Small Occupational Therapy Provider Unlocks $280K in Cash Flow Through Business Process Improvements

A small Canadian market leader for complex-case occupational therapy, helping patients regain function, independence and dignity


Freed Up Cash Flow
Reduction in Month-End Close Timeline


Our client was struggling with financial processes and controls, leading to excessive manual effort for billing and accounting activities, and long timelines for month-end reports. Additionally, poorly utilized IT systems resulted in data integrity and quality issues and access was not available to all who needed it.


TPG was brought in to conduct an accelerated 3-week assessment to determine the gaps within reconciliations, shorten the month-end close timelines, and update processes to ensure accuracy and consistency of accounting tasks. Mapping the organization’s current processes uncovered quick wins and longer-term system change requirements to ensure accurate reporting of revenues and expenses for service providers.

Following the discovery, TPG implemented solutions that addressed 96% of pain points and challenges identified during the assessment phase.  Here are a few of the highlights:

  • IT Risk Mitigation – Remediated single points of failure within an overly complex ERP system by simplifying systems, documenting current processes and initiating a SOP to keep documentation up to date
  • Treatment Planning & Execution ​– Updated and implemented the treatment document retrieval process to reduce past due A/R, reduce manual rework, and speed up the billing cycle
  • Billing – Addressed billing entries which were prone to errors and excessively time-consuming through automation and standardization
  • Collections – Reduction of past due A/R by addressing root causes for the decline in operating cash flow, simplifying inputs/outputs, and overhauling the master collections spreadsheet
  • Month End Reporting – Addressed Accrual Adjustments, HST Filings,​ and Assembly of Month End Report​s through automation. Defined cutoff dates and eliminated non-value-add tasks.

Value Created

As a result of this accelerated project, our client realized immediate financial benefits including:

  • $280K in freed up cash flow
  • 48% reduction in month-end close time (from 50 days to 26 days)
  • >$70K cost savings in reduction of re-work

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