What used to take fifteen days to close now takes three.
A healthcare chart of accounts preconfigured to U.S. GAAP. Every posted remittance becomes a journal entry as it lands. Payroll with FLSA overtime, multi-state withholding and ACA reporting. Cost centers by site, department and service line — and a close that doesn't depend on one person's spreadsheet.
The chart of accounts ships preconfigured for ambulatory healthcare under U.S. GAAP, with cost centers by site, department, service line and provider. When an ERA posts in Billing™, the revenue, contractual allowance, adjustment and patient responsibility all book themselves. When Supply™ receives inventory or relieves it at administration, the entry is already there. When payroll runs, it lands in the ledger with the right cost center allocation. Accrual, deferred revenue and bad-debt reserves are computed from real transaction data rather than estimated at quarter end. What used to be fifteen days of chasing subsidiary ledgers becomes three days of review and sign-off — because there was never anything to reconcile.
Hours flow from the schedules and time capture in People™ into the payroll run: regular, overtime at the FLSA-required rate, shift differentials, on-call and holiday premiums. Multi-state withholding is handled for organizations whose staff live and work across state lines, along with local taxes where they apply. Federal and state deposits, quarterly 941 filings, W-2s for employees and 1099-NECs for contracted providers all come out of the same ledger. ACA applicable-large-employer tracking and 1095-C reporting run continuously rather than being reconstructed in January. Provider compensation models — salary, wRVU-based, productivity and hybrid — are calculated from the encounter data instead of from a spreadsheet someone maintains by hand.
Bank accounts reconcile from imported statements and direct feeds, with payments scheduled through tiered approval so nothing large leaves without the signature your policy requires. Accounts payable runs three-way match against the purchase order and receipt from Supply™, which is how duplicate and unauthorized invoices stop getting paid. Cash flow projects thirty, sixty and ninety days out from real A/R aging, payer-specific payment velocity and scheduled obligations — so the question "can we make the next two payrolls" has a number behind it. Fixed assets carry acquisition, depreciation on the method you elect, location, transfer and disposal, with the schedules your auditor asks for produced from the ledger rather than assembled for the occasion.
Built for U.S. ambulatory operations. Configured and ready from day one.
Preconfigured chart of accounts with automatic entries from Billing™, Supply™ and People™. One ledger, no subsidiary spreadsheets.
Integration removes the reconciliation step entirely. Three days of review and sign-off instead of fifteen days of chasing numbers.
FLSA overtime, multi-state withholding, 941s, W-2 and 1099-NEC, and ACA 1095-C reporting computed throughout the year.
Bank reconciliation, tiered payment approval, and 30/60/90-day projection built from real A/R aging and payer velocity.
Three-way match against purchase order and receipt, approval routing, vendor terms and 1099 vendor tracking.
Acquisition, depreciation by elected method, location and custody, transfers, and disposal with audit-ready schedules.
Annual budget by cost center with actual-versus-budget variance and threshold alerts as the month progresses.
For FQHCs and grant-funded programs: fund accounting, restricted revenue tracking and cost allocation for federal reporting.
No interfaces to build. No HL7 feeds to maintain. No per-transaction integration fees. Data flows between pillars from day one.
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A 20-minute walkthrough of the module in an organization like yours.