Optimize Your Fiscal Health

Improving fiscal health for behavioral health providers requires a strategic approach that integrates financial management, long-term planning, and continuous improvement. While the primary focus is on providing quality care, maintaining a financially strong organization enables you to fulfill your mission, serve more clients effectively, and create opportunities for growth and expansion.

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1. Strengthen Your Financial Pillars

  • Consistently Report Positive Net Income: Ensure your income (“money coming in”) consistently exceeds expenses (“money going out”). This enables you to build reserves, invest in growth, and reduce financial stress.
  • Maintain Adequate Cash Reserves: Aim for 3–6 months of operating expenses in cash reserves. This creates a safety net for slower months and ensures you can meet obligations without disruption.
  • Maintain Positive Total Equity: When assets exceed liabilities, you’re better positioned for long-term growth

🔍 What is Equity? Equity is your organization’s financial cushion—the difference between everything it owns (assets) and everything it owes (liabilities). A positive equity position means you're on solid financial ground.

2. Maintain Accurate, Up-to-Date Financials

  • Close the books promptly each month: Timely closing helps you stay current on your financial position and catch issues early.
  • Optimize Your Chart of Accounts for clarity and consistency: A well-organized chart of accounts makes reports easier to understand and more useful.
  • Work with a Qualified Bookkeeper and CPA: Skilled professionals help ensure accuracy, compliance, and strong financial oversight.

3. Build Financial Literacy Across the Organization

  • Foster a Financially-Minded Culture: Encouraging staff to consider the financial impact of their work builds shared accountability.
  • Provide Financial Training to Leadership and Staff: Educated leaders make better strategic decisions and can advocate for sustainable practices.
  • Cross-Train Staff on Key Financial Tasks: Cross-training creates backup support and reduces risk if a key person is unavailable.
  •  Invest in ongoing education for continuous learning: Staying informed on financial best practices leads to long-term organizational growth.
 "Small improvements in financial systems can lead to big leaps in confidence and stability"

4. Engage in Proactive Financial Planning

  • Develop and Maintain an Annual Budget: A clear budget aligns your spending with your priorities and ensures intentional use of funds.
  • Use Cash Flow Projections to Anticipate Needs: Forecasting helps you plan for dips, cover expenses, and avoid last-minute financial scrambles.
  • Set Strategic Financial Goals: Goal-setting keeps your team focused and creates a roadmap for fiscal success.
  • Review and Adjust Plans Regularly: Flexibility ensures you can respond to changes and stay on track throughout the year.
📘 Learn more about this: Why Create a Budget?

5. Diversify Revenue Streams

  • Expand Fee-for-Service Payor Mix: Serving a broader mix of payors can reduce overdependence on any one funding source.
  • Pursue Public Grants: Government grants can provide vital funding for core services or innovation.
  • Apply for Foundation and Private Grants: Private funding can support specialized programs and capacity-building efforts.
  • Encourage Donations: A donor base can bring in flexible dollars and increase community engagement.

6. Improve Billing Efficiency

  • Reduce Accounts Receivable (A/R) Days to Under 30: Faster collections improve your cash flow and reduce financial uncertainty.
  • Track Contracted vs. Paid Amounts: Monitoring payments ensures you're getting reimbursed as expected and flags under payments.
  • Minimize Claim Errors and Resubmissions: Clean claims reduce delays and lower the cost of billing operations.
  • Resolve denials promptly and thoroughly: Timely denial management prevents revenue loss and keeps your A/R healthy.
📘 Learn more about this: Ways to Improve Billing Efficiency

7. Leverage Data for Insight and Action

  • Track Key Performance Indicators (KPIs): KPIs give you a clear picture of what’s working and where to focus attention.
  • Use Dashboards and Visual Tools to Share Progress: Visuals make complex data easier to understand and more actionable for teams and boards.
  • Conduct Regular Reviews: Routine check-ins help you spot trends, make adjustments, and stay proactive.

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