A fractional CFO for your medical practice, without the ten thousand a month
Most practice owners are excellent clinicians and part-time, self-taught CFOs. PracticePilot gives you the finance chair: a healthcare-finance specialist who keeps your books, reads them, and turns them into decisions. Which payer is eroding you, how many weeks of cash you really have, and what that equipment purchase is actually worth.
A traditional fractional CFO charges three to ten thousand dollars a month and usually will not take a practice under two million in revenue. A full-time CFO costs well into six figures. Most independent practices get neither, and fly the business on a bank balance.
PracticePilot is the accessible alternative: CFO-grade financial intelligence, delivered on our platform by a specialist, starting at $1,295 a month.
What a fractional CFO does for your practice
The bookkeeping is the foundation. The CFO work is what you actually make decisions with.
Payer margins
Realized rate per visit against your full cost, with below-cost payers flagged before renewal season, not after.
Cash runway
How many weeks of cash you really have after reserves, so payroll and taxes are never a surprise.
Budgets and variance
A budget you approve, then monthly variance decomposed into volume, rate and spending so you fix the lever, not the symptom.
Capital decisions
Every equipment purchase priced as a project: NPV, IRR and payback against your practice's risk-adjusted cost of capital.
Owner draw
What is actually distributable after your reserve, so owner pay never quietly strips working capital.
A standing meeting
A monthly or weekly review where a specialist walks you through what changed and what to do about it.
Fractional CFO, full-time CFO, or nothing
A full-time CFO is six figures a year and out of reach for most independent practices. A traditional fractional CFO is three to ten thousand dollars a month and typically declines practices under two million in revenue. Doing nothing means running a business with real payroll, real debt and real equipment decisions on instinct.
PracticePilot starts at $1,295 a month for bookkeeping plus financial intelligence, with a higher advisory tier that adds a standing weekly meeting. It is built for the practices the traditional market ignores.
Built on the economics of medical practices
This is not a generic small-business CFO template. The analysis is built for how practices actually earn: payer mix and concentration, denial patterns, service-line and visit-level costing, capitation economics, prompt-pay dynamics and equipment-heavy balance sheets.
Every ratio ships with a plain-English definition, every alert says why it fired and what to look at, and the cash-flow statement comes with a guided reading. The judgment stays yours. The platform makes sure it is informed.
PHI-free by design
CFO-grade insight without any patient data. There is no field for a patient name, member number, claim ID, CPT or diagnosis code anywhere in the platform, and a continuous check confirms it. Billing is recorded as opaque invoice references with payer, amounts and a visit count, which keeps the platform out of HIPAA scope entirely.
Frequently asked questions
What is a fractional CFO for a medical practice?
How much does a fractional CFO cost?
Is this a person or software?
Do I need to be a certain size?
Do you replace my CPA?
Get the finance chair your practice is missing
Start with a free Financial Health Check, or request onboarding and we will take the books over.