Hospitals across the United States are navigating one of the most financially fragile periods in modern healthcare. Labor expenses remain elevated following years of workforce shortages. Supply costs continue to fluctuate under inflationary pressure. Reimbursement rates from payers have not kept pace with operating realities. For many institutions, margins hover at or below 2 percent. For rural and at-risk hospitals, the outlook is often even tighter. Yet beyond these visible pressures lies a quieter problem: revenue that is earned, billed, and contractually owed — but never fully collected. Healthcare reimbursement has grown extraordinarily complex. Hospitals and clinics manage contracts with dozens of commercial and government payers, each governed by unique…