What a Fractional CFO Engagement Covers
Financial strategy and planning
Long-range planning, scenario modelling, and capital allocation built around how the organization actually earns and spends.
Board and investor reporting
Monthly packages, board decks, and lender reporting that survive scrutiny from a finance committee.
Payor and contract economics
Rate modelling, contract renegotiation support, and payor mix analysis, so growth lands on the right side of the margin.
Cash and working capital
Forecasting, receivables oversight, and drug and supply spend control.
Leadership for the finance team
Direct management of controllers, analysts and revenue cycle leads, including building a finance function from the ground up.
Transactions and diligence
Financial and strategic due diligence for practice acquisitions, and finance cover through an affiliation or new partnership.
How Fractional Engagements Run
A fractional CFO engagement starts with a diagnostic across the P&L, payor contracts, revenue cycle, and staffing model. That produces a written picture of where margin is leaking and what it would take to stop it. From there, the retainer settles into a rhythm: a set number of days each month, a standing finance meeting, a monthly reporting package, and direct access between meetings. Length depends on the client. Some organizations run this alongside a permanent search, others keep it in place and never hire.
Common Questions
How is a fractional CFO different from a finance consultant?
How much of your time do we get?
Do we still need a controller?
Are you on site or remote?
What happens when we are ready to hire a permanent CFO?
Twenty years of operating inside health systems means Elevate enters the equation with a foundational understanding that gives it an upper hand. The questions that take an outside consultant a quarter to work out are the ones this practice has already solved.