
From Chaos to Clarity: Transforming Healthcare Finance
From The Unofficial Sage Intacct Podcast by Emily Madere, Matthew Lescault, Doug Lewis
October 17, 2025 · 51 min · Episode 32
About this episode
Ximena Maynard discusses her experience consolidating healthcare finance systems and the challenges faced in the industry.
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…
People in this episode
Hosts: Emily Madere, Matthew Lescault, Doug Lewis
Guest: Ximena Maynard
Topics covered
- healthcare finance
- Sage Intacct implementation
- compliance challenges
- staffing issues
- financial transparency
Keywords
- healthcare finance
- Sage Intacct
- compliance
- staff retention
- financial reporting
Sponsors
Bluebook
Mentioned in this episode
Organizations: Legacy Management Group, Sage Intacct
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