From Chaos to Clarity: Transforming Healthcare Finance
In this episode, Doug, Emily, and Matt sit down with Ximena Maynard, CFO of Legacy Management Group, about collapsing 30 QuickBooks files across 11 nursing facilities into Sage Intacct.

About this episode
From Chaos to Clarity: Transforming Healthcare Finance
In this episode, Doug, Emily, and Matt sit down with Ximena Maynard, CFO of Legacy Management Group, about collapsing 30 QuickBooks files across 11 nursing facilities into Sage Intacct.
Healthcare finance in her world means resident trust funds, Medicaid billing, and a staffing problem she names as the industry’s biggest challenge: attracting and retaining quality people.
They walk the Intacct implementation, the current tech stack and integrations, and how she reports across those 11 facilities. Compliance and fraud get their own chapter. So do floor spending, budgeting, and building renovations.
She leaves advice for other healthcare finance leads, then the hosts close with dad jokes.
CHAPTERS
Listen to learn more about
- (00:00) Introduction and Casual Banter
- (03:02) Introducing the Special Guest
- (04:48) Guest’s Background and Career
- (07:31) Challenges and Solutions in the Nursing Home Industry
- (10:41) Implementing Sage Intacct
- (15:13) Current Tech Stack and Integrations
- (21:07) Compliance and Fraud in the Healthcare Industry
- (24:18) Building Renovation Challenges
- (25:17) Managing Multiple Facilities
- (26:13) Financial Transparency and Reporting
- (26:38) Floor Spending and Budgeting
- (30:18) Industry Trends and Scalability
- (40:42) Staffing and Labor Challenges
- (43:54) Advice for Healthcare Finance Professionals
- (46:57) Closing Remarks and Dad Jokes
Related Industries
- SaaS
- Financial Services
- Technology
- Corporate Finance
Speakers
Doug Lewis
Host | Consultant
LinkedIn
Emily Madere
Host | Solutions Architect
LinkedIn
Matt Lescault
Host | CEO, Lescault & Walderman
LinkedIn
Ximena Maynard
Guest | CFO, Legacy Management Group
LinkedIn
Related Resources
Questions from this episode
What are resident trust funds?
Resident money a nursing facility holds and has to account for separately. Healthcare-specific books, not a generic GL account.
What is Medicaid billing here?
Payer billing that sits next to those trust funds in her finance stack. One reason 30 QuickBooks files got messy.
What is an entity in this Intacct story?
Each facility showing up as its own books inside one Intacct company. She has 11 facilities to report across.
What does collapsing 30 QuickBooks files mean?
Moving many separate QuickBooks company files into Intacct so reporting isn't a spreadsheet merge.
IN THIS EPISODE
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