A partner who knows your numbers as well as you know your patients.

Strategic CFO insights at a fraction of the cost

You're running a profitable practice. So why doesn't it feel that way?

That tax bill blindsided you… again

You owed more than expected and scrambled to cover it. It didn't have to be that way. With proactive planning, tax season becomes something you prepare for, not recover from.

You want to expand, but the numbers feel murky

Another location, a new device, new provider - you know the opportunity is there. But without a clear financial picture, every decision feels like a gamble.

Revenue is not translating to cash in the bank

You spend thousands on marketing, acquire new patients and are profitable on paper, but where’s the cash?

Your bookkeeper sends reports. You still don't know what to do

Data without context isn't strategy. If your financials aren't helping you make decisions, they're just noise.

You don’t need more spreadsheets.

You don't need to become a finance expert.

You need someone in your corner who already is one.

That's what a Fractional CFO does.

We step into your practice as your strategic financial partner — handling the numbers, translating them into decisions, and making sure you always know where you stand and what to do next.

WHAT TO EXPECT

This is what financial leadership actually looks like.

A CFO provides what accountants don’t - insights first, information second.

A real strategy, not just reports

We don't hand you a P&L and walk away. We tell you what it means, what it's telling you to do, and what happens if you don't.

Cash flow you can actually predict

Weekly forecasts so you know what's coming before it hits. No more checking your bank balance and hoping for the best.

Tax planning that eliminates surprises

We build your pro forma tax return mid-year so you know what's coming and have time to act on it strategically.

A full finance team, managed for you

Books updated weekly. Reconciliations done monthly. Your bookkeeper, controller, and CFO working as one, so you only have to talk to us.

This is the right fit if you're a practice owner who is…

  • Generating $3MM or more and ready to get serious about where the money is actually going

  • Profitable on paper but not paying yourself consistently

  • Considering additional locations and want the numbers to tell you when and how to execute

  • Building toward an exit and need clean financials and normalized EBITDA to get there

  • Done making six-figure decisions without an expert in the room

Not sure where to start?

At $1MM+ in Revenue → An Executive Financial Review gives you a one-time CFO-led analysis and a clear action plan.

At $3MM+ in Revenue → Fractional CFO Services give you ongoing financial leadership, every month.

NOT LIKE YOUR ACCOUNTING FIRM

Our Unique Approach

We never bill hourly

Our pricing is based on the value we deliver, not the time we log. You get a partner invested in your outcomes, not their clock.

We come to you

During onboarding, we visit your practice in person. We meet your team, learn your business, and show up like a full-time employee - because that's what a CFO does.

We respond within four business hours

You won't be waiting days for answers to questions that affect your business today.

We manage the whole finance function

No more bridging the gap between your bookkeeper and your CPA. We oversee the entire team so nothing falls through the cracks.

Is this more support than you’re looking for?

An Executive Financial Review might be for you →