Driver-Based Budgeting
& Scenario Analysis

How a healthcare group replaced rigid static budgets with a flexible, continuously-updated, driver-based model — and saved 650+ hours annually.

The Challenge

Budgets were outdated by the time they were approved. Static line-item models couldn't keep up with the real pace of decision-making.

A healthcare group with multiple locations relied on a traditional static budgeting process built in Infor and spreadsheets. Each budget cycle required 600+ hours of manual input, cross-referencing, and consolidation across departments.

The resulting budget was inflexible. When assumptions changed — new hires, reimbursement changes, volume shifts — the entire model had to be rebuilt. Scenario analysis was theoretically possible but practically never executed due to time constraints.

The organization needed a budgeting approach that moved at the same speed as the business — one that could answer "what-if" questions in minutes, not weeks.

How We Automated It with AI

We replaced their static budgeting process with a driver-based model that connects to Infor and updates automatically. The core innovation: instead of budgeting by account, we modeled the business drivers — patient volume, staffing ratios, and revenue per patient — and let the system build the financials from there.

Leadership can now run unlimited "what-if" scenarios using sensitivity sliders: What if patient volume drops 10%? What if labor costs increase 5%? Results appear instantly across all three scenarios (Base, Upside, Downside).

Driver-based budgeting platform with scenario comparison and sensitivity sliders
Scenario comparison view: Base, Upside, and Downside cases with sensitivity sliders for key drivers

Driver-Based Models

Build budgets from business drivers: volume, pricing, staffing ratios — not individual GL lines

Unlimited Scenarios

Run Base, Upside, and Downside scenarios with any combination of driver assumptions

Sensitivity Sliders

Drag sliders to see instant impact of ±10% material cost, ±5% volume, and more

Continuous Forecasting

Replace discrete annual budgets with continuously-updated, rolling forecasts

Results

<3 daysBudget cycle
(was 4–6 weeks)
650+Hours saved
annually
Unlimited
scenarios
$65K+Annual savings
from efficiency

10-Week Rollout

Weeks 1–3

Driver identification, Infor data extraction, and model architecture

Weeks 4–5

Driver-based engine, scenario framework, and sensitivity controls

Weeks 6–8

Dashboards, EBITDA visualization, and multi-entity consolidation

Weeks 9–10

Department training, parallel testing vs. static model, and go-live

★★★★★
"Budget season used to dominate our Q4. Now we have a living model that updates weekly. When the board asks 'what if?' we have the answer in 10 minutes — not 10 days."
Sarah W.
Sarah W.VP of Finance, Healthcare
Vlad Ulitovskiy

Vlad Ulitovskiy, MBA, CPA

Accounting & Compliance Lead at Ledger Summit

Vlad is a Certified Public Accountant with deep expertise in compliance, accounting systems, and audit-ready workflows. He has worked with organizations in roles ranging from accountant and consultant to controller.

At Ledger Summit, Vlad designs AI-powered solutions that transform financial reporting from a compliance burden into a strategic asset — giving finance teams the tools to focus on insights, not spreadsheets.

CPA MBA Driver-Based Budgeting Scenario Analysis Healthcare Finance

We automate manual budgeting
with AI and custom tools

Book a free 30-minute call. Walk away with a workflow map, quick-win list, and a start-here plan — whether you work with us or not.

Book a free call →