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Results-Ready Financials for Rural Hospitals

Rural hospitals do not fail because leaders stop caring. They fail because decisions arrive too late, information arrives out of sequence, and pressure compounds faster than clarity. Financial reporting plays a central role in that dynamic. In many rural hospitals, financial statements are accurate…

Understanding the True Cost of Underutilized Services

Hospitals, particularly those serving rural communities, face unique financial pressures that often magnify the impact of underutilized services. While healthcare leaders are acutely aware of the importance of efficient resource utilization, accurately quantifying and addressing the true cost of un…

Using the Theory of Constraints to Identify Bottlenecks in Patient Flow

This comprehensive article explains how hospitals can leverage the Theory of Constraints (TOC) to uncover and address critical bottlenecks, significantly improving patient flow and overall hospital performance.

Making the Monthly Close Meaningful

The monthly financial close is often viewed as a routine, sometimes tedious, task by hospital financial departments. Yet, when approached strategically, the monthly close can become a powerful tool for organizational alignment, insightful decision-making, and ongoing performance improvement. This a…

Results-focused Analytics

Annual Planning

The most effective annual planning processes prioritize insight, preparedness, and agility. Newbrier approaches annual planning as a focused leadership exercise designed to create clarity, support better decisions, and produce value across the organization without unnecessary complexity.
Decision Support Analytics

Make cash the first conversation in annual planning, not the last.

Annual planning is a leadership exercise, not a finance ritual. For CEOs, it is the moment where priorities are made explicit, tradeoffs are acknowledged, and the organization is aligned around what will matter most in the year ahead. Newbrier approaches annual planning with the understanding that clarity at the top drives execution everywhere else.

The process integrates scenario modeling to test assumptions before they become commitments. Leaders evaluate how different choices affect operations, staffing, capital, and cash so risks are understood early and options remain open. Rather than anchoring to a single forecast, the plan reflects a range of outcomes and prepares leadership to adjust deliberately as conditions change.

Cash flow discipline is central to the process. Annual plans are grounded in near-term and forward-looking cash visibility, ensuring that strategic goals are supported by financial reality. Growth initiatives, investments, and operational changes are sequenced with timing in mind, protecting liquidity and avoiding pressure-driven decisions later in the year.

The result is not a static budget that sits on a shelf. It is a clear operating plan that reinforces executive focus, supports disciplined decision-making, and provides a framework leadership can return to throughout the year as circumstances evolve.

Our Approach to Annual Planning

Newbrier treats annual planning as a moment of leadership alignment and decision discipline. The goal is not to produce a perfect forecast, but to surface the decisions that will govern results in the year ahead and address them deliberately.

The process begins with clarity. Leadership aligns on priorities, constraints, and the realities facing the organization. Assumptions are made explicit rather than implied, and tradeoffs are discussed directly. Scenario modeling is used to test choices before they become commitments, allowing leaders to understand risk, timing, and financial impact across a range of outcomes.

Cash flow discipline anchors the work. Annual plans are evaluated through the lens of liquidity and timing so growth initiatives, staffing decisions, and capital investments are sequenced responsibly. This ensures the plan is executable under real-world conditions, not just optimistic ones.

Throughout the process, the focus remains on execution. The plan is built to be reviewed, revisited, and adjusted as conditions change. Annual planning is not an endpoint. It is the starting point for disciplined decision-making that carries through the year.

What Makes Newbrier’s Annual Planning Different

Cash Comes First

Most annual plans start with strategy and hope cash works out later. Newbrier plans the year by understanding cash pressure points first. Leaders see when liquidity tightens, where flexibility exists, and which decisions must be sequenced carefully. Strategy and operations are then aligned to financial reality, not optimism.

Planning Is Organized Around Decisions

Annual planning is not a line-item exercise. It is a decision exercise. Newbrier structures the plan around the key choices leadership must make and the assumptions that support them. Each major commitment is tied to ownership, timing, and financial impact. This ensures the plan reflects deliberate tradeoffs rather than implied expectations.

A Built-In Decision Calendar

The plan does not end when the year begins. Newbrier embeds a decision calendar into the annual plan so leaders know when assumptions should be revisited, when risks should be reassessed, and when course corrections may be required. This keeps the plan active and prevents drift as conditions change.


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Recent Insights

Results-Ready Financials for Rural Hospitals

Rural hospitals do not fail because leaders stop caring. They fail because decisions arrive too late, information arrives out of sequence, and pressure compounds faster than clarity. Financial reporting plays a central role in that dynamic. In many rural hospitals, financial statements are accurate, defensible, and well-intentioned. They are also late. By the time the […]

Understanding the True Cost of Underutilized Services

Hospitals, particularly those serving rural communities, face unique financial pressures that often magnify the impact of underutilized services. While healthcare leaders are acutely aware of the importance of efficient resource utilization, accurately quantifying and addressing the true cost of underutilization can be challenging. This article explores in depth the implications of underutilized services, strategies for […]

Using the Theory of Constraints to Identify Bottlenecks in Patient Flow

This comprehensive article explains how hospitals can leverage the Theory of Constraints (TOC) to uncover and address critical bottlenecks, significantly improving patient flow and overall hospital performance.

Making the Monthly Close Meaningful

The monthly financial close is often viewed as a routine, sometimes tedious, task by hospital financial departments. Yet, when approached strategically, the monthly close can become a powerful tool for organizational alignment, insightful decision-making, and ongoing performance improvement. This article explores strategies to transform the monthly close process into a meaningful and impactful exercise.