Case Study:

Global Response Medicine Cleanup

Global Response Medicine (GRM) is a nonprofit organization whose primary mission is to provide emergency healthcare to those impacted by war, conflict or disaster.

Global Response Medicine

The Problem

Similar to many nonprofits, GRM operates on a lean administrative budget to ensure donor funds are directed towards its core mission. Despite this, GRM recognized the necessity for substantial back-office support to fulfill donor commitments, optimize fund utilization, and forecast cash flow accurately. However, GRM faced challenges as successive individuals tasked with fiscal responsibilities lacked the necessary expertise or motivation to rectify tangled historical records or establish robust processes and procedures for organizational advancement.

The Solution

GRM posed a distinctive challenge for Complete Balance. Typically, our cleanup process is less formal and detailed compared to the work we undertake under the outsourcing model, as past records and backups are not always readily accessible. However, GRM found itself in the midst of a 2022 audit, necessitating well-substantiated transaction support and accuracy. This demanded extensive investigation and meticulous assembly of information to prepare auditable financial statements for past activities.

Throughout our cleanup procedures, we delved deeply into GRM's accounting intricacies and distinctive circumstances. While their accounting appears straightforward from a technical standpoint, we recognized the necessity for a meticulous and comprehensive month-end closing process. This was vital to ensure that expenses were properly aligned with donor restrictions and that all donor compliance obligations were fulfilled. Leveraging the full array of features offered by QuickBooks Online, we collaborated closely with multiple individuals at the client level to uphold data accuracy.

GRM additionally oversees several international programs, necessitating collaboration with individuals across the globe to ensure smooth operation of the organization. Operating in regions affected by conflict or disaster posed numerous distinctive challenges, prompting us to devise innovative solutions. Despite these hurdles, this project has been immensely gratifying for the Complete Balance team, as we've witnessed GRM's successes firsthand, bringing us a profound sense of personal satisfaction.

The Results

We developed processes and procedures for the following areas:

  • Cash (including international/foreign cash accounts) 
  • Revenue (via CRM software) – allocating between restricted and unrestricted funding 
  • Payables (introduced and implemented Bill.com, a payables management system to allow for an appropriate approval process as well as maintain necessary documentation) 
  • Expenses (developed tagging and reporting system to associate expenditures with appropriate project in QBO so run revenue/expense reports by project) 
  • Cash flow/cash flow management (introduced and implemented Ramp, a business charge account to help manage cash flow; developed a cash flow report that we update weekly to communicate with fundraising team on our expected needs) 
  • Budgeting (developed a highly detailed org budget, which can be tracked per project or per class (admin/program/fundraising) and is used to develop and tweak various projections) 
  • Donor & Board reporting (timely month end reporting, developed reports specifically relevant to the board that are circulated monthly; we present these reports to the board as requested)

One of the key achievements resulting from our work with GRM is the newfound clarity in directing donor funds towards mission-focused projects. They no longer face uncertainty about funding essential initiatives like aiding burn victims in Ukraine or Iraq or worrying about cash flow shortages before the next grant arrives. The financial clarity and tranquility we've afforded have a tangible impact on their field operations, empowering GRM to operate at their full potential and deliver maximal assistance to those in need.