Fractional CFO · COO · Controller
You built the practice.
Let's protect the margin.
Fractional CFO, COO and Controller for physician-owned specialty practices with $1M–$20M in annual collections.
Sample scorecard — illustrative data, not client results.
Monthly Margin Scorecard
Aug 2026Who we serve
Built for physician-owned specialty practices.
We work with independent specialty groups with $1M–$20M in annual collections and 1–15 providers — the sweet spot where senior finance leadership pays for itself.
Dermatology & Plastic Surgery
Elective, cash-heavy workflows and cosmetic margins.
Learn moreOrthopedics & Spine
High-volume procedural revenue and implant economics.
Gastroenterology & Cardiology
Hospital-linked billing, pre-auths, and payer complexity.
OB/GYN & Other Specialties
Episodic care, call coverage, and roster planning.
What we offer
Three bundles. One clear monthly fee.
Take one bundle or stack all three. Pricing scales with your collections and provider count — these are starting points.
Controller
Clean Books
- Bookkeeping oversight
- Monthly financial statements
- Bank reconciliation
- AP / AR management
- Clean, audit-ready ledger
from $1,500/mo
Learn moreCFO
Know Your Numbers
- Monthly KPI scorecard
- Budgeting
- 13-week cash forecast
- Provider comp modeling
- Monthly strategy call
from $3,500/mo
Learn moreCOO
Run It Right
- Billing / RCM oversight
- Credentialing
- Compliance calendar
- Front-office workflow
- Growth planning
from $2,500/mo
Learn moreHow it works
A 90-day path from murky to managed.
Diagnose
Days 1–30
We review your books, billing, and cash position, then hand you a written margin diagnosis with the biggest gaps called out.
Stabilize
Days 31–60
Clean up the ledger, stand up monthly statements and a 13-week cash forecast, and put controls around AP, AR, and compliance.
Build
Days 61–90
Monthly KPI scorecards, a documented comp model, and a strategy cadence so margin improvement is planned, not accidental.
Book a call
Let's talk margin.
Pick the way that's easiest for you — a discovery call, or a quick text.
Book a discovery call
Text us instead
Prefer texting? Message us at (435) 200-5375 and we'll text you back.