Topmed Financial Suite · High Resolution ABC Costing

Know the real cost of every healthcare service.

Topmed Financial Suite helps healthcare organizations improve cost visibility, profitability analysis, pricing decisions and executive financial performance monitoring. It combines healthcare-focused analytics, activity-based costing models and decision-support dashboards, built for hospital and clinic leadership.

The data exists.

The trusted view does not.

Most healthcare organizations hold cost data across the HIS, ERP, billing, finance and a stack of manual reports. Leadership still cannot say with confidence what a service costs, which services make money, and whether prices reflect either. Topmed Financial Suite turns that scattered data into financial and operational insight that supports better decisions.

90%

of those responsible for delivering care do not know what it costs

HFMA and Strata, L7 cost accounting adoption model

<10%

of hospitals and health systems have advanced cost accounting that produces accurate cost data

HFMA and Strata

~50%

of healthcare organizations still cost services with the ratio of cost to charges

Becker's Hospital Review

80%

of ABC adopters say it gives more useful information for process improvement than conventional accounting

HFMA and IMA survey

Figures come from published US surveys and are quoted to show the scale of the gap. Full references at the foot of the page.

How it works

From Cost Data To Decisions, In Four Steps

A structured costing cycle turns fragmented operational and finance data into a reconciled, repeatable decision model, built on data you already hold.

01

Connect

HIS or EHR, finance, HR and payroll, supply chain and activity data, mapped source to cost under agreed governance.

02

Model

Define cost pools, cost drivers and direct and indirect allocation rules that reflect how resources are really consumed.

03

Cost

Calculate patient and encounter cost, reconciled to the general ledger, with drill-down to activity and procedure.

04

Decide

Use profitability, pricing, variance and benchmark insight to decide what to grow, fix, reprice or reconsider.

Every allocation is traceable

Reconciled to the general ledger, with drill-down from the hospital total to the individual patient.

Hospital Service line Department Physician Procedure Patient

What changes

What Leadership Gets Back

The questions we help answer, and the view you get in return.

Better cost visibility

A measured cost for each service, procedure and patient, overhead included.

Profitability monitoring

Margin by service line, department, physician and payer, refreshed on a schedule.

Smarter pricing

Price lists, packages and payer negotiations grounded in cost floors and margin data.

Better cost visibility

A measured cost for each service, procedure and patient, overhead included.

Profitability monitoring

Margin by service line, department, physician and payer, refreshed on a schedule.

Smarter pricing

Price lists, packages and payer negotiations grounded in cost floors and margin data.

Cost saving opportunities

Variation between physicians, sites and pathways becomes visible and quantified.

Executive decision support

One view of cost, profitability and operational performance for the board.

Quality with financial impact

Cost paired with outcome data, so quality projects show what they saved.

Cost saving opportunities

Variation between physicians, sites and pathways becomes visible and quantified.

Executive decision support

One view of cost, profitability and operational performance for the board.

Quality with financial impact

Cost paired with outcome data, so quality projects show what they saved.

Dashboard preview

What The Executive View Looks Like

One screen for cost, margin and the drivers behind them, with drill-down to procedure and patient.

ABC Costing & Profitability dashboard

Illustrative visual with sample data. Layouts and metrics are configured to each organization’s structure and data.

Book a discovery call

Find Out What Your Services Really Cost

A thirty-minute call with our financial analytics team. Bring one service line or payer contract you are unsure about, and we will show you what the model would reveal and what it takes to build.

Sources: HFMA and Strata Decision Technology, L7 Cost Accounting Adoption Model · HFMA and IMA, Costing Practices in Healthcare Organizations · Becker’s Hospital Review, Healthcare cost accounting: preparing for the future.