Healthcare · Finance & Accounting

Samso Industry Demo · Updated May 2026

Finance & Accounting for Healthcare

Multi-site physician-group finance is the operating-margin bridge by service line, days-in-AR by payer, denial leakage analytics, and the cash forecast tied to payer adjudication cycles. Samso runs the close, payer-AR aging, and RVU-driven productivity dashboards for a 14-clinic, 82-provider specialty group at $96M net patient revenue and 312K LTM encounters.

Function KPIs · how the finance org reads its own week

Days to monthly close

8

−2 days LTMGAAP + payer-AR roll · 4 service lines

Net collection rate

96.4%

vs 98% targetInitial denials 9.2% · 71% overturn after appeal

Days in AR

42

vs 35 d targetDenial backlog + 2 commercial payers slow on remits

Operating margin

6.8%

vs 9.0% targetMargin compressed by denial creep + locum coverage

Monthly net patient revenue / direct cost / overhead - last 12 months with cumulative net collection rate overlay

MONTHLY · NPR / DIRECT / OVERHEAD · $M · MAR 2026 LAST ACTUAL · APR–MAY 2026 FORECAST

03.97.811.715.6FLOW · $M979696NET COLL %ACTUALFORECASTJUNJULAUGSEPOCTNOVDECJANFEBMARAPRMAY

Revenue

Net patient revenue (4 service lines · 312K LTM encounters)

Cost components

Direct clinical cost (provider + clinical staff + supply)Overhead (RCM + ops + corp + facilities)

Twelve services · sized to healthcare

Each tile is what Samso runs in this function for a healthcare org.

01 · Service

Financial Statements & Schedules

GAAP IS/BS/CF + service-line P&Ls + payer-AR aging schedules drafted from PM + EHR + GL - board pack on day 8, not 18.

Days to issue

8

Source systems

5

Service-line P&Ls

4

02 · Service

Department-Level Budgeting

Service-line, clinic, RCM, and corporate budgets with encounter-volume + payer-mix drivers - one rollup the CFO defends to the board.

Cost centers

22

Driver assumptions

64

Variance to plan

+1.6%

03 · Service

Headcount & Compensation Planning

410-FTE roster across clinical, revenue cycle, ops, and corp - provider wRVU comp, MGMA-banded base, and locum coverage all wired into plan.

FTE today

410

Open reqs

32

Plan year-end

438

04 · Service

Cash Flow Forecasting

13-week cash forecast tied to payer adjudication cycle - commercial 35 d, Medicare 22 d, Medicaid 38 d - denial-overturn cash modeled separately.

Forecast acc.

91%

Payer cycles modeled

8

Denial cash

Modeled

05 · Service

Revenue Forecasting

Net revenue bridge from encounter volume, payer mix, contract rate, and denial drag - the model catches contractual slip before it hits cash.

NPR plan

$96M

Net collection

96.4%

Encounter growth

+5.4%

06 · Service

Board Reporting

Quarterly deck from PM + EHR + GL - net revenue, days in AR, denial rate, wRVU productivity, and HCAHPS on one set of numbers.

Board cycle

Quarterly

Auto-pulled charts

28

Hours saved/cycle

36

07 · Service

Pitch Decks & Investor Materials

Lender, MSO partner, and PE-sponsor decks maintained as live artifacts - refreshed quarterly without rebuilding from PM exports or service-line P&Ls.

Deck status

Q2 26

Data room files

210

Last refresh

Apr 2026

08 · Service

Interactive KPI Dashboards

Live dashboards over days in AR, denial rate, net collection, encounter volume, and wRVUs - the same numbers RCM, ops, and CFO walk into review.

Dashboards

12

Refresh cadence

Daily

Source systems

5

09 · Service

Sensitivity & Scenario Modeling

Payer-mix shift, contract-rate, denial-rate, and provider-productivity scenarios on operating margin - flip a switch to see what 1pp denial does to cash.

Scenarios live

5

Assumptions shared

32

10 · Service

Valuation Model (DCF & Comps)

DCF + EV/EBITDA + physician-group comp set kept current with payer-mix sensitivity - the input PE-sponsor and MSO-roll-up conversations run off.

Comp set

10 groups

EV / EBITDA

8–11×

11 · Service

Three-Statement Modeling

Linked IS / BS / CF with encounter ladder, payer-mix shift, rate, denial drag, and capex modeled - pressure-tested every quarter against actuals.

Forecast horizon

5 yr

Payer-mix shift

Modeled

12 · Service

Monthly Close Checklist & Reconciliations

Auto-recs across PM ↔ EHR ↔ clearinghouse ↔ GL ↔ payroll - what compresses close from 18 to 8 days across 14 clinics.

Close days

8

Recs managed

26

What you get · every week & every month

Concrete deliverables, not just dashboards.

Deliverable

Weekly cash + payer-AR memo

Every Monday: cash position, 13-week forecast tied to payer cycle, days in AR by payer, and denial backlog aging - to CFO + RCM director inbox.

Deliverable

Monthly close package (day 8)

GAAP IS / BS / CF + service-line P&Ls + payer-AR aging + denial leakage report + wRVU productivity by provider - board-ready by day 8.

Deliverable

Quarterly board + lender pack

Net revenue, operating margin, days in AR, denial rate, encounter volume, and HCAHPS - refreshed quarterly with payer-mix sensitivity and capex scenarios.

Deliverable

Always-on KPI dashboard

Live dashboard over days in AR, denial rate, net collection, encounters, and wRVUs by clinic + service line - refreshed daily on the CFO + COO desktop.

Healthcare · Finance & Accounting

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