Fractional CFO for Medical Practices

You spent years trainingto heal patients.No one trained you to run the business.

Dental offices, specialty clinics, home health agencies, and med spas leave an average of $70,000–$160,000 in recoverable value on the table every year. We find it and get it back.

Free practice assessment

No credit card required

2 minutes

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Clinical expertise doesn't automatically translate to financial expertise

Cost Management

Labor, supplies, and drug costs are the largest levers in any practice. Without active benchmarking and vendor negotiation, most practices quietly overpay by tens of thousands every year.

Financial Forecasting & Growth

Most practices make major decisions, like new hires, equipment, expansion, without a forward-looking financial model. A CFO builds the forecast that tells you what you can actually afford, and when.

Tax Structure Mismatch

Most medical practices are structured incorrectly for their income level, costing $20,000–$50,000 in unnecessary taxes every single year.

CFO-level strategy,

built for healthcare

Without the $200,000 salary

What You Get

  • Revenue cycle review and AR recovery strategy
  • Payor mix analysis — shifting toward higher-reimbursing insurers
  • Overhead benchmarking against MGMA and HFMA standards
  • Physician and staff compensation structure design
  • Medical entity structuring and tax strategy
  • Cash flow forecasting for equipment, hires, and expansion
  • Multi-location financial modeling and profitability by site
  • Practice valuation for DSO negotiations, partnership, or sale
  • The confidence to make major financial decisions backed by real data

The math is straightforward

Most practices see a 3–5× return in year one.

Typical Value Delivered, Year One

Tax structure & retirement optimization$28,000
Overhead reduction to benchmark$19,000
Labor & supply cost alignment$16,000
Equipment & financing decisions$12,000
Typical Year-One Value$75,000+

Value varies by practice size and complexity. Run the assessment to see what applies to yours.

or discuss pricing directly →
Practice Financial Audit

Where your practice is hemorrhaging cash

These five issues appear in almost every medical practice we review. Each one is fixable within 90 days.

$38K
overpaid in labor annually

Staff costs typically run 50–60% of practice revenue. Misaligned comp structures, redundant roles, and no benchmarking quietly inflate payroll by $30K–$50K/year.

12%
above market on supplies & drugs

Without vendor negotiations, GPO access, or formulary review, most practices pay 10–15% more than peers for the same supplies — every single month.

$21K
average annual compliance overhead

HIPAA, OSHA, payer credentialing, and billing audits consume $15K–$30K/year in administrative cost. Poor documentation creates audit exposure worth multiples more.

$25K
lost in equipment financing decisions

Wrong lease-vs-buy decisions, missed Section 179 elections, and mistimed depreciation schedules cost practices $15K–$40K/year in avoidable tax and interest.

23%
below potential on practice valuation

Practices sold without CFO preparation routinely sell at 20–30% below potential. Messy financials, un-normalized EBITDA, and no exit strategy are entirely preventable.

How many of these does your practice have?

Our 2-minute assessment identifies which apply to you — and estimates the dollar impact.

How It Works

01

Practice Financial Audit

We review your billing data, payor mix, AR aging, overhead structure, and tax setup — benchmarked against MGMA standards for your specialty.

02

Strategy & Onboarding

We build a prioritized financial roadmap and start executing on the highest-ROI opportunities immediately — typically AR recovery and tax strategy first.

03

Ongoing CFO Partnership

Monthly financial reviews, KPI tracking, and continuous optimization as your practice grows, adds locations, or prepares for a transition.

Real Results From Medical Practices

$67K

recovered in AR within 6 months

"We didn't realize how much was sitting in our aging report. Zenith built a recovery system that let us collect it, and kept it from happening again.

Dental Group Practice, 3 locations

14pts

overhead reduction in year one

"Zenith's overhead recommendations completely transformed my take-home pay without a single new patient. I made an extra $100k with no substantive changes to my business.

Physical Therapy Clinic, $1.4M revenue

$41K

in tax savings, first year

"We were structured wrong for years. The S-corp election alone saved us more than the cost of the entire engagement. The better cost management was just a cherry on top.

Medical Spa, $2.5M revenue

Find out exactly what yourpractice is leaving behind

Our 2-minute practice assessment gives you a personalized estimate of your recoverable revenue, tax savings, and overhead reduction opportunity.

or book a 30-min call directly
No credit card required
Results in 2 minutes
Medical practice specific