How much does a fractional CFO cost per month?

Fractional CFO services for healthcare practices typically cost $1,500-$5,000 per month, depending on the complexity of your practice, number of locations, and scope of services. This is significantly less than a full-time CFO salary of $150,000-$300,000+ annually.

How Much Does a Fractional CFO Cost? | Healthcare Practices

Q: What percentage of revenue should a practice spend on CFO services?

Healthcare practices with $1M-$10M in revenue typically invest 0.5%-2% of revenue in fractional CFO services. For a $3M practice, that's roughly $1,500-$5,000 per month. The ROI usually comes from improved cash flow, reduced overhead, and better financial decision-making.

Q: Is a fractional CFO worth it for a small medical practice?

A fractional CFO is typically worth it for healthcare practices with at least $1M in revenue, multiple providers, or growth ambitions. The value comes from strategic financial guidance that bookkeepers and accountants don't provide—like cash flow forecasting, profitability analysis, and growth planning.

Fractional CFO Pricing at a Glance

Full-Time CFO

$150K+/year

Plus benefits, bonus, equity. Overkill for most practices under $10M.

Fractional CFO

$1,500/month

Same strategic value at a fraction of the cost. Built for growing practices.

Accounting Only

$500/month

Records transactions but doesn't help you make strategic decisions.

What Determines Fractional CFO Cost?

Fractional CFO pricing depends on several factors specific to your healthcare practice:

Number of locations — More locations = more complex financials
Revenue size — $1M practices need less than $10M practices
Number of partners/owners — More stakeholders = more reporting
Current state of books — Messy books require cleanup first
Scope of services — Basic oversight vs. full strategic partnership

The 1% Rule

Most healthcare practices invest about 0.5%–2% of revenue in CFO-level financial guidance. For a $3M practice, that's roughly $1,500–$5,000/month.

Our Pricing

At ProfitUp Advisory, we offer three service tiers designed for healthcare practices:

Service	Price	Best For
Clean Books	$500/month	Practices that just need accurate monthly financials
Fractional CFO	$1,500/month	Practices ready for strategic financial guidance
Profit Study	Success-based	Practices wanting a no-risk expense audit

What's Included in $1,500/Month?

Monthly financial close — Books reconciled and reports ready by the 15th
CFO dashboard — One-page view of all critical KPIs
Cash flow forecasting — 13-week rolling forecast
Profit-by-location analysis — Know which locations carry the practice
Quarterly strategy sessions — 90-minute deep dives on growth decisions
Partner/owner reporting — Keep everyone aligned
Email/Slack support — Get answers when you need them

Is a Fractional CFO Worth It?

The short answer: yes, if you're ready to grow. Here's the math:

A $3M healthcare practice with 20% profit margins makes $600K/year. If a fractional CFO helps you:

Improve margins by 3% = $90,000 additional profit
Reduce overhead by $2K/month = $24,000 saved
Avoid one bad $50K decision = $50,000 protected

Total potential value: $164,000. Cost: $18,000/year. That's a 9x return.

Fractional CFO vs. Full-Time CFO

Factor	Fractional CFO	Full-Time CFO
Annual Cost	$18,000–$60,000	$150,000–$300,000+
Strategic Planning
Cash Flow Forecasting
Financial Dashboards
On-Site Presence
Best For	$1M–$10M practices	$10M+ practices

FAQ

Pricing Questions

For healthcare practices, fractional CFO services typically cost $1,500–$5,000 per month depending on complexity, number of locations, and scope of work. This is significantly less than a full-time CFO salary of $150,000–$300,000+ annually.

Healthcare practices with $1M–$10M revenue typically invest 0.5%–2% of revenue in fractional CFO services. For a $3M practice, that's roughly $1,500–$5,000 per month. The ROI comes from improved cash flow, reduced overhead, and better decision-making.

A fractional CFO is typically worth it for practices with at least $1M revenue, multiple providers, or growth ambitions. The value comes from strategic financial guidance that bookkeepers and accountants don't provide—like cash flow forecasting, profitability analysis, and growth planning.

At ProfitUp, there are no hidden fees and no long-term contracts. We work on month-to-month agreements because we believe if we're providing value, you'll stay. Most clients do.

How Much Does a Fractional CFO Cost?