Client Success Story

Accounting for Growth in Healthcare Aesthetics

Premier Partners is a healthcare investment and management firm acquiring and operating plastic surgery and medical aesthetics centers across the U.S. With a fast-moving acquisition pace and a growing portfolio of locations, they needed a scalable, compliant accounting infrastructure — one that could unify financial operations without compromising regulatory obligations.

Building a System of Record, Without the Risk

Each new acquisition brought its own chart of accounts, service codes, and reporting structures. Existing EMR and patient billing systems were HIPAA-compliant but disconnected from any financial management platform — leaving the finance team with manual reconciliations, duplicate service codes, and no reliable single source of truth across subsidiaries.

Palladium stepped in to make NetSuite the authoritative accounting system of record while maintaining strict separation from HIPAA-governed patient data. We standardized procedure classifications and service codes across all subsidiaries, built a unified Chart of Accounts, consolidated vendor and payer lists, and established repeatable processes for payment uploads and automated bank reconciliations. A custom Journal Entry Workflow automated approval routing and enforced subsidiary-level controls, and integrations with Cashflow 360 and Bill.com brought all financial activity into one place.

Delivering exceptional patient care.