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Sound Familiar?

These are the problems we hear most from vascular practice owners. They are almost always operational, not market-driven, and they are fixable.

  • "I don't have time to review the books, and I'm not sure I'd understand them."
  • "We're busy, but the bank balance doesn't show it."
  • "Vendors are calling about past-due invoices and threatening to hold supplies."
  • "I have no idea how we compare to other practices like ours."
• Accounting and month-end close icon. a money symbol over a book outline with a pen

Accounting & Month-end Close

Consolidated, streamlined accounting with automation that removes manual steps for your team.

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Payroll Processing

Accurate, on-time payroll handled for you.

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Spending Controls

Purchasing processes with the right approvers, so money is spent appropriately and every expense has an owner.

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Custom Budgeting & Forecasting

A budget built for your center, not a template, tied to strategic plans for growth.

 

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Cash Flow Forecasting

We project incoming cash and upcoming bills, then time payments so they never strain your cash position.

Accounts Payable Management icon. a calculator outline with a dollar bill coming out of it on the right

Accounts Payable Management

Vendor prioritization and negotiated payment terms that protect supply continuity.
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  • One connected system. Finance at AVA links directly to Revenue Cycle Management, so revenue, collections, cash forecasting and budgeting run as one process. You see what is coming in, what is going out and what it means for your next decision.
  • Benchmarks from a national network. Your KPIs are compared against best-in-class performance across AVA centers, so you finally know how your practice stacks up and where to improve.
  • Less paperwork for your team. Automation, payroll processing and streamlined approvals take routine finance work off your staff's plate and off your evenings.
  • Built by people who run centers. Our controls and reports come from operating vascular OBLs and ASCs every day, not from generic accounting templates.

Fixing Cash Flow and A/P Exposure

An outpatient vascular center was carrying $633.9K in accounts payable, with $187.5K over 90 days. Vendor holds were putting procedures at risk. AVA built an A/P prioritization worksheet, negotiated payment arrangements with vendors and tied labor and case cost to revenue. Within one quarter, the center posted a positive monthly P&L of $64.6K and case cost held at 21% of expected collections, well under the 30% target.

Frequently Asked Questions


Click on each question below for more information.

Do you replace my CPA?

We handle day-to-day accounting, payroll, budgeting and reporting. Many practices keep their CPA for tax filing; we coordinate with them.

What KPIs will I see?

Typical reports include collections, days in A/R, denial rate, labor as a percent of revenue, case cost as a percent of collections and EBITDA, each compared with benchmarks.

Can you help if we already have cash flow problems?

Yes. Cash forecasting and A/P triage are often the first things we put in place for a struggling center.

See Your Numbers Clearly

Request a financial review of your center.