrics

The numbers your board reads first

The numbers your board reads first

The numbers your board reads first

Days sales outstanding

How long it takes to collect after a visit. Each day removed frees cash a growing group would otherwise borrow.

Days sales outstanding

How long it takes to collect after a visit. Each day removed frees cash a growing group would otherwise borrow.

Payer mix

Share of revenue by payer type. It drives net revenue per visit and shows exposure to a single contract change.

Payer mix

Share of revenue by payer type. It drives net revenue per visit and shows exposure to a single contract change.

First-pass denial rate

Share of claims denied on first submission. Each denial delays cash and adds rework, so boards track it by site.

First-pass denial rate

Share of claims denied on first submission. Each denial delays cash and adds rework, so boards track it by site.

Site-level EBITDA margin

Margin per location after provider pay, staff and rent. It shows which clinics fund expansion and which need attention.

Site-level EBITDA margin

Margin per location after provider pay, staff and rent. It shows which clinics fund expansion and which need attention.

03

03

Where it hurts

Where it hurts

Problems we see in Healthcare

Problems we see in Healthcare

Problems we see in Healthcare

Collections nobody can see by site

Billing reports roll up to one total, so a clinic with slow collections hides behind the busy ones. We break days sales outstanding and collections out by site and payer every week.

Denied claims sitting in a queue

Denials often cost more in delayed cash than in lost revenue. We size the queue, age it and track first-pass denial rates by site, so the billing team knows where to start.

A board pack built from five spreadsheets

Multi-site groups often assemble board materials from separate site reports and billing exports. We replace that with one pack, the same KPIs for every site and commentary on what moved.

Expansion decisions without site economics

Opening a location is a capital decision. We model ramp time, provider hiring and the local payer mix, so owners can see when a new site breaks even before the lease is signed.

Provider pay that drifts from productivity

Compensation plans set years ago can fall out of step with visits and collections. We model the current plan against productivity so owners and their advisors can decide on changes with the numbers in hand.

06

06

Healthcare

Common questions

Common questions

Common questions

Do you need access to patient data?

Can you help with payer contract negotiations?

Do you work with investor-backed groups?

Free intro call · 30 minutes

Finance leadership for Healthcare teams.

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hello@stavelyrowe.com · Replies within one business day

hello@stavelyrowe.com · Replies within one business day

Maren Stavely
Daniel Rowe
Leah Okonjo
Sam Iverson

You’ll speak with one of these partners.

You’ll speak with one of these partners.

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