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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…

Making the Monthly Close Meaningful

January 13, 2025    •    3 min read
Monthly close

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.

Rethinking the Monthly Close

Traditionally, the monthly close focuses heavily on transactional accuracy and compliance. While accuracy is critical, limiting the close to mere transactional completeness misses significant opportunities. Hospital leaders can reframe the monthly close as a strategic checkpoint—one that delivers actionable insights rather than simply retrospective data.

Aligning Financial Reporting with Organizational Goals

To make the monthly close meaningful, financial leaders must align their reporting closely with hospital-wide strategic objectives. By clearly connecting financial performance indicators with organizational goals such as patient care quality, service expansion, or operational efficiency, finance teams can better inform executive decisions and strategic planning.

Key Practices for a Meaningful Monthly Close

  • Streamlined Processes:
    • Automate routine tasks and reconcile accounts efficiently.
    • Standardize procedures to reduce variability and errors.
  • Enhanced Communication:
    • Regularly share insights and financial outcomes with cross-departmental leaders.
    • Facilitate monthly financial review meetings to foster organizational alignment.
  • Action-Oriented Reporting:
    • Develop concise dashboards highlighting critical metrics and variances.
    • Present financial outcomes alongside recommended action steps.
  • Forward-Looking Analysis:
    • Incorporate forecasts and trend analyses to identify potential risks and opportunities.
    • Use historical data to predict future performance and inform strategy adjustments.

Leveraging Technology

Advanced financial management software can significantly elevate the effectiveness of the monthly close. Real-time analytics, intuitive dashboards, and automated reporting systems enable finance teams to shift their focus from compiling data to analyzing outcomes and developing strategic recommendations.

Empowering Stakeholders

Involving non-financial stakeholders in the monthly close enhances organizational collaboration and accountability. Training clinical and operational managers to understand financial metrics fosters shared ownership of results and encourages proactive financial management across the entire organization.

The Impact of a Meaningful Monthly Close

  • Improved strategic decision-making
  • Enhanced organizational transparency and trust
  • Greater financial discipline and accountability
  • Proactive identification of financial challenges and opportunities

Conclusion

The monthly close process doesn’t have to be a burdensome routine. By strategically reframing and enhancing it, hospitals can leverage monthly financial insights to drive alignment, foster informed decision-making, and support long-term organizational success. Making the monthly close meaningful is not just beneficial—it is essential for sustaining financial health and fulfilling a hospital’s mission effectively.

Gregory Brickner

Results Fanatic®

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