Physician Fractional CFO

It is a senior finance partner embedded in your practice on a part-time basis to own the revenue cycle, payer mix, compensation, and cash flow. A generalist CPA files your taxes and books; a fractional CFO reads what each payer is actually worth, finds where collections leak, and leads the finance function. You get CFO-level leadership scoped to your practice size, without the full-time cost.

Physician owners and group administrators who have outgrown a bookkeeper or generalist CPA but cannot yet justify a full-time CFO, and who need healthcare fluency now rather than someone learning payer contracts and RVUs on their time. It fits practices carrying real financial decisions, such as multiple locations or service lines, without a clear picture to run them on.

Usually at a critical turn: a partner buy-in, a payer renegotiation, soft margins, or an expansion decision where you have no clear financial picture to make the call with confidence. Engaging before those decisions means the numbers are already in place when the pressure hits, rather than reconstructing them under a deadline.

A clear financial view with numbers by service line, location, and provider that you can run the practice on; a revenue cycle and payer contracts that stop leaking; and compensation for partners and associates tested against production and market data. The work runs through four stages: diagnose the revenue cycle and payer mix, benchmark provider pay, build cash flow and service-line P&L, then lead the finance function and advise on every major call.

The engagement is led by a senior partner and staffed senior-only, so the person setting strategy is the person doing the work, not a junior team learning on your time. We already speak payer contracts, RVUs, and compensation models, and we structure financial decisions to be aware of healthcare's compliance rules. It starts with a one-hour practice finance review with a senior partner.