Fractional CFO · COO · Controller
Fractional CFO for OB/GYN Practices
We act as your part-time CFO, COO and Controller for an OB/GYN practice: we get your books clean and closed on time, run a 13-week cash forecast that accounts for global obstetric billing, and model provider compensation around call coverage. You see where the margin is going every month, without hiring a full-time finance team.
Financial challenges OB/GYN practices face
Global obstetric billing spreads revenue over months
Prenatal care, delivery, and postpartum visits are often billed as one global package, so the work happens months before the cash arrives. A forecast helps you plan around that gap instead of being surprised by it.
Call coverage and scheduling
Call coverage affects provider workload, burnout, and compensation. Planning rosters around a documented model keeps it predictable and fair.
A mix of obstetric, gynecologic, and procedural revenue
Different lines of service have different payers and margins. Without a monthly KPI scorecard, it's hard to know which ones are carrying the practice.
Provider comp and growth decisions
Adding a provider or a location changes call coverage, volume, and overhead. A budget and forecast let you test those decisions before you make them.
What our CFO, COO and Controller bundles cover
Three bundles, one clear monthly fee. Take one or stack all three.
Controller
from $1,500/mo- Bookkeeping oversight and a clean, audit-ready ledger
- Monthly financial statements that arrive on time
- AP / AR management and bank reconciliation
CFO
from $3,500/mo- Monthly KPI scorecard built for your specialty
- Budgeting and a 13-week cash forecast
- Provider comp modeling
- Monthly strategy call with your leadership team
COO
from $2,500/mo- Billing / RCM oversight and denial management
- Credentialing and the compliance calendar
- Front-office workflow and growth planning
How the 90-day process works
Days 1–30
Diagnose
We read your last twelve months of financials, your billing reports and your comp arrangements, then score where the margin is leaking — in plain language, with a list of what to fix first.
Days 31–60
Stabilize
We build the monthly baseline: clean statements on a fixed schedule, a 13-week cash forecast, and a KPI scorecard you can actually read.
Days 61–90
Build
With the numbers stable, we move to decisions: budget targets, provider comp models, billing-office fixes and a growth plan tied to the forecast — reviewed with you every month.
Pricing
Starting points. Final pricing scales with your collections and provider count.
Frequently asked questions
How do you handle the timing of global obstetric billing in the cash forecast?
We build the 13-week forecast around when cash actually arrives, not just when care is delivered, so the gap between prenatal work and payment is planned for rather than a surprise.
Do you replace our bookkeeper or billing company?
No. We work alongside them and hold the work to a standard: books that close on time, statements that reconcile, and billing output you can verify. If someone in that chain is underperforming, you'll see it in the numbers we hand you.
How does the engagement actually work month to month?
On a fixed monthly cadence: your financial statements and KPI scorecard arrive on schedule, your 13-week cash forecast is refreshed, and we meet on a standing call to walk through what changed and what to do next. Between calls you have direct access to us for questions and special projects.
What does it cost?
Controller starts at $1,500/mo, COO at $2,500/mo and CFO at $3,500/mo — take one bundle or stack all three. Final pricing scales with your collections and provider count, which is exactly what the package builder prices for you.
Is my practice the right size for this?
We work with independent physician-owned specialty practices with $1M–$20M in annual collections and 1–15 providers. That's the range where senior finance leadership pays for itself — big enough to need it, small enough not to have it in-house.
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.