BH Practice Cash Flow Management — 2026

Why BH Cash Flow Is Uniquely Tight

• 60-90 day payment cycle from insurance
• Provider payroll is bi-weekly (fixed cost)
• Rent + tech are monthly (fixed cost)
• Revenue variable + delayed
• Growth = cash burn (hiring ahead of revenue)

Cash Flow Management Tools

1. Days-of-Cash-on-Hand tracking (target: 45-90)
2. 13-week rolling cash forecast
3. Line of credit ($50K-$500K depending on size)
4. Invoice factoring (last resort at 2-5% cost)
5. Accelerated deposits (Availity, Waystar automated)

Common Cash Flow Killers

• Hiring 2+ providers simultaneously without ramp
• Multiple sites opening at once
• New EHR migration during growth
• Losing top-payer contract without runway
• Bad debt spike
• Owner distributions too aggressive

Revenant Care Cash Flow Advisory

– KD, Revenant Care