Healthcare

Finance and reporting built for the way healthcare organizations actually earn revenue.

Healthcare organizations run on reimbursement, not invoices. Revenue depends on payor mix, contract rates, coding, and collections that lag months behind the visit, while labor costs move with volume and staffing week to week. Standard month-end reporting shows the results long after leadership could have acted.

Buxbaum works with physician practices, specialty groups, and PE-backed healthcare platforms to close that gap. We connect practice management and EHR data to the general ledger so leadership sees revenue, collections, and margin by provider and location as the month unfolds, not weeks after it ends.

What We Offer Healthcare Organizations

• Weekly pacing and KPI reporting: visits, procedures, charges, collections, and days in AR by provider, location, and service line
• Net patient revenue recognition under ASC 606, including contractual adjustments, implicit price concessions, and payor-specific realization rates
• Labor and staffing analysis tied to patient volume, provider productivity (wRVUs), and clinic-level margin
• Physician compensation modeling and MSO/friendly-PC entity accounting, including management fee and intercompany reporting
• Practice management and EHR-to-GL integration (athenahealth, eClinicalWorks, NextGen) with BI dashboards that run off one reconciled data set
• Quality of Earnings and diligence support covering revenue quality, cash-to-accrual conversion, normalized EBITDA, and add-on integration for platform acquisitions
• Fractional CFO leadership experienced in reimbursement, payor contracting, and transaction preparation