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Read moreStrategic Finance and Accounting for Healthcare Companies
Bridges partners with founders in medical billing, RCM, insurance, benefits, and healthcare operations to build scalable finance functions.
Trusted by
SilkRiverHealthcare Business Models Carry Unique Financial Challenges
HIPAA compliance, payer contracts, premiums, and claim denials must be modeled with nuance — not forced into a generic SaaS template.
Challenge
Bridges Solution
Multi-stream contracts resist standard recognition methods
Contracts, subscriptions, usage, and outcomes tracked separately, so your numbers reflect what's committed vs. variable.
Patient billings treated as revenue create a compounding risk
AR aging by payer, slow remittances flagged, deferred revenue not yet earned under your contract structure kept off the P&L.
Blended margins hide underperforming service lines
Direct care separated from core platform fees so you can make pricing and staffing decisions intelligently.
Strategic Finance Support for the Inflection Points That Define Your Trajectory
Building a Repeatable Sales Engine
- Identify which customer segments are actually profitable post-Series A
- Model blended CAC across channels before doubling down on any
- Build budget-to-actual tracking tied to your growth targets
- Forecast runway under multiple hiring and pipeline scenarios
Expanding into Enterprise
- Model cash consumption during long pre-revenue enterprise sales cycles
- Build deferred revenue schedules for milestone-based contract structures
- Track contract waterfall so board sees pipeline converting to ARR
- Prepare revenue recognition documentation before enterprise audits begin
Launching New Services
- Model unit economics for new pricing tiers before first contract
- Determine revenue recognition treatment for outcome-based arrangements upfront
- Forecast margin profile of new service lines separately from core
- Build investor-ready reporting for a mixed revenue model
Strategic Finance and Bookkeeping – Purpose-Built for Healthcare SaaS Complexity
Strategic Finance
Healthcare CFO — embedded with your team.
Monthly reviews, KPI dashboards, and guidance on hiring, pricing, and fundraising — without the full-time overhead.
Learn more →What you get
- Monthly reporting & analysisClaims, collections, payouts, and denials — calibrated to how your healthcare business actually makes money.
- Annual planning & budgetingHeadcount, pricing, and capital allocation tied to your payer contracts and growth targets.
- Strategic sessionsInsights translated into actions for sales, product, and customer success.
Monthly Accounting
Books that show your true business health.
Starts with a 6-week cleanup to rebuild your books to accrual standards. Then we own your monthly close — in 5–10 business days, every month.
Learn more →What you get
- Accrual financials, done rightInterchange, passthrough fees, and services separated. AR, clearing accounts, FBO balances, and payer liabilities — clean and current.
- Delivered by the 5th–10th business dayDocumented close checklist, every month, built to scale.
- Connected to your stackQBO or Rillet restructured to a healthcare SaaS chart of accounts — Stripe, EHRs, payroll, and spend tools integrated.
Case study
How Collectly Cut Revenue Reporting from Days to Real Time
Collectly's usage-based revenue lived in spreadsheets that took days to assemble. Bridges rebuilt reporting so every dollar traces back to source data — available in real time, not after a manual pull.
Read the case study100%
Accurate revenue traced to source data
Real-time
Reporting vs. days of manual pulls
50 hrs
Saved managing spreadsheets
“Credible revenue reporting can't live in a spreadsheet. It has to trace back to real, actual data. That's a hard problem in a usage-based model, but it was non-negotiable after closing our $25M Series A round.”
Levon BrutyanCo-Founder & CEO · CollectlyBrowse insights rooted in years of experience scaling healthcare companies.
Skip the generic SaaS advice. These are strategic insights we’ve developed from leading finance and operations for 20+ years.
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Read moreFrequently Asked Questions
What types of healthcare technology companies does Bridges work with?
Bridges works with healthcare technology companies from seed through Series B — typically $3M to $30M+ in ARR. That includes medical billing and RCM platforms, healthcare payments companies, healthcare operations SaaS, benefits administration platforms, and hybrid tech-and-services businesses. The common thread: revenue models that require more than standard SaaS accounting to represent correctly.
Can Bridges handle RCM-specific metrics like net collection rate, denial rate, and DSO?
Yes. Bridges builds and tracks these as core operational KPIs — not custom work, but standard deliverables. Modeled by payer, CPT code, and provider location, tied directly to your cash flow forecast.
How does Bridges handle revenue recognition for healthcare SaaS companies?
Every engagement starts with a revenue recognition assessment — principal vs. agent classification under ASC 606, fee structure mapped to the right gross margin treatment, methodology documented for investor diligence and audit. If prior periods were misclassified, we rebuild them.
Can Bridges support a healthcare technology company with both a SaaS and a services business?
Yes. Bridges builds segment-level P&Ls that separate technology margin from services margin — essential for understanding true blended economics and communicating the right story to investors.
How quickly can Bridges get us to clean, board-ready financials?
For most clients, 60–90 days from kickoff. That includes an accounting methodology review, restatement of any prior periods, KPI dashboard build-out, and first clean monthly close delivered on schedule.
What does Bridges cost for a healthcare technology company?
Fractional CFO engagements start at $4,750/month. One-time projects — financial models, cash and runway analysis, spend efficiency reviews — start at $4,750 each. No hidden hourly overages. Scope and price agreed upfront.
Build the Finance Function Your Next Round Demands
If you're approaching a Series A, an enterprise expansion, or a new pricing model — your finance infrastructure needs to be ready before the conversation starts, not during it. Bridges builds finance functions that make healthcare technology companies investable, legible, and scalable.