Multi-entity healthcare finance — from the ward cost centre to the consolidated group ledger, in one query.
Multi-entity, multi-currency accounting with native consolidation across hospital groups, foundations and public-private partnerships. Seven-level analytical accounting — from building to physician to payer. Real-time budget control with pre-spend alerts before commitment, not after. Bank reconciliation automated to exceptions only. Multi-country fiscal compliance — Spain, Mexico, Peru, Colombia — maintained by the same engineering team that built the platform, in one installation.
No dual entry — ever
The clinical billing invoice generates the accounts-receivable sale entry. The pharmacy delivery note allocates to the cost centre. The physician-fee voucher generates the supplier delivery note. The external payroll file generates analytical entries by physician, service and centre. Every operational event produces its accounting consequence automatically — no re-keying, no reconciliation between clinical and financial systems, no month-end correction cycle.
Budget control before the spend, not after
When a department approaches 80% of its quarterly allocation, the system notifies the responsible manager before any further commitment is made. A purchase order that would exceed the approved allocation is held by workflow and escalated to the CFO for authorisation — not approved and reported at the next management meeting.
Group consolidation is a query, not a project
Multi-entity consolidation across hospital groups, foundations and public-private partnerships is available at any moment — intercompany balances reconciled automatically, not assembled at month-end. The consolidated group view is the same source every entity contributes to, not an aggregation built in a separate BI tool.
Spain · Mexico · Peru · Colombia in one installation
Same platform, four fiscal regimes coexisting in the same installation when the organisation operates across multiple countries. TicketBAI and Verifactu for Spain. CFDI 4.0 for Mexico. DIAN e-invoice for Colombia. PLE, SIRE and SUNAT for Peru — with daily padrón updates for third-party tax classification. Maintained by the engineering team that built the platform, not by a partner-supplied bolt-on.
The financial management surfaces.
Six first-class concepts in the financial engine — each parameterised, audit-grade, available to the finance director without an IT request.
Multi-entity accounting with native consolidation
Hospital groups, healthcare foundations and public-private partnerships — each entity with its own chart of accounts (PGC for Spain, adapted plans for LATAM) — all in the same installation. Intercompany balances and inter-entity transactions reconciled automatically. Native consolidation: the group ledger is always current, derived from the same source as the entity ledgers, without external BI tools, periodic data exports or a month-end consolidation project. At Quirónsalud — 78 hospitals on Axional ERP — the central purchasing operation processed 12,135 orders totalling €10.35M with a 99.72% automatic-reconciliation rate in its opening period.
7-level analytical accounting
Cost classification across seven levels: building, floor, department, functional unit, physician, payer, activity line. Every operational transaction — clinical billing, pharmacy, procurement, physician fees, external payroll — is assigned its analytical dimensions at the point of entry, not allocated in a separate cycle. What does it cost to run a catheterisation at hospital A versus hospital B? What margin does a specific cardiologist generate for the group? Which service line is expanding and which is contracting? These are queries against live data, available to the finance director and service-line managers through direct portal access.
Real-time budget control with pre-spend escalation
Initial council-approved budget, centre-opening budgets, quarterly revisions and scenario simulations managed simultaneously in the same engine. When a service or department approaches its allocation threshold, the system notifies the responsible manager before any further commitment is recorded. A purchase order that would exceed the approved allocation is held by workflow and routed for CFO authorisation — not approved and flagged in the following month's variance report. Budget vs actual available at any level — account, cost centre, service line, hospital, group — for any period, without an IT intermediary.
Automated bank reconciliation
Bank statements imported via Norma 43, CSV or API. Automatically matched against accounting entries. Only unmatched items reach the finance team; the routine reconciliation volume is handled by the engine. Cash position and net financial position available in real time. Collections and payments managed with hierarchical authorisation controls. Credit-line interest calculations automated. Direct debit, bank transfer, commercial draft and promissory note — all payment methods managed within the same engine, with automatic remittance generation and collection escalation on aged receivables.
Multi-country fiscal compliance, native
Spain: REGE, IVA prorrata, modelos AEAT, TicketBAI, Verifactu, SII, B2B e-invoice. Mexico: CFDI 4.0, withholding taxes, sector-specific complementos. Colombia: DIAN e-invoice, retenciones en la fuente, ICA. Peru: PLE, SIRE, SUNAT, detracciones, retenciones, IGV — with daily padrón updates for third-party classification. All in the same installation when the organisation operates across multiple jurisdictions. The same engineering team that maintains the fiscal compliance for Spain also maintains it for Peru, Mexico and Colombia — there is no separate partner-supplied module and no separate implementation project per country.
Fixed assets — from purchase to disposal
Physical asset location registered at three levels: building, floor, functional centre. Configurable depreciation methods — linear annual, linear monthly, declining balance, units-of-production — applied per asset category. Automatic depreciation schedule with journal entries generated at the configured cadence. Real-time dotation projections for planning purposes. Full lifecycle recorded: acquisition, revaluation, impairment, transfer between entities, disposal. Capital equipment inventory available for regulatory compliance reporting without a separate asset-management system.
The CFO's question at 9am.
The CFO of a hospital group running five entities across two countries can, at 9am on a Monday, open a consolidated view of group revenue, cost per service line, budget vs actual per department and net cash position — all current, all from the same source. No report request, no IT ticket, no data extraction from a system that closed its books the previous Friday. The numbers the CFO sees at 9am are the same numbers the department managers see when they log in to their budget portal, derived from the same engine that ran the clinical billing cycle, the procurement approval workflow and the physician-fee settlement the previous week.
Intercompany eliminations are automatic — not a spreadsheet exercise performed by the group finance team at each quarter-end. The multi-country fiscal position is current because the SUNAT padrón updated overnight and the TicketBAI reporting ran this morning. The analytical view of cost by physician and by service line is live because every transaction — clinical invoice, pharmacy delivery note, purchase order, external payroll file — was allocated to its analytical dimensions at the point of entry.
This is not a BI layer built on top of financial data extracted from an operational system. It is financial management embedded in the operating platform — the same platform that runs procurement, clinical billing, physician compensation and supply-chain logistics for the same organisation. The integration is structural, not configured after the fact. The audit trail runs from the clinical episode to the general ledger entry to the bank statement match, without leaving the system.