Five lines of work. One standard.
Every engagement ends with something your team can use without us in the room - a reconciled number, a structure that holds or a decision your board can make.
Reimbursement and cost reports
Cost report review, Texas uncompensated care and DSH timing, bad debt and the funding applications small hospitals rarely have time to write.
See the work →Decision Support and cost accounting
True cost of care by service line, delivered monthly. We pull the data, host the platform and do the analysis your team does not have hours for.
See the work →Financial systems and chart of accounts
Chart of accounts and department redesign, ERP readiness and an embedded implementation lead so a vendor go-live does not land on a two-person office.
See the work →Finance leadership and board reporting
Operating and capital budgets, monthly cash and operating reviews and board briefs that let a committee decide in one meeting.
See the work →Capital, lending and bankability
Credit packages, lender liaison and controlled closings for owners who need the bank story to match every schedule.
See the work →Automation behind the work
Cost report automation, AI-assisted data mapping and a warehouse you own.
See the technology →WHAT WE DO NOT DO
We are not a CPA firm.
We do not perform audits, attest engagements or tax preparation. When your work needs those, we coordinate with your CPA and auditors and make their job easier.
THE DECISION SUPPORT DISCIPLINE
One discipline, applied to every sector.
Decision Support began in hospital finance, but its core methods are not specific to healthcare. Cost accounting, forecasting, net revenue modeling and benchmarking answer the same questions in a hospital, a manufacturer, a nonprofit or a borrower preparing for a loan: what things truly cost, where margin comes from and what happens next. We apply one disciplined toolkit across every sector we serve.
Cost accounting
The true cost of a service, product, job or program, built from direct and indirect costs.
Data analytics
Clean, reconciled data turned into answers leadership can act on.
Forecasting
Cash, revenue and volume projections that are updated as conditions change.
Net revenue modeling
Expected collections modeled from contracts, payer mix, pricing and volume.
Contract negotiations
The cost and margin analysis that supports a stronger position at the table.
Benchmarking
Performance compared with peers and with your own history to find efficiencies.
Budgeting
Operating, capital and flexible budgets with variance analysis that explains the why.
KPI dashboards
A small set of measures leadership reviews every month, delivered on time.