Case Study: HCFS, Inc. achieves 6% margin improvement and 100% finance productivity gain with Sage Intacct

A Sage Intacct Case Study

Preview of the HCFS, Inc. Case Study

Healthcare Accounts Receivable Management Provider Improves Margins 6% and Productivity 100%

HCFS, Inc., a healthcare accounts receivable management provider serving 150 hospitals across 14 states, faced inefficient, paper-heavy accounting and limited visibility into profitability. Manual Excel reporting, a lengthy monthly close, and an overly complex general ledger prevented timely decision‑making and hampered growth.

Partnering with BTerrell to implement Sage Intacct and the Nexonia app, HCFS simplified its chart of accounts with dimensions, automated AP and expense workflows, and built real‑time dashboards. The result: finance workload was cut in half, monthly close time dropped by 80% (from 22 days to 4), budgeting sped up 60%, finance productivity doubled, and hospital-level profitability insight helped improve margins by 6%.


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HCFS, Inc.

Timothy R. Nese

Chief Financial Officer


Sage Intacct

329 Case Studies