TLC Revenue
Built by a CPA · Claim-level · Fully traceable

Revenue quality and intelligence, built by a trusted healthcare advisor.

One workspace for claim-level analytics, contract review, and trend analysis. Built so finance teams can close the books faster and executives who back them can see the drivers, not just the metrics.

For Controllers & Finance Teams

Close the books in days, not weeks, without sacrificing claim-level rigor.

Stop chasing patient-by-patient revenue estimates each month. TLC Revenue automates revenue recognition with a methodology built by a CPA who has stress-tested 100+ healthcare practices in transaction work, turning a clumsy multi-step close into a clean Day-1 close where every dollar traces back to a claim.

  • Automated monthly revenue recognition across every visit
  • Direct EMR & accounting-system integration
  • Transparent reconciliation back to claim-level activity

For Executives, PE Operators & Sponsors

See the drivers behind the metrics, before performance slips.

Real-time visibility into provider, location, and payor performance. Understand where revenue is coming from, where it's leaking, and what to fix, with the same claim-level depth a transaction-advisory team would surface during diligence.

  • Provider, location, payor performance, and CPT service mix refreshed daily
  • Contract-level reimbursement vs. expected
  • Diligence-grade depth on demand, not just at deal time
Request demo access Schedule a walkthrough

Approved by Sam personally, usually within a business day.

The workspace

Three views of your revenue, in one place.

TLC Revenue brings claim-level analytics, contract-grade reimbursement review, and forecasting into a single workspace. Each view is built on the same daily-refreshed data, so the numbers always agree.

Financial Visibility

See every claim, every dollar, every day.

Service-date and payment views refresh daily, so finance teams know exactly where revenue stands without exports, spreadsheets, or month-end fire drills.

  • Daily refresh of charges, collections, and AR across the full claim history
  • Toggle between date of service and date of payment with a single click
  • Drill from the top-line number to the patient-level transaction in two clicks
Reimbursement Intelligence

Know what each payor owes you, and what they actually paid.

Mappings stay current as your billing changes, so under-payments stop hiding inside aggregated AR. The kind of claim-level diligence a transaction-advisory team would run during a deep dive, kept current daily.

  • Payor, plan, and contract mappings built against your own claim history
  • AR aging, denials, and recovery patterns segmented by payor and provider
  • Contract variance flagged before it ages into a write-off
Forecasting & Risk

Forecast collections held to Financial Due Diligence standards.

Every claim is scored against a portfolio curve built from your own history. See anticipated cash, predicted refunds, and the drivers underneath each number.

99%+ Forecast accuracy, backtested against years of your own claims history.
  • Anticipated collections per claim, calibrated weekly against actuals
  • Risk matrix across CPT, payor, location, and provider
  • Surfaces real-time reimbursement shifts before they post
Who it's for

Two users, one source of truth.

Controllers need the books closed cleanly. Executives and sponsors need to know what's actually driving the number. TLC Revenue answers both questions from the same daily-refreshed claim-level data.

Controllers & Finance Teams

How do we close the books in days, not weeks, without losing claim-level rigor?

What we show you.

A defensible, claim-level revenue recognition workflow with a straightforward mapping layer underneath. Every dollar booked traces back to a specific visit, a specific payor, and a specific posting. No black-box estimate, no manual journal entry chase, no end-of-year surprises.

What changes for you.

  • Day-1 close instead of Day-15+
  • Manual revenue estimates and patient-by-patient lookups disappear from your month-end checklist
  • Reconciliation between the GL, the EMR, and AR aging stops being three different stories
  • Under-payments and contract variance get flagged in the period they occur, not at year-end
Executives, PE Operators & Sponsors

Where is revenue actually coming from, and is the quality of that revenue holding up?

What we show you.

Asset-level visibility into the drivers behind each dollar: provider, location, payor, contract, and CPT. Anticipated collections are scored per claim against a portfolio curve built from the company's own history, so the forecast is grounded in what actually pays, not in management's best guess.

What changes for you.

  • See the drivers behind the headline number before diligence does
  • Diligence-grade depth on demand, every day, without the consulting bill
  • Catch reimbursement deterioration in weeks, not in the next trailing-twelve report
  • Walk into the next board meeting with one shared view across the operator and the sponsor
How it runs

How TLC actually runs.

Three steps. No integration project, no implementation phase, no consulting deck. Your data flows in on day one, the system enriches and validates it, and the workspace is live the same week.*

  1. 01 Ingest

    Connect your data, no integration project required.

    We connect directly to your EMR(s) to pull a daily extract of charges, payments, adjustments, and AR. Mappings for payors, providers, locations, and CPT codes are built against your actual historical data, not a generic template.

    • Direct extract from EMR and GL, refreshed every morning
    • Mapping built against your full claim history, not a vendor crosswalk
    • Full lineage from every source row to every transformation
  2. 02 Enrichment

    Methodology built by a healthcare-deal CPA, applied to your data automatically.

    Mappings are enriched against your full claim history, and totals are reconciled against the GL and the EMR. Anomalies, duplicates, and contract variance are surfaced before launch. The methodology was designed by a CPA with more than a decade of healthcare transaction experience, and it runs on every refresh, not just at onboarding.

    • Mappings enriched to create EMR agnostic views
    • Totals per EMR reconciled to the both GL and bank statement
    • Anomalies, duplicates, and contract variance surfaced before launch
  3. 03 Living workspace

    A daily-refreshed workspace, not a one-time report.

    Once live, the workspace refreshes every morning with the prior day's activity. Forecasts recalculate daily as actual cash is collected, contract variance is flagged as it posts, and your team works inside the same dashboard the board does. No exports, no PDFs, no quarterly check-ins.

    • Daily refresh of charges, payments, AR, and forecasts
    • Contract variance flagged the day it posts, not at quarter close
    • Forecast recalibrated weekly against your own claim history
Why now

The market has changed. Diligence has not caught up.

Healthcare services has moved from a buy-and-flip story to an operate-and-improve one. The instruments most operators rely on were built for the old market. A few shifts make this the right moment for a CPA-built revenue quality platform.

Operators win on operations, not multiples.

Holding periods are extending and exit multiples are no longer the engine of return. Sponsors and operators that expand margin through real operational improvement are the ones clearing their hurdle. Revenue quality, not revenue volume, is where that improvement now lives.

Provider margins are getting squeezed from both sides.

Labor costs are rising while payor behavior is tightening. The dollars hiding inside misposted contracts, stale mappings, and aged AR used to be a rounding error. At today's margins they are the difference between a healthy quarter and a covenant conversation.

AI tooling is everywhere. Auditable methodology is not.

The provider market is flooded with black-box products promising lift on collections. Finance leaders, auditors, and capital partners are converging on the same question: can you show your work? A transparent, claim-level methodology is the durable advantage, not the model behind it.

Claim-level revenue visibility is becoming a standard part of healthcare diligence.

Buyers, lenders, and boards increasingly expect a claim-level view of how revenue is earned and recognized. Operators who can produce that view on demand sit on the right side of the table. The ones who cannot find themselves explaining variances they did not see coming.

About

Built by a CPA, not a vendor.

Samuel Sciamarelli, CPA, founder of TLC Revenue.

Founder

Samuel Sciamarelli, CPA

Sam has spent over a decade in healthcare financial due diligence, beginning in Big 4 healthcare deal advisory and now serving as a Director at a leading transaction-advisory firm. He has advised private equity sponsors and strategic acquirers on more than 100 buy- and sell-side healthcare transactions, averaging over $200 million in enterprise value, across both private and public companies. He founded TLC Revenue to bring the rigor of claim-level financial due diligence into a daily-refreshed platform so finance teams and the executives who back them can drive results with real-time data.

  • 100+ healthcare transactions advised for private equity sponsors and strategic acquirers
  • 15+ transactions led with enterprise value over $1 billion
  • Industry breadth across home health, urgent care, vision care, radiology, women’s care (incl. OB), skilled nursing & behavioral health, virtual & mental healthcare, pathology, concierge medicine, durable medical equipment, hospital systems (incl. not-for-profit), veterinary, dialysis, and revenue cycle management
Get in touch

Talk to the founder about your business.

Tell us a bit about your team and we'll set up a walkthrough on your data, or a blinded demo if that's easier. Most replies go out within one business day.