Healthcare & Clinical Systems

Nexus Finance — a real CFO view, not a month-end guess

Billing and finance backend for a multi-center healthcare practice — patients, procedures, transactions, discount governance, and a live CFO dashboard, built as the financial companion to Nexus Reporting.

PHP API MySQL Multi-tenant (per-center) Signed service API In Build

Revenue you can only see at month-end isn't revenue you can manage

A multi-center healthcare business — a pharmacy plus related clinical facilities, run as several "Nexus centres" — generates cash, card, and bank transfer revenue across departments and procedures every single day. Without a live rollup, the CFO's actual financial picture arrived weeks late, reconstructed from receipts and reconciliations, by which point a bad month was already locked in rather than something that could still be steered.

There was a second, quieter problem too: discounts. Front-desk staff need the ability to offer one, but not the unilateral authority to grant one — and without a system for that, "how much did we give away this month, and who approved it?" wasn't a question anyone could answer quickly.

A live CFO dashboard, sitting on disciplined books

Nexus Finance is the billing and finance system for the practice — patient and procedure records, transaction entry, doctor management, and reporting — built as a separate companion system to Nexus Reporting (the clinical reporting app), the two talking to each other over a signed service-key API rather than sharing a database. Front-desk staff record transactions and request discounts; a CFO dashboard rolls everything up in real time — net revenue, payment-method split, top procedures by revenue, per-department breakdown — and a formal End-of-Day Closing process locks each day's books rather than leaving the ledger perpetually open.

Nexus Finance CFO dashboard — net revenue, transactions, collections by payment method, daily revenue trend, and per-department breakdown (figures blurred)

The CFO dashboard for one of the centres — figures blurred for confidentiality.

Separation between clinical and financial systems, on purpose

Two apps, one signed service API
Nexus Finance and Nexus Reporting are separate codebases and databases, integrated over a bearer-key-authenticated service API — clean separation between clinical and financial systems while patient and billing data still stay linked.
Discounts are governed, not just applied
A discount doesn't just get typed in — it's logged as a request and routed through a Discount Approvals queue, with the aggregate tracked as a percentage of gross directly on the CFO dashboard.
A real end-of-day close
End-of-Day Closing, a Closing History log, and Finalize Closings give the practice a disciplined books-close process — each day's numbers get locked, not left open to quiet edits later.
Multi-tenant by center from day one
Every domain table is scoped by center_id, the same tenancy model shared with Nexus Reporting — multiple physical centres run on one system without data ever crossing between them.
Revenue broken down the way a CFO thinks
Not just a single top-line figure — the dashboard splits revenue by payment method (cash/card/IBFT), by department, and by procedure, so where the money actually comes from is visible at a glance.
Framework-free, Hostinger-deployable
Plain PHP + MySQL, matching the constraints the rest of the practice's systems are built under — no daemons, no long-running processes, deployable on ordinary shared hosting.

Under the hood

BackendPlain PHP API + MySQL, no framework
IntegrationSigned service-key API shared with Nexus Reporting (Laravel)
ReportingLive CFO dashboard — revenue, collections, discounts, per-department and per-procedure breakdowns
HostingHostinger shared hosting

Where it stands

In build, developed alongside Nexus Reporting as the financial half of the same practice-management platform.

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Need real-time financial visibility into your own practice?

If revenue, collections, or discount governance in your business only becomes clear weeks after the fact, that's a solvable problem.