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A fractional CFO is a part-time Chief Financial Officer who provides the same strategic financial guidance a Fortune 500 company gets—scaled for practices with $1M–$10M in revenue. You get executive-level financial leadership without the executive-level price tag.
For healthcare practices specifically, this means someone who understands the unique financial challenges you face: insurance reimbursements, multi-provider compensation, equipment financing, and the cash flow volatility that comes with running a medical business.
Your practice isn't like other businesses. Your CFO shouldn't be either.
Stop wondering where the money went. See exactly how cash moves through your practice and predict future positions.
Know which locations are carrying the practice and which are dragging it down. Make expansion decisions with confidence.
Get all owners on the same page with clear, consistent financial reporting everyone can understand.
Identify the profit leaks hiding in your P&L—staffing inefficiencies, pricing gaps, overhead creep.
Make hiring, equipment, and expansion decisions based on data—not gut feeling or what the rep told you.
Stop spending nights and weekends trying to make sense of your numbers. Focus on patients, not spreadsheets.
Healthcare practices in the $1M–$10M range rarely need a full-time CFO—and certainly can't justify the cost. Here's how the numbers compare:
| Full-Time CFO | Fractional CFO | |
|---|---|---|
| Annual Cost | $150,000 – $250,000+ | $18,000 – $60,000 |
| Benefits & Overhead | Add 25-35% | Included |
| Healthcare Experience | Varies widely | Specialized |
| Availability | Full-time (often underutilized) | Right-sized to your needs |
| Hiring Risk | High (bad hire = 6+ months lost) | Low (month-to-month) |
| Technology/Tools | You provide | Included |
For most healthcare practices, fractional CFO services deliver 80-90% of the value at 10-20% of the cost.
ProfitUp Advisory provides fractional CFO services exclusively for healthcare practices. We work best with practices that have:
We specialize in:
A fractional CFO for healthcare practices provides strategic financial leadership on a part-time basis. This includes cash flow forecasting and management, profit margin analysis by service line and location, financial dashboard creation, budgeting and growth planning, partner/owner financial reporting, and strategic advice on hiring, expansion, and equipment purchases. Unlike a bookkeeper who records transactions, a fractional CFO uses your financial data to help you make better business decisions.
Fractional CFO services for healthcare practices typically range from $1,500 to $7,000 per month, depending on practice size, complexity, and scope of services. For a practice with $1M-$5M in revenue, expect $1,500-$3,000/month. For $5M-$10M practices with multiple locations, $3,000-$7,000/month is typical. This compares to $150,000-$250,000+ annually for a full-time CFO, making fractional services 70-90% more cost-effective.
Healthcare practices typically benefit from a fractional CFO when: revenue exceeds $1M annually, the practice has or is planning multiple locations, there are 2+ partners/owners who need aligned financial reporting, cash flow feels tight despite strong revenue, major decisions (expansion, hiring, equipment) are being made on gut feeling rather than data, or the owner wants to spend less time on financial management and more time on patient care.
A bookkeeper handles transactional work: recording income and expenses, reconciling accounts, and producing financial statements. This is backward-looking work. A fractional CFO uses those financial statements to provide forward-looking strategic guidance: forecasting cash flow, identifying profit opportunities, planning for growth, and advising on major financial decisions. Most healthcare practices need both—clean books as the foundation, and CFO-level strategy to grow profitably.
Yes. A fractional CFO typically works alongside your existing bookkeeper and tax CPA. The CFO layer sits on top of your accounting function, using the data your bookkeeper produces to provide strategic insights and financial planning. Some fractional CFO services (like ProfitUp Advisory) also offer bookkeeping to ensure the underlying data is clean and reliable.
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