River Edge Advisors is an outsourced accounting and fractional CFO firm for healthcare and human-services providers. We keep the books, reconcile payroll, manage payables and report profit by location, program and payor, with a CFO who turns those numbers into decisions.
Built for owner-led providers
Home care agencies
Payroll reconciled to the books, with reporting by service and location.
Home health agencies
Bookkeeping, payroll reconciliation and cash planning for home health agencies.
ABA & autism services
Authorization and unit tracking by client, BCBA and RBT productivity, and margin by clinic and by clinician.
Behavioral health
Census by level of care, length-of-stay tracking, and margin by program and by facility.
Assisted living
Census and occupancy reporting, private pay versus benefit revenue, and cost per resident day by community.
Multi-site practices
Practice-level P&Ls for every location, provider compensation and productivity, and payor mix by site.
Common financial challenges
These are signs that the reporting or finance process may need attention.
Payroll goes out every two weeks. The money for those hours shows up much later.
I can't tell which location, or which program, actually makes money.
Our books close weeks after month end, so the numbers are history by the time I see them.
One person in the office handles everything, and I'd be lost without her.
A lender, an investor or a buyer wants reporting I can't produce.
What you get
Clean monthly books
Bookkeeping, bank and card reconciliations, and financial statements delivered on a fixed date.
Payroll you can see
Every payroll run reconciled to the books, with labor cost allocated to the right location, program or service line.
Payables under control
Vendor bills entered, approved in your workflow and paid on time, with a clean audit trail.
Reporting built for healthcare
Location and program P&Ls, payor mix and net collection analysis, census and authorization tracking, and provider productivity.
Cash you can plan
A 13-week cash forecast that shows the squeeze before payroll day, while you still have options.
A CFO when it matters
Budgets, lender and investor reporting, and the financials behind an acquisition or a new location.
We work alongside your billing team or billing company. We don't replace them; we make sure what they collect shows up correctly in your numbers.
How it starts
Request a review of last month's books
Tell us about your business and the questions you want to answer. We'll tell you which documents would help and how to provide them.
We review them
We review the agreed documents and discuss what stands out and possible next steps.
A follow-up conversation
We walk you through it. If it makes sense to go further, we set out what an engagement would cover. No obligation either way.
Questions owners ask
Do you understand healthcare?
Yes. We build reporting around census, authorizations, payor mix and provider productivity, the numbers that actually drive a provider's margin, and we report them by location and by program.
Do I have to replace my bookkeeper?
Usually not. Many owners keep their bookkeeper and add a controller and CFO above them, plus extra hands when volume grows.
How do you work with our billing team?
We focus on accounting, payroll reconciliation, reporting and CFO work. We agree the scope with you and work alongside your billing team or billing company.
Will we have a dedicated team?
Yes. Every client gets a dedicated team assigned to the account, working inside your systems and following your approval process.
Know where the money goes, location by location
Start with one month. We'll read your books the way a lender or a buyer would and tell you plainly what we see.
- → Tell us about your business and the questions you want to answer.
- → We discuss what we see: where cash is going, what doesn't tie, what we'd fix first.
- → A follow-up conversation to walk through it. No obligation either way.