Month-end close
From cash to accrual: a surgery center regains financial visibility
A cash-to-accrual conversion plus standardised monthly close gave leadership the profitability visibility they had been missing.
Industry
Plastic surgery & med spa
Company size
10–15 employees
Annual revenue
> $5M
Engagement
Ongoing (24+ months)
01 · Where we found them
The challenge.
A fast-growing St. Petersburg plastic surgery practice came to Debit & Co during a period of transition. Revenue was rising. Reliable financial information was not. The books were on cash basis, month-end closes were delayed, reports were inconsistent, and the owners could not tell whether profitability was keeping pace with growth. Leadership was making decisions on intuition.
02 · What we did
Our approach.
Stabilise the foundation, then build systems that scale.
- Converted accounting from cash basis to accrual
- Cleaned up and reconciled historical bookkeeping
- Standardised the chart of accounts for clearer reporting
- Implemented consistent monthly close procedures
- Delivered clear, on-schedule financial statements each month
- Provided ongoing advisory to help leadership interpret the numbers
03 · What changed
The results.
Close cycle
< 7 days
From several weeks
to under 7 business days
Engagement
24+ mo
Trusted financial partner
since cash → accrual
Cadence
Monthly
On-schedule statements
delivered every month
External validation
Led by Dr. Antonio J. Gayoso and Dr. Frank Beninger, Gayoso Plastic Surgery holds 4.8 stars across 541 patient reviews on Birdeye — an independent signal of the kind of operational quality our reporting supports.
04 · What continues
Ongoing impact.
Debit & Co continues as the practice’s trusted financial partner.
- Monthly close + financial statement delivery
- Service-line profitability reporting
- Pricing, hiring, and investment decision support
“Working with Debit & Co gave us clarity we didn’t realise we were missing. We finally understand our numbers and feel in control of the business.”
— Gayoso Plastic Surgery leadership
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