Seven finished workbooks on your board every month — statements, a 13-month trend, a KPI dashboard, an executive summary and a net revenue waterfall. You send your general ledger. That is the whole ask.
Healthcare operators have had two options: a $200-an-hour consultant, or a template that doesn’t fit.This is the third.
Close this month with us
$1,950 /month
The seven-deliverable close package, every month, by the 10th business day. Recalculated and checked before it reaches your board.
And plenty that are not on this list. The subscription is not industry-specific — these have pages because they ask the same questions often enough to be worth writing down. If you run something else, from a construction firm to a franchise group, tell us what you need built.
Spreadsheet Studio is run from Dallas by one person who ran FP&A in healthcare, with a build pipeline doing the scaffolding. Every workbook in your close is recalculated by a formula engine and independently checked before it reaches your board. Each check is proved able to fail first, or it is not a check. Here is the routine, written up so you can run it on any workbook, including ours.
What you get, every month
It arrives without you asking
The failure mode of every reporting retainer is the client having to think of something to request. Seven deliverables land every month whether you email us or not.
A fixed monthly rate
$1,950, whether the month is quiet or the auditors are in. No hourly billing and no change orders.
Recalculated, not eyeballed
Every file runs through a real formula engine before it leaves. One error cell and it does not ship.
Checks proved able to fail
A tie-out that cannot fail is not a check. We break each one first, to prove it catches.
Built by someone who ran healthcare FP&A
So a period payment, a LUPA threshold and a distribution waterfall do not have to be explained to us first.
No PHI, so no BAA
Nothing in a financial model needs a patient's name, so nothing here needs a business associate agreement. That is a compliance review you do not have to run before you can buy.
What a generic model gets wrong
One mistake per industry, and the thing we build in its place. Both lines are lifted straight off the industry page, where the rest of them are.
One blended DSO across every hospital, when in practice one system pays in 45 days and another in 110, and the mix is what moves the cash forecast
What we do instead. We build a collection curve per health system out of your own remittance history, so the forecast moves when the mix of who is buying moves.
Implants averaged into supply cost instead of sitting on the case, so the loss-making cases never surface
What we do instead. We put implant and hardware cost on the case itself, which produces the list of procedures that lose money under a named contract — usually the first thing the model finds.
Denials and prior-authorization failures treated as a collection rate, when the drug was already bought and already infused
What we do instead. We model an authorization failure as a write-off at full acquisition cost rather than a haircut on revenue, because that is what it costs — spent money, not slow money.
Three sample workbooks, one for each of the industries where a generic model breaks first. They are studio builds rather than close deliverables, and every workbook we ship is built to the same standard: inputs on their own sheet, a checks sheet proved able to fail, and a README that opens first.
Commission accrued on the invoice date instead of the case date. Cases done in March and invoiced in May are a liability at 31 March, and an invoice-basis book does not carry them.
$14,455Commission liability missing at 31 March · Kestrel Ridge Surgical Partners, illustrative
Revenue modeled as cases times an average rate. The same knee replacement pays $9,150 under one contract and $21,500 under another; an average puts money on Medicare cases that Medicare does not pay.
6 of 40Cases that lose money · Larkspur Surgery Center, illustrative
This month at the top, every month you have already closed underneath it, and the file on each one. No email threads, no chasing anyone for a status, no calendar.
spreadsheetstudio.co/dashboard
This month
August 2026
3 of 7 delivered · due September 14 · In progress
01Delivered
P&L
The month and the year to date, against the prior year and the budget if you have one.
august-pnl.xlsx
02Delivered
Balance Sheet
Classified, with the prior month beside it and every account tied to the ledger.
august-balance-sheet.xlsx
03Delivered
Cash Flow Statement
Indirect method, reconciled to the change in cash on the balance sheet.
august-cash-flow.xlsx
04In progress
13-Month Trended P&L
Thirteen columns, so this month sits next to the same month last year rather than alone.
05Queued
KPI Dashboard
The handful of numbers you steer by, on one screen, wired to the same ledger.
06Queued
Executive Summary
One page in words: what moved, by how much, and what caused it.
07Queued
Net Revenue Waterfall
Gross charges down to cash collected, one deduction at a time, so a margin change has a cause.
Studio requests
On Financials + Studio. Unlimited, one built at a time.
In progress1
Q3 board packIn progress
Board deck
Submitted Tuesday, back Thursday
One at a time, on purpose. The next request starts the moment this one ships.
Queued2
Pricing for the new enterprise tierQueued
Pricing / unit economics
Starts when Q3 ships
Clean up the commissions trackerQueued
Fix an existing sheet
Submitted Wed
Delivered2
13-month cash flow forecastDelivered
Forecast / budget vs. actual
Delivered in 3 days
cash-flow-forecast-v3.xlsx
October reporting packDelivered
Monthly reporting pack
Delivered in 41 hours
reporting-pack-oct.xlsx
What the studio gets asked for
Rep commission model
13-week cash flow
Consignment and loaner inventory reconciliation
Rebate accrual tracker
Territory and product-line P&L
Case costing by CPT and payer
Distribution waterfall
Service line or new OR pro forma
Block utilization reporting
Partner reporting pack
Margin by drug and payer
Chair capacity and utilization model
Drug inventory and working capital model
Site and service-line contribution
Capacity and staffing model
Authorization utilization reporting
Clinic contribution model
New clinic pro forma
Diligence pack
Cash flow forecast
Visit cost by discipline
LUPA exposure reporting
Census and admissions forecast
Board and lender reporting pack
…and whatever else lives in a spreadsheet
Pricing
The package, or the package and more
Both plans include the same monthly close. The second adds the studio for everything that isn’t the close.
Monthly Financials
Month to month
The month-end close package: seven finished deliverables on your board every month. Send your general ledger; that is the whole ask.
Lifetime discount — limited time
$2,950$1,950/month
You’d be one of the first 30. When the discount closes the rate goes to $2,950. Yours doesn’t move — start now and you keep $1,950 for as long as the subscription stays active.
Every month
P&L, balance sheet and cash flow statement
13-month trended P&L
KPI dashboard
Executive summary
Net revenue waterfall
Every month, without asking
Pause or cancel anytime
No PHI — de-identified financial exports only, so there is no BAA to sign.
Card checkout for this plan isn't switched on yet, so it starts with a reply from a person — usually the same business day.
On both plans, every month
The seven that land on your board
01P<he month and the year to date, against the prior year and the budget if you have one.
02Balance SheetClassified, with the prior month beside it and every account tied to the ledger.
03Cash Flow StatementIndirect method, reconciled to the change in cash on the balance sheet.
0413-Month Trended P<hirteen columns, so this month sits next to the same month last year rather than alone.
05KPI DashboardThe handful of numbers you steer by, on one screen, wired to the same ledger.
06Executive SummaryOne page in words: what moved, by how much, and what caused it.
07Net Revenue WaterfallGross charges down to cash collected, one deduction at a time, so a margin change has a cause.
case-costing.xlsx
1
Cases
1,284
2
Net revenue
4,110,900
3
Implants
(1,642,300)
4
Staffing
(986,400)
5
Contribution
1,482,200
4 of 4 checks pass
Pause anytime
Pause for one to six months, from your board. Nothing is charged while you are paused, and the months you already have stay downloadable.
The files are yours
Every workbook on your board is yours to download, keep and edit — during the subscription and after it. Nothing is locked or hidden.
No PHI, no BAA
Nothing in a financial model needs a patient's name, so nothing here needs a business associate agreement. That is a compliance review you do not have to run before you can buy. What to strip.
Frequently asked questions
What exactly arrives each month?
Seven workbooks: P&L, Balance Sheet, Cash Flow Statement, 13-Month Trended P&L, KPI Dashboard, Executive Summary and Net Revenue Waterfall. Same seven every month, on your board, with every prior month still there beside them.
What do I have to send?
Your general ledger for the month, every line, exported without the memo / description column (or with it mapped to a code). By the 5th. The memo / description field on a GL line is free text, and in a practice it is where patient names and MRNs turn up — “Refund – J. Smith”, “Pt payment – 44821”. Leave that column out of the export, or replace it with a code. Every other column stays. Nothing in the seven deliverables reads memo text. The P&L, balance sheet, cash flow, 13-month trend, KPI dashboard and net revenue waterfall are built from account codes, dates and amounts; contractuals, adjustments and bad debt come off accounts, not descriptions. A trial balance alongside it is welcome as a tie-out. It is never required, and it is never what you are chased for. An AR aging and a payroll summary make the package better and are not required to start. If the export is messy, send it anyway — cleaning it up is part of the job.
When does it land?
By the 10th business day of the month. If your data arrives late, your delivery date moves by the same number of days, and your board says so rather than going quiet.
Why healthcare?
Because the objection at this price is never whether someone can build a spreadsheet. It is whether they understand how your money moves. Period payments, authorized units, PPO write-offs, distribution waterfalls and consigned inventory are the whole job, and a close built without them is wrong in ways that look right.
What industries do you work with?
Five have their own pages — device distribution, surgery centers, infusion and buy-and-bill, behavioral health, home health and hospice — because those businesses ask the same questions often enough to be worth writing down. They are not a limit. A close is a close: if you run something else, tell me what you run and what your board needs to see.
Is this bookkeeping?
No. Your books stay wherever they are and whoever keeps them keeps them. We take the general ledger those books produce and turn it into statements, trends and a dashboard somebody can make a decision from. If something in the data looks wrong, we say so before building on it.
What are the two plans?
Monthly Financials at $1,950 is the monthly package and nothing else. Financials + Studio at $3,499 is that same package plus the studio: unlimited ad-hoc builds — models, forecasts, cleanups, board decks — with one built at a time.
What does “unlimited, one at a time” mean?
Send as many studio requests as you like; they queue, and the next one starts when the one before it is delivered. That is the constraint that makes unlimited something one person can actually deliver, and it is on the card rather than in a footnote.
Will the price go up?
The list rate for Monthly Financials is $2,950 a month. The lifetime discount holds it at $1,950 while it is open, and when it closes new clients pay list. Yours does not move: your subscription keeps billing at the rate you started on for as long as it stays active, which is the whole of what "lifetime" means here.
Can I start on the cheaper plan and add the studio later?
Yes, any month. Ask from your board or reply to any email and the plan is changed by hand, usually the same business day — the self-serve switch is not on yet, and pretending otherwise would be a button that does nothing. The close package is identical on both plans; the studio is added on top, never carved out, and nothing about your close changes.
What if I don't like a workbook?
Ask for changes. Revisions are unlimited and don't count against anything.
Who builds this?
Spreadsheet Studio is a one-man agency. I'm Andrew, the founder — I spent my career leading FP&A in healthcare and tech, and I build the workbooks myself. You work with me directly the whole way through: no account manager, no handoff.
How do I know the numbers are right?
Every workbook is recalculated and checked against its own tie-outs before it reaches you, and the checks are built to be able to fail. If one doesn't pass, the file doesn't ship.
Who owns the files?
You do. Every workbook on your board is yours to download, keep, and edit, during the subscription and after it. Six months in you have a shelf of signed-off statements you can hand an auditor, a lender or a buyer. Nothing is locked or hidden.
Can I pause?
Yes, for one to six months at a time, from your board. Nothing is charged while you are paused, work already in flight is still delivered, and the months you already have stay downloadable.
I'm in healthcare. What about PHI?
No PHI — de-identified financial exports only, so there is no BAA to sign. We are not set up to receive protected health information and do not sign BAAs. A close runs on a general ledger exported without its memo / description column, an aging and volume counts — none of which carry a patient. Nothing in the seven deliverables reads memo text. The P&L, balance sheet, cash flow, 13-month trend, KPI dashboard and net revenue waterfall are built from account codes, dates and amounts; contractuals, adjustments and bad debt come off accounts, not descriptions. If a file with patient identifiers in it reaches us, we delete it rather than store it, we tell you the same day, and we ask for the export again without those columns. What to strip, and everything else about where files go and who can open them, is on the data-handling page at /security.
Do you touch billing, coding or anything clinical?
No. This is finance work: statements, forecasts and management reporting. Coding, billing, credentialing and anything clinical are outside it.
What don't you do?
Bookkeeping, tax, audit, and investment advice. We build the reporting; the numbers that go into it come from your books.
What if I only need one model?
Then a subscription is probably the wrong shape, and a freelancer with a crisp specification will be cheaper. This earns its keep when the same seven things are needed every month, forever.
Why not just buy a template?
A template doesn't know your chart of accounts. Every close starts from your actual general ledger, your actual departments, and the questions your board asks.
Can I talk to someone before I pay?
Yes. Ask anything at /contact and a person replies within one business day; a call is fine if it helps. And if you would rather see the work first, the free teardown at /teardown takes one workbook you already rely on and sends back a written report inside 48 hours.
Where are you based?
Dallas, Texas. The board works from anywhere; the plan is priced in US dollars and the work is delivered in English, as Excel files.
Spreadsheet Studio
Close this month with us
Start the subscription and send your general ledger. Seven finished workbooks land on your board by the 10th business day, and again every month after that.