Services
Month-End Closing & Financial Intelligence Reporting
Free up significant time of one of your agency’s MVPs: your CFO.
The team at BlackmorCPA works with dozens of healthcare agencies monthly in mission-critical accounting and finance functions. We deliver precision month-end closings through schedules and checklists of journal entries, reconciliations, and workpaper preparation. Each cycle culminates in a standard set of financial statements: balance sheet, income statement, and cash flows. Optionally, you can enhance your reporting with our CompassBI suite — a healthcare-specific analytics platform offering drill-down capabilities and historical financial insights tailored for executive decision-making.
Our team has deep expertise and familiarity with the EMR / EHR systems agencies rely on for patient care, billing and claims management, as well as Payroll, Donor / CRM management, and other systems impacting your agency’s daily operations. We’re familiar with many accounting and GL systems: CYMA, Sage MAS and Sage Intacct, QuickBooks Desktop & Online, MS Dynamics, Oracle NetSuite, and Araize to name a few.
Accounts Payable Automation
Don’t waste money on excessive transaction costs and vendor fees. Our outsourced AP services seamlessly integrate with your existing finance team, providing scalable invoice processing based on your current vendor volume.
Whether operating within your accounting system’s AP module or leveraging our preferred Bill.com paperless AP platform, we ensure accuracy, timeliness, and transparency in vendor payments — all while maintaining internal controls and audit readiness. Let Bill.com ACH or mail your payments seamlessly after approval at great savings vs. paper checks.
With paperless AP automation, we can help your team assign proper GL accounts and allocations as well as automate approval routing. Approve invoices from the road or while out of office. No more rushing in for a stack of paper — let us convert that to a fully digital process.
90-Day Financial Systems Audit & Strategic Assessment
As part of our onboarding — or upon request — BlackmorCPA conducts a comprehensive 90-day internal audit of your trial balance and the underlying processes that feed your general ledger. This isn’t just a compliance exercise; it’s a strategic review designed to uncover inefficiencies, strengthen internal controls, and align your financial infrastructure with organizational goals.
What We Examine
Trial Balance Integrity: Validate accuracy of postings and identify any discrepancies or un-supported accounts.
Process Mapping: Assess workflows that impact the GL, including billing/AR, payroll, EMR, donor management, and accounts payable.
System Integration: Evaluate how data flows between platforms and pinpoint gaps that create delays or errors.
Why It Matters to CEOs and CFOs
A structured internal audit delivers clarity and confidence at the executive level:
Risk Mitigation: Detect errors and compliance gaps before they escalate into regulatory or financial exposure. Think of this as a ‘pre-audit’ prep or a one-time internal audit.
Operational Efficiency: Streamline processes to accelerate month-end close and reduce manual intervention.
Data Integrity for Decision-Making: Ensure accurate, real-time financial data for strategic planning & reporting.
Transition Readiness: Provide confidence during potential acquisitions or mergers by validating financial structures and internal controls.
Benchmarking & Best Practices: Apply insights from nationwide healthcare finance engagements to hold agencies accountable to industry norms — no more silos!
The Deliverable
At the end of 90 days, you receive a strategic advisory report with:
Actionable recommendations to streamline operations
A roadmap for system alignment and compliance
Prioritized steps for long-term financial sustainability and industry benchmark comparisons
CFO Engagement
BlackmorCPA’s highest level of service delivers seasoned hospice and home health CFO leadership — a strategic partner who can confidently steer the ship during critical periods. This engagement removes the burden of financial presentation from your CEO, owners, and board, ensuring that stakeholders receive clear, accurate, and actionable insights.
Why an Outside CFO Matters
An external CFO brings objectivity and fresh perspective that internal teams often lack. By working across multiple organizations, fractional and interim CFOs offer:
Independent financial governance — unbiased recommendations aligned with organizational goals, not fearful of internal politics.
Board-ready reporting — translating complex financial data into strategic insights for CEOs, owners, boards, and finance committees.
Benchmarking and best practices — leveraging experience from diverse healthcare organizations to identify inefficiencies and optimize performance.
Crisis and transition leadership — stabilizing operations during mergers, acquisitions, leadership changes, or system migrations.
Strategic foresight — guiding capital allocation, capex spending, reimbursement optimization, and long-term sustainability planning.
The result? Confidence at the board table, clarity in decision-making, and continuity during times of change.
Payroll & Chart of Accounts Optimization
Financial clarity begins with structural integrity. At BlackmorCPA, we specialize in aligning payroll systems with your general ledger and optimizing your chart of accounts to eliminate fragmentation and ensure precision. Our team restructures and harmonizes COAs across multiple platforms — including ADP, Paylocity, Paycom, UltiPro, iSolved, and Paychex — to ‘talk’ to your GL in a unified financial framework.
This alignment delivers more than clean books. It enables accurate labor cost mapping, real-time visibility into expenses, and seamless interoperability between payroll, EMR, and accounting systems.
Healthcare-Specific Advantage: In complex environments with variable shifts and discipline and programmatic compliance requirements, integrated payroll systems enhance accuracy and support regulatory adherence.
By reducing manual entry and reconciliation, we help your organization minimize compliance risk, accelerate month-end close, and unlock actionable insights for executive decision-making.
Strategic Finance Staffing & Leadership Placement
Finding the right financial leadership in post-acute care is challenging — especially when agencies face talent shortages or rapid organizational change. At BlackmorCPA, we leverage our deep industry expertise to identify and place CFOs, accounting managers, billers, Payroll/AP specialists and other critical finance roles that align with your operational and compliance needs.
Our placement services go beyond filling a vacancy. We provide:
Industry-Specific Expertise: Candidates with proven experience in hospice, home health, and palliative care finance.
Process Alignment: Leaders who understand EMR, payroll, donor systems, and the complexities of healthcare accounting.
Strategic Fit: Professionals who can strengthen governance, accelerate month-end close, and improve reporting accuracy.
Continuity During Transition: Interim or permanent solutions to maintain stability during mergers, acquisitions, or system migrations.
By combining assessment and recruitment, we ensure your finance team is structured for success — not just staffed for today.
Why This Matters
Healthcare agencies often struggle with:
Limited candidate pools for specialized finance roles or geographical challenges to highly technical placement.
High turnover in accounting and billing positions.
Operational risk during leadership gaps.
Critical risk without cross-training in the core functions of Billing, Payroll, and Accounts Payable.
Our approach mitigates these risks by delivering qualified, vetted professionals who can immediately contribute to financial clarity and compliance or assist with SOPs / Standard Operating Procedures.