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From Chaos to Clarity: Transforming Healthcare Finance

October 17, 2025
49 min

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.

Accounting Healthcare Implementation QuickBooks Sage Intacct
Ep 32

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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

FAQ

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

doug
Host
Doug Lewis
Managing Director at The Visionary Group
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Emily-Madere
Host
Emily Madere
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Matt-03
Host
Matt Lescault
Founder & CEO at TydeCo
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Ximena Velazquez Maynard CFO at Legacy Management Group
Guest
Ximena Velazquez Maynard
CFO at Legacy Management Group
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