A private equity-backed healthcare platform engaged Stout to transform its finance function. The company, pursuing an active acquisition strategy, had grown to 17 clinic entities without the finance and accounting infrastructure to support its scale. Books were on a cash basis, intercompany balances were unreconciled, and month-end close had no documented process or standard. The engagement required us to build a structured accounting and reporting environment while the company was still operating and growing. Midway through the work, the company completed another significant acquisition, adding entities across three states, and secured new financing to fund it.

We embedded into the company’s finance and accounting function across multiple simultaneous workstreams. The team converted all entities from cash to accrual-basis accounting, covering revenue accruals, payroll allocations, fixed asset schedules, and lease accounting. We implemented Sage Intacct enterprise-wide, building the full chart of accounts, entity and location structure, intercompany configuration, and custom consolidated EBITDA and location-level profit and loss reporting. The team also developed operating procedures for management fees, operating expenses, and payroll processing that the CFO adopted as the company’s standard operating model.

To address one of the close’s most labor-intensive areas, we built an AI-assisted workflow using Claude for general ledger transaction matching, bank reconciliations, payroll cash reconciliations, and accounts payable vendor coding across 15 bank accounts, producing Sage-ready journal entries each month and materially reducing manual effort in the process.

Project Outcome

We built a full accounting platform, implemented enterprise software, designed core operating procedures, and deployed a novel AI-assisted automation layer.

The engagement transformed the company’s finance function from a fragmented, cash-basis operation into an accrual-based reporting platform capable of supporting continued acquisition-driven growth. All entities now operate in Sage Intacct on a documented monthly close cycle, with consolidated EBITDA reporting, location-level P&L visibility, and lender packages as a standing deliverable. The AI-enabled workflow cut the monthly close by more than three days and eliminated the manual journal entry work that had been the primary bottleneck.