Practice 02
Fractional CFO leadership for operating companies and healthcare organizations. The monthly close, a rolling 13-week cash flow forecast, capital structure, treasury operations, and lender-ready financials, run by one accountable person.
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Books kept and every account reconciled to the bank. Each month closes with a P&L, balance sheet, cash flow statement, and budget-vs-actual with written commentary.
A rolling forecast built from actual receivables, payables, payroll, and debt service, updated against bank activity. Shortfalls show a quarter out, while there is still time to act.
Debt sized against cash flow, reserves set and funded, underperforming facilities restructured, and a written plan for how the company is financed as it grows.
Vendor payments, debt service, payroll funding, and reserve transfers executed from your own bank accounts under written authorization, with every dollar logged and reported monthly.
SBA and bank loan packages, lender-ready financial statements, and covenant reporting after the loan closes.
An annual budget, the operating metrics that matter for your business, and quarterly estimates and year-end planning coordinated with your CPA.
Finance leadership for hospitals, health systems, hospices, and physician practices: revenue cycle and payer-mix reporting, department-level cost and margin, capital planning for facilities and equipment, and board-ready financials.
How It Runs
Work
Treasury and payment operations across the company's bank accounts, 13-week cash flow forecast, capital structure, and SBA and lender packages.
Financial LeadershipMonthly close, payment operations across eight bank accounts under written authorization, and capital structure planning.
Financial LeadershipMonthly close and payment operations across six bank accounts, with monthly disbursement reporting to the owner.
Financial LeadershipQuestions
A bookkeeper records transactions. A CPA files returns and gives tax advice. We do the work in between: close the books, forecast cash, structure debt and reserves, run payments, and give you the numbers to make decisions. We coordinate with your CPA; we do not replace them.
An engagement letter defines the scope, the accounts covered, the reporting calendar, and the terms. Everything is agreed in writing before any work begins, and the scope can be widened as the organization grows.
Your funds stay in your own bank accounts. We operate under a written payment authorization using our own login, every transaction is logged, and you receive a disbursement report each month.
A signed engagement letter and payment authorization, online-banking access, and your accounting file. From there we bring the books current and build the first forecast within the first month.
Write to us with a short description of the company and what you need handled.
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