Clinics & healthcare practices

Illustrative case study

Cash visibility across four clinic locations

A growing clinic group with four locations, a lender covenant and no consolidated view of cash. We built the consolidation, the forecast and the covenant reporting the bank had been asking for.

Cash visibility across four clinic locations

4

sites

Consolidated in one monthly pack

4

sites

Consolidated in one monthly pack

13

wks

Cash forecast, updated every Friday

13

wks

Cash forecast, updated every Friday

0

Missed covenant reports since onboarding

0

Missed covenant reports since onboarding

The situation

Ferncliff had grown from one clinic to four in three years, financed by a term loan with quarterly covenant reporting. Each location ran its own books. The COO spent a weekend a month combining them, and the bank had started asking for the reports earlier.

The challenge

Intercompany charges between the two entities were inconsistent, location-level margins were unreliable, and payroll — 60% of costs — hit the bank in a pattern nobody had mapped against collections from insurers and patients.

What we did

01

Consolidation and chart of accounts

Standardised the chart of accounts across locations, defined intercompany policies and built a consolidated monthly pack with location-level P&Ls.

01

Consolidation and chart of accounts

Standardised the chart of accounts across locations, defined intercompany policies and built a consolidated monthly pack with location-level P&Ls.

02

Cash forecast

Mapped payroll, supplier and insurer-collection timing into a 13-week forecast reviewed every Friday with the COO.

02

Cash forecast

Mapped payroll, supplier and insurer-collection timing into a 13-week forecast reviewed every Friday with the COO.

03

Covenant reporting

Built the quarterly covenant calculation into the close so the bank package was produced, reviewed and sent within five days of quarter end.

03

Covenant reporting

Built the quarterly covenant calculation into the close so the bank package was produced, reviewed and sent within five days of quarter end.

The result

The COO stopped building reports and started reading them. Location margins were comparable for the first time, which changed staffing decisions at two sites. The lender received every quarterly package on time, and the forecast flagged a tight payroll week nine weeks in advance — early enough to bring a collections push forward rather than draw on the facility.

Our board pack used to take me a full weekend. Now it arrives on the tenth with commentary I can forward straight to the board.

Grace Whitfield,

Chief Operating Officer,

Ferncliff Clinics

Client profile

Company

Ferncliff Clinics

Industry

Clinics & healthcare practices

Size

$12M revenue

Stage

Founder-owned, bank-financed

Team

85 people

Structure

Four locations, two entities

Facing something similar?

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