Fractional Chief Financial Officer (CFO)

Financial Leadership to Strengthen Margins, Cash Flow, and Growth

Mrc health consultants services

Executive Leadership & Fractional C-Suite

What Is a Fractional CFO?

A Chief Financial Officer (CFO) owns the financial health of the organization, from planning and reporting to cash flow, capital, and risk.

In a medical group or private practice, the CFO turns clinical activity into clear financial insight. They make sure the practice is profitable, well-capitalized, and making decisions based on real numbers, not guesswork.

A fractional CFO delivers that same strategic financial leadership on a part-time or project basis. Your practice gets senior, healthcare-specific financial expertise without the cost of a full-time executive, and it works alongside your bookkeeper, billing team, and CPA rather than replacing them.

A fractional CFO helps you:

  • Understand exactly where your practice makes and loses money
  • Build budgets and forecasts you can manage to
  • Improve cash flow, collections, and margins
  • Make confident decisions on hiring, expansion, and pay
  • Prepare for lenders, investors, or private equity
  • Plan for partner buy-ins, acquisitions, or a sale
Flexible Leadership

Three Ways to Engage

Every MRC C-suite service is delivered fractionally by default. If your organization needs more, we can step in on an interim basis or help you find the right long-term leader.

Most common

Fractional Leadership

An experienced financial executive working with your practice a set number of days or hours each month. You get CFO-level planning, reporting, and oversight without the overhead of a full-time salary and benefits package.

Bridge support

Interim Leadership

Full-time or near-full-time coverage during a gap in financial leadership, a turnaround, an audit, a system conversion, or a transaction. We keep the numbers accurate and decisions moving while a permanent plan takes shape.

Long-term fit

Executive Placement

When you are ready for a permanent CFO or controller, we help define the role, identify and vet candidates, and support onboarding so your new leader is set up to succeed from day one.

Core Responsibilities

What a CFO Does for a Medical Group

Whether full-time or fractional, the CFO turns your numbers into a plan. Typical areas of responsibility include:

Financial Strategy

Build the long-range financial plan that supports your growth, partner goals, and investment decisions.

Budgeting & Forecasting

Create annual budgets and rolling forecasts so leadership can see what is coming and act early.

Reporting & KPIs

Deliver clear monthly financials and dashboards that physicians and partners can actually use.

Cash Flow & Revenue Cycle

Protect liquidity by tightening collections, A/R, payer mix, and working capital.

Cost Control & Margins

Find savings in staffing, vendors, and overhead without hurting patient care.

Banking, Capital & Investors

Manage lender, investor, and private equity relationships, financing, and capital planning.

Compliance & Controls

Strengthen internal controls, audit readiness, and tax coordination with your CPA.

Deals & Valuation

Support acquisitions, new locations, partner buy-ins, and sale preparation with sound financial models.

Is It Time?

Signs Your Practice Could Benefit from a Fractional CFO

  • You get financial statements, but they do not tell you what to do next.
  • Revenue is up, but cash in the bank is not keeping pace.
  • There is no real budget, or no one is managing to it.
  • You are unsure which providers, locations, or services are profitable.
  • You are planning to borrow, expand, add a location, or acquire a practice.
  • You are preparing for private equity investment, a merger, or a sale.
  • Partner compensation or buy-ins are causing tension or confusion.
  • You need senior financial leadership, but a full-time CFO is not yet justified.
The MRC Approach

How a Fractional CFO Engagement Works

Analyze. Plan. Execute. Every engagement follows a clear structure so you always know what is happening and why.

Discovery

A complimentary strategy session to understand your goals, financial concerns, and priorities.

Assessment

A review of your financials, revenue cycle, costs, and reporting to find the real opportunities.

Roadmap

A practical financial plan with budgets, targets, timelines, and the KPIs we will track together.

Execution

Ongoing reporting, oversight, and hands-on leadership to deliver results and build your finance team.

Why MRC

Financial Leadership Built for Healthcare

Healthcare-Only Focus

We work exclusively with physician medical groups and private practices, so we understand payers, provider compensation, and practice economics.

Operators, Not Just Advisors

Our leaders have run practices themselves. We connect the numbers to daily operations and help your team act on them.

Flexible & Scalable

Start fractionally, move to interim, or transition to a permanent hire. Your financial leadership grows with you.

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  • Chief Executive Officer (CEO)


  • Chief Operating Officer (COO)


  • Chief Financial Officer (CFO)


  • Chief Medical Officer (CMO)


  • Chief Technology Officer (CTO)


  • Chief Administrative Officer (CAO)


  • Practice Administrators


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  • Front Desk, Patient Access & Call Center Management
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  • Information Technology Services
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  • Strategic Planning & Execution
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  • Financial Strategy & Tax Planning
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  • Practice Financial Assessments



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  • Accounting & Bookkeeping Oversight
  • Payroll & Financial Reporting Support
  • Profit & Loss Reporting & Analysis
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  • Marketing Strategy
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  • Short & Long-Term Policy Review & Management



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  • Insurance claims processing
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  • Collection Process & Payment Recovery





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  • EMR/EHR Selection & Implementation


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  • Human Resource Management & Compliance


  • Medical Office Recruitment & Hiring Services


  • New Employee Orientation & Training Program


  • Employee Benefits Review- Medical, Dental & Additional Office Insurance Plans

 

  • 401K- Financial Advisor, Retirement Plan Advisor (CFP, AIF, CRPC)


  •  Tax-Efficient Investment Strategies




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  • Regulatory Compliance (HIPPA & OSHA)
  • Compliance Audits
  • Policy & Procedure Development
  • Employment & Contract Law
  • Practice Formation, Mergers & Acquisitions
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  • Provider Collection & Charge Reporting
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  • Comprehensive Business Plan Development
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  • Site Selection & Lease Negotiation
  • Credentialing & Payer Contracting
  • Equipment & Technology Procurement
  • Grand Opening & Go-to-Market Strategy (Private Practice)


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  • Growth Consulting & Advisory
  • Mergers & Acquisitions Support
  • Market Expansion Strategy
  • Brand Development & Positioning
  • Patient Acquisition & Retention Strategy
  • Service Line Diversification
  • Strategic Partnerships & Alliances













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  • Concierge Medicine Model Transition
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  • Premium Patient Experience Design
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  • Private Pay Fee Schedule Analysis
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