Multi-location healthcare company needed an efficient way to integrate roll-ups and integrity in the financials to prepare for exit

Client Background:

Executive team at a multi-location healthcare company was looking for a more efficient way to manage the finance function. The existing small finance team, led by the COO, lacked the tools to get a consolidated P&L and clinic-level P&L at the click of a button. Management reporting needed significant improvement. The COO had a dual CFO role, and his goal was to reduce costs and get a more professional set of finance & accounting skills with better management reporting deliverables to prepare for roll-up acquisitions and their potential exit in 2 to 3 years

Challenges They Faced:

  • Working in QuickBooks and Excel led to clunky manual processes with 20+ tab worksheets linked together to get consolidated P&L and clinic P&L
  • Operational reporting came out of multiple transactional systems, which required manual reconciliation to ensure revenue reporting rolled up correctly
  • COO/CFO faced the complexity of being bogged down with how to re-engineer the finance & accounting function
  • The back-office finance & accounting function was not operating efficiently
  • Did not have a plan to efficiently roll up acquisitions
  • Had a business continuity risk with a shortage of skilled finance and accounting staff and an ineffective in-house finance and accounting approach

The Consero Solutions

Consero’s Finance as a Service:

  • 30-day implementation of a pre-integrated and cloud-based finance & accounting technology stack with workflows and automation to deliver real-time visibility into key financial data
  • Delivered reliable back-office services: efficient transaction processing, 10-day month-end close with accurate, timely and audit-ready reporting
  • Accounting systems expertise to automate and professionalize reporting: consolidated financials and cliniclevel P&Ls
  • A cost-effective and long-term finance & accounting solution that will scale as the business opens new locations

Challenges They Faced:

  • Working in QuickBooks and Excel led to clunky manual processes with 20+ tab worksheets linked together to get consolidated P&L and clinic P&L
  • Operational reporting came out of multiple transactional systems, which required manual reconciliation to ensure revenue reporting rolled up correctly
  • COO/CFO faced the complexity of being bogged down with how to re-engineer the finance & accounting function
  • The back-office finance & accounting function was not operating efficiently
  • Did not have a plan to efficiently roll up acquisitions
  • Had a business continuity risk with a shortage of skilled finance and accounting staff and an ineffective in-house finance and accounting approach

Results

Optimized Systems & Processes:

Optimized finance function in 30 days with best of breed financial, accounting, invoicing and expense software.

Increased Capacity: Consero took over all the responsibility under the CFO and Controller roles which gave the COO more time to focus on strategically impactful projects such as roll-ups vs. tactical implementation of technology & processes.

Improved Reporting and Data: Timely, audit-ready financials with automated reporting to reflect consolidated P&L and cliniclevel P&Ls enabled leadership to execute on a fast diligence and a smooth exit.

Roll-Up Ready: Consero’s reliable team of finance & accounting professionals provide expertise in supporting multilocation services-based businesses and roll-up acquisitions.

Automated Reconciliation: Established is a three-way reconciliation process between ops system, merchant processor and bank account which resulted in Consero discovering & addressing a $25,000 revenue leakage each month.

34% Cost Savings: Virtual & skilled finance team along with a sophisticated software stack and efficient processes drove a 26% cost savings in year 1 and 34% savings in year 2 (and going forward) compared to building and maintaining an in-house finance & accounting function

 

Consero FaaS: Disrupting the Outdated Traditional F&A Model

Transformation
  • Cash to GAAP conversion
  • Clean-up work
  • Interim oversight & support
  • Accounting software Implementation

Build it Yourself Solution

  • CFO / Interim CFO
  • Consultants / VARs

Consero FaaS Solution

  • CFO / Interim CFO
  • or Consero Interim CFO
  • Consero Setup/Transformation
Ongoing F&A
  • Monthly financials
  • Daily accounting support
  • Management reporting
  • Integrate add-on acquisitions

Build it Yourself Solution

  • CFO
  • Controllers & Accounting Team
  • Enterprise Accounting Applications

Consero FaaS Solution

  • CFO
  • or Consero Fractional CFO
  • Consero FaaS Enterprise F&A Software and Services

New PE Platform Investment F&A Challenges

Founder Owned Company Accounting:
  • Existing accounting done on a cash/hybrid basis
  • Run on SMB accounting software and other disparate applications
  • Inability to produce auditable financials
  • Lack of know-how to develop projections & KPIs
  • No consistency/structure to customer contracts
  • Underqualified staff
  • Non-scalable manual processes
Carve-Out Accounting:
  • Required to move off parent company accounting applications in a timely fashion
  • Have to build an entire F&A team
  • No documented operational policies and procedures
To Optimized Finance & Accounting:
  • Monthly financials available in 5-10 business days
  • Audit and diligence ready support details
  • Integrated enterprise grade accounting software
  • Budget and forecast reporting
  • Business KPIs
  • Efficient & scalable processes for rolling in add-ons