AC
Acuity Cash
In production with multi-site ASC platforms

The 13-week cash model, finally connected to live data.

Acuity Cash replaces your Excel forecast with real-time treasury intelligence — wired directly to your practice management system, ERP, bank, and payroll. Built for healthcare platform CFOs.

Acuity Cash dashboard showing 13-week consolidated cash forecast, alerts, and site-level cash positions
The problem

Your cash model is three days stale the moment you save it.

Healthcare platforms run on 13-week cash flow models built in Excel. They're rebuilt weekly by an analyst, fed by exports from a dozen systems, and out of date by the time they hit the CFO's desk. Acuity is built from the inside of that workflow.

Today

The Excel treadmill

  • Analyst pulls AR, AP, bank balances by hand from 4+ systems each Monday
  • Payer DSOs are static — copied from a months-old RCM diagnostic
  • Site-level cash hidden inside consolidated tabs — covenant risk surfaces too late
  • No audit trail when a number changes; no one trusts the forecast by Wednesday
  • "What if we delay AP by a week?" requires a full rebuild
With Acuity

Live treasury intelligence

  • Forecast refreshes automatically from PM, ERP, bank, and payroll APIs
  • Rolling DSO recalculated nightly from actual payment postings, by payer per site
  • Site-level liquidity surfaced first — covenant alerts weeks before the breach
  • Every figure traceable to its source system and timestamp
  • AI advisor models scenarios in plain English: "what if we push vendor X to net-60?"
Built for

Multi-site healthcare platforms with sponsor debt.

If you're juggling covenant minimums, intercompany transfers, and a stack of payer-specific DSOs across more than a handful of sites, you're our customer.

5—50 sites

ASC platforms

PE-backed surgery center chains with sponsor debt covenants. Where Acuity is in production today — built from inside the CFO seat, for the CFO seat.

10—100 sites

Multi-specialty groups

Dental, dermatology, ophthalmology, GI, and other physician platforms operating under a HoldCo with credit facility obligations.

Any size

Healthcare CFOs & treasury

Finance teams who've outgrown Excel but found enterprise TMS overkill. Acuity sits between — built for healthcare, priced for growth-stage.

Results

Cash that doesn't sneak up on you.

Healthcare platforms using Acuity are catching covenant pressure weeks earlier, unlocking receivables their static models couldn't see, and stopping fire drills before they start.

Acuity surfaced $1.4M of AR our static model said would arrive seven weeks later than it actually did. Same revenue. Faster cash.

CFO
Multi-site ASC platform
$1.4M
Cash forecast lift

The AI advisor flagged a Q3 covenant compression three weeks before our Excel did. That's the difference between a planned conversation with the sponsor and a fire drill.

Finance Director
Multi-site surgical platform
3 weeks
Earlier covenant warning

Five sites were below minimum cash, but consolidated covenant was fine. Acuity surfaced the intercompany transfer that fixed it without us drawing on the revolver.

VP Finance
Ambulatory care platform
$0
Revolver drawn
How it works

Plug in your stack. Get a forecast that updates itself.

Acuity connects to the systems you already use. No data entry, no exports, no Excel.

01 · CONNECT

Practice management

HST, Modernizing Medicine, Athena, Epic — Acuity pulls case-level charges and payment postings to compute rolling DSO by payer per site.

02 · CONNECT

ERP & bank

Sage Intacct, NetSuite, QuickBooks for AP & GL. JP Morgan, Chase, and other major banks for real-time balances and transaction feeds.

03 · FORECAST

Live 13-week model

Site-level cash flow, payer collections waterfall, AP aging by priority tier, covenant tracking — all refreshed continuously, no manual updates.

04 · ADVISE

AI treasury agent

Ask in plain English. "What if Blue Shield DSO improves by 10 days?" "Where should I move cash this week?" The AI has full context on every site.

Why we built this

From the operator side of the spreadsheet.

I built Acuity Cash because I needed it. Running finance for a multi-site ASC platform, I lived inside a 13-week Excel model that took half my analyst's week to refresh — and was still wrong by Tuesday.

Every healthcare CFO I've talked to is doing the same thing. The data exists. The systems exist. Nothing connects them. So we built the connective tissue — and added an AI advisor that knows what a payer DSO is and why it matters.

— Mike Lembo
Founder & CEO

See it on your numbers.

30-minute demo. We'll show the product, then talk through what an Acuity rollout looks like for your platform.