October 17, 2025

From Chaos to Clarity: Transforming Healthcare Finance

50 minutes

Ximena Maynard, CFO of Legacy Management Group, shares how she consolidated 30 separate QuickBooks files across 11 nursing facilities into a unified Sage Intacct system. She discusses the unique compliance challenges in healthcare finance, from managing resident trust funds to navigating complex Medicaid billing, and tackles the industry's biggest challenge of attracting and retaining quality staff.

Sponsors
Bluebook - https://unsage.promo/bluebook

(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

(22:28) - Compliance and Fraud in the Healthcare Industry

(25:39) - Building Renovation Challenges

(26:38) - Managing Multiple Facilities

(27:34) - Financial Transparency and Reporting

(27:59) - Floor Spending and Budgeting

(31:39) - Industry Trends and Scalability

(42:03) - Staffing and Labor Challenges

(45:15) - Advice for Healthcare Finance Professionals

(48:18) - Closing Remarks and Dad Jokes

Connect with Ximena Maynard
https://www.linkedin.com/in/ximena-velazquez-maynard-94429b53
Learn about Legacy Management
https://www.legacy-nursing.com/

Connect with the Hosts:
https://www.linkedin.com/in/emilybmadere
https://www.linkedin.com/in/mattlescault
https://www.linkedin.com/in/dlewis715
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By Emily Madere, Matthew Lescault, Doug Lewis

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