Finance Infrastructure for Healthcare OrganizationsRun the Financial and Operational Back Office Behind Your Care Delivery on One System

A healthcare organization carries multiple entities, heavy indirect spend, facility and equipment leases, and compliance obligations that reach every transaction. Your EHR runs patient care. What runs the business behind it is a back-office ERP, and most organizations are holding that together with spreadsheets. Zanovoy implements partner licenses for healthcare organizations around multi-entity financials, spend control, and audit readiness, then supports it as you grow.

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Trusted by Industry Leaders

Biogen
Minerva Neurosciences
Blossomhill Therapeutics
Braya Renewable Fuels
AMP
sema4
San Joaquin Renewables
Easton Energy
Kiromic
C4Therapeutics
Nova Energy
Piedmont
Pin Oak Terminals
Cornerstone Midstream
AmeriCrew
Endo
Ocelot Energy Management

Where Healthcare Finance Teams Get Stuck

The Clinical Systems Are Modern. The Back Office Is Still Spreadsheets

Many healthcare organizations invested in clinical technology and left finance behind. The result is a back office consolidating multiple entities by hand, with spend and lease data scattered across systems that never reconcile.

01

Multi-entity consolidation lives in Excel

A provider group with several locations or legal entities means firm-wide financials are stitched together manually. Leadership and the board see the consolidated picture late, and audit season turns into a scramble.

02

Indirect spend runs without control

Healthcare spends heavily on supplies, services, and vendors across every site. When purchasing has no central system, policy is hard to enforce, off-contract buying goes unnoticed, and finance sees commitments only after they land.

03

Leases and compliance are tracked manually

A large portfolio of facility and equipment leases under ASC 842, plus constant regulatory reporting, sits in spreadsheets. The data exists, but pulling it together for an auditor or a board is slow and error-prone.

Book a Finance Stack Review

The Right Platform for a Multi-Entity, Compliance-Heavy Operation

We Build Around Multi-Entity Financials, Spend Control, and Audit Readiness

We do not hand healthcare organizations a flat list of applications, and we do not force a basic accounting tool to run a multi-entity operation it was never built for. We map your entity structure, spend profile, lease portfolio, and reporting obligations, then build the stack around the system that fits.

NetSuite for Healthcare

NetSuite unifies multi-entity financials, consolidation, and procurement into a single general ledger platform. Built-in compliance controls and approval workflows track transactions off live data, creating an audit-ready anchor from the purchase order to the consolidated financial statement without touching clinical patient data.

Explore NetSuite

Coupa for Healthcare

Coupa centralizes purchasing and routes approvals across every healthcare site, enforcing contract compliance at the point of commitment. For this high-volume vertical, it stops off-contract indirect spend before it happens, giving finance real-time control over supplies, services, and vendors.

Explore Coupa

FinQuery for Healthcare

Healthcare organizations are lease-heavy across facilities, clinical space, and equipment. FinQuery manages the lease portfolio under ASC 842, tracking obligations and generating the schedules and disclosures auditors expect, so a large and changing set of leases stays compliant without manual tracking.

Explore FinQuery

SAP Concur for Healthcare

With clinical and administrative staff distributed across sites and traveling between them, Concur captures travel and expense with a policy built in, so T&E is controlled and visible rather than reconciled from receipts after the fact.

Explore Concur

Avalara for Healthcare

For organizations with a retail or pharmacy operation selling taxable goods, Avalara calculates, monitors, and reports sales-tax obligations across jurisdictions automatically. Where the organization has no taxable retail activity, we leave it out rather than sell it.

Explore Avalara

Why Healthcare Organizations Work With Us

Finance-Led Advisors Who Understand a Regulated, Multi-Entity Back Office

Most IT firms can stand up a database but do not understand multi-entity healthcare consolidation, the indirect-spend profile of a provider organization, or what an auditor expects from a regulated entity. Our teams come from accounting and systems backgrounds and approach your organization from a finance perspective.

01

Built Around Your Entity Structure, Not a Generic Chart of Accounts

We configure multi-entity consolidation, approval workflows, and reporting to match how your organization is actually structured, so the system fits a few locations today and still holds as you add sites and entities.

02

Multi-Entity and Compliance Expertise

Consolidation across entities, compliance-grade controls, and audit-ready reporting are the core of the work here, not a generic ERP rollout with the healthcare specifics left for you to sort out.

03

Integration Across the Stack

We connect your EHR, procurement, lease, T&E, and reporting tools to the core ERP of choice through direct integrations, so financial and operational data move on their own and the back office is not a manual gather, while patient data stays in the clinical systems where it belongs.

04

Audit Readiness From Day One

We set up clean records and traceable financials from the first month, so a regulatory review, a board request, or a diligence round is a query, not a fire drill.

05

One Team Through Selection, Build, and Support

The people who advise on the platform are the people who implement it and the people who support it afterward.

A 30-minute conversation about your operation, not a sales demo.

Start with a Conversation

120+

Professionals on the Financial Transformation Team

80+

Companies supported through IPO

1,000+

 Implementations delivered across 5 continents

200+

Customizations built for enterprise clients

500+

Integrations built across the platform ecosystem

5+

 Continents served

How the Engagement Runs

Four Phases. One Outcome. A Consolidated, Audit-Ready Back Office Across Every Entity.

 01. Platform Selection & Fit

We map your entity structure, spend profile, lease portfolio, and reporting obligations, then confirm the right configuration, including an honest read on what the ERP should own versus what stays in your clinical systems. You get a requirements document and a decision rationale.

 02. Implementation & Customization

We build the multi-entity structure, consolidation, approval workflows, and chart of accounts around how your organization runs, and migrate clean data off your prior systems.

 03. Integration

We connect your EHR, procurement, lease, and T&E tools to NetSuite through direct integrations, so financial and operational data flow automatically while patient data stays in the clinical systems.

 04. Managed Services & Support

After go-live we support the monthly close, tune consolidation and reporting configuration as you add sites and entities, and manage integrations so a lean finance team does not need to hire a dedicated NetSuite admin.

Bring your current setup. We'll map an honest path from where you are.

Map your Path Forward

Testimonials

What Healthcare Leaders Say About Working With Zanovoy

Renewed managed services for 5 more years
Biotech, NetSuite + Coupa managed services
Zanovoy consistently demonstrates deep technical expertise and a strong understanding of our operational needs. They don't just maintain our systems, they actively look for ways to enhance performance and streamline workflows. Given the strength of this partnership, we renewed for another five years.
David Pieters
VP, Finance & Corporate Controller, Biotheryx
8-year NetSuite + Coupa partnership
Pharmaceutical group, multi-entity finance
Over eight years managing our NetSuite and Coupa environments, Zanovoy has consistently delivered. Their team is highly responsive, detail-oriented, and brings a practical understanding of finance and IT system alignment, helping us evolve and optimize as our business has grown.
Lana breygina
Senior Finance Systems Manager, Roivant
Spend visibility and procurement control
Midstream energy, Coupa implementation
The Zanovoy team brought strong expertise, clear communication, and a practical approach that kept the project moving efficiently. We now have improved visibility into spend, more streamlined procurement, and better control across our operations.
Brent Worthy
CFO, Clearfork Midstream
Reporting, visibility, and controls in one rollout
Midstream energy, NetSuite implementation
Zanovoy demonstrated a deep understanding of our industry from the outset. The implementation was well-structured, transparent, and professionally executed. Since going live, NetSuite has significantly improved our financial visibility, streamlined reporting, and strengthened internal controls.
Catherine Bain
Chief Accounting Officer, Cardinal Midstream
NetSuite + Planning & Budgeting, delivered
Energy/infrastructure, full finance transformation
Zanovoy brought a high level of expertise and structure to the project, ensuring a smooth and efficient implementation. Their team took the time to understand our financial processes and reporting requirements, which resulted in a solution that was well-aligned with our business needs.
Rodrigo Campos
Corporate Controller, Third Coast
Delivered on an accelerated timeline
Oil & gas, NetSuite implementation
Zanovoy was selected for their deep expertise in oil and gas and their track record on accelerated timelines. From day one, the team demonstrated a strong understanding of our industry and operational requirements. The implementation was executed with precision, organization, and efficiency. Overall the speed of delivery consistently exceeded our expectations
Paweł Rozkrut
CFO, Avenir Energy
Stronger finance operations, continuity across systems
Nonprofit, finance systems and process support
Zanovoy provided technical expertise and strategic guidance across our finance systems and processes. Their team demonstrated a strong understanding of our operational needs and delivered with professionalism, responsiveness, and attention to detail. They remained focused on outcomes — helping us improve efficiency, strengthen our financial operations, and ensure continuity across our systems.
Alpha Conteh
CFO, Center for Reproductive Rights
FAQ

Questions Healthcare Leaders Ask Us

Straight answers. No sales language.
Is NetSuite an EHR or clinical system?
No, and that distinction matters. NetSuite runs the financial and operational back office: consolidation, procurement, leases, reporting, and audit controls. It does not manage patient records or care, and it does not hold PHI. It integrates alongside your EHR and clinical systems rather than replacing them, so the business side and the care side each run on the right tool. We build the back-office implementation and the integration between them.
Our financials across locations live in spreadsheets. How does this fix that?
Our partner licenses consolidate financials across all your entities and locations in one system, off live data, so firm-wide reporting is continuous instead of a manual month-end stitch. Approval workflows and a clean audit trail are built into how transactions flow, so board reporting and audit season stop being a scramble. We configure the entity structure and consolidation to match how your organization is actually set up.
Can NetSuite handle our indirect spend and lease portfolio?
Yes, with the right attachments. NetSuite plus Coupa centralizes and controls the heavy indirect spend of healthcare carriers, and FinQuery manages a large facility and equipment lease portfolio under ASC 842. Together, they cover the two areas where healthcare back offices most often lose control. We scope which attachments you need based on your spend volume and lease footprint.
What does post-implementation support cover?
Monthly close support, configuration tuning as you add sites and entities, and integration management across your EHR, procurement, lease, and T&E systems. It is built for lean finance teams that want NetSuite expertise on call rather than a full-time internal hire, so the system keeps pace as your organization grows.
Consolidated Financials and Audit Readiness

Run the Business Side of Healthcare on Books That Reconcile and Hold Up to an Audit

Book a strategic consultation with our finance systems team. We will review how your organization consolidates financials across entities, controls indirect spend, manages its lease portfolio under ASC 842, and reports under compliance, then map an honest path to the right configuration.