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Budget System Implementation

A budgeting system is only as good as the process poured into it. Elevate implements budget and forecasting platforms, Kaufman Hall among them, and builds the forecasting discipline around them so the output is something leadership can actually plan against.

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At a glance
Defined project, scoped to your budget calendar
Hospitals, health systems, physician networks
Remote nationwide, on site when necessary across LA and Orange County

What Implementation Covers

01

Platform implementation

Kaufman Hall and comparable budgeting and forecasting systems, configured to how the organization actually budgets.

02

Operating budget construction

Budgets built from volume, payor mix, and staffing assumptions supported by the people accountable for them.

03

Rolling forecasts

Forecasts updated against actuals through the year, so variance is a signal, not a surprise in month eleven.

04

Capital planning models

Capital request evaluation and prioritisation, including the operating cost that follows the capital.

05

Forecasting accuracy and visibility

The reason to implement at all: leadership is able to see ahead more confidently than the spreadsheet allowed.

06

Benchmarks and accountability

Volume and productivity benchmarks are attached to the budget, so it functions as a management tool.

How a Budget Build Runs

Budget work is seasonal, so implementation is scoped around the organization’s own calendar and usually starts well before budget season opens. The first cycle is the heavy one, because the model, the assumptions, and the approval path are all being built from scratch. After that, the ongoing load is modest, with most organizations able to carry it with their own team.

Frequently the first engagement for organizations that have outgrown spreadsheet budgeting.
[ PRICING PLACEHOLDER — rates to be set after market research ]

Common Questions

Which systems do you implement?
Kaufman Hall and comparable budgeting and forecasting platforms. Oracle, NetSuite, Essbase, Cognos, and ADP have all been implemented across previous roles.
When should we start?
Well before budget season opens. Implementation scoped into the middle of a budget cycle tends to produce a system no one trusts and a budget without an owner.
Do we need to keep you on afterwards?
Usually that’s unnecessary. The first cycle is heavy because the model and the approval path are being created. Afterwards, most organizations carry it internally.
Will the budget actually be used?
Only if the people accountable for the numbers agreed to the assumptions. That is a process question more than a software question, and is a common point of failure for implementations.
Can you do capital planning too?
Yes. Capital request evaluation and prioritization, including the operating cost that follows the capital.
Evidence
$2B
Largest P&L budgeted, across 136 clinics in a single academic health system, presented annually to leadership.
FY2020
Budget targets met at a $100M ambulatory network despite COVID-19 disruption, through volume benchmarks and labor and supply cost reduction.

The Kaufman Hall implementation at that ambulatory network increased forecasting accuracy and leadership visibility. The budget it produced then survived the year nobody had modelled.

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Partner with a Healthcare CFO

Direct access to seasoned financial leadership changes how healthcare executive teams operate. Contact Elevate to discuss your financial structure, operational bottleneck, or leadership needs.

Email info@elevatecfo.co
Based in Los Angeles, California
Elevate

Executive financial leadership for healthcare organizations: fractional and interim CFO, controller services, margin improvement and revenue cycle recovery.

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info@elevatecfo.co
Los Angeles, California
Remote nationwide
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