Fractional CFO · Finance & Accounting

Your business outgrew guesswork. Your finance function should too.

ALM Advisory Solutions gives growing, owner-led companies executive-level financial leadership: a clear read on your numbers, a forecast you trust, and a CFO in the room for the decisions that matter. All of it sized to your stage, without the cost of a full-time hire.

Strength in Strategy · Confidence in Numbers · Executive Leadership

What happened?Bookkeeper
Is it accurate and controlled?Controller
What should we do next?Your CFO

Most growing companies have someone answering the first two questions. Very few have someone answering the third. That's the seat ALM fills.

Sound familiar?

Your business is thriving. Your financial leadership should match it.

Growth raises the stakes on every decision: hiring, pricing, expansion, borrowing. The spreadsheet that carried you to here won't carry you to what's next. These are the signs we hear most often.

Revenue is up. Profit isn't.

Sales keep climbing, but margin feels like a guess and the bottom line never quite reflects the effort.

Cash is always tight.

The P&L looks healthy, yet payroll week still brings a knot in your stomach. Nobody can tell you what cash looks like 13 weeks out.

Big decisions run on instinct.

You're weighing a hire, a location, or a price change without a model underneath it, because there isn't one.

The numbers arrive too late.

By the time the month closes, the moment to act has already passed. You're steering by the rear-view mirror.

No one owns finance.

Your bookkeeper records, your CPA files, and every question in between lands on your desk.

A lender, investor, or buyer is asking.

A loan, a raise, or an exit is on the horizon, and your current reporting can't answer the questions they will ask.

If two or more of these hit home, it's time for a CFO. Not necessarily a full-time one.

Score your business
Financial check-up

Is it time for a CFO? Score your business in two minutes.

Check every statement that's true today. Your answers stay on this page.

The math

CFO-level leadership at a fraction of the full-time cost.

A full-time CFO, once you add salary, bonus, benefits, and payroll taxes, typically costs a growing business $300,000 to $500,000 a year. Most companies under $25M in revenue don't need that seat 40 hours a week. They need the judgment.

Services

Comprehensive financial advisory, built around your stage.

Engage us for the full partnership, or start with one piece and grow from there.

Ongoing · Retainer

Fractional CFO

Executive financial leadership that sits beside you and your leadership team, owning the forward-looking side of finance.

  • 13-week rolling cash forecast
  • Budgets, forecasts & KPI dashboards
  • Pricing & margin strategy
  • Banking, lender & investor relationships
  • Board-ready reporting
Retainer or Project

Strategic Planning & Analytics

Connect your numbers to your long-term vision so every major decision has a model behind it.

  • Annual budget tied to strategic plan
  • 3–5 year financial models
  • Scenario & sensitivity analysis
  • Hiring & expansion ROI
  • Peer benchmarking
Project

AI Organization Integration

Put AI to work inside your finance and operations, with the controls and training that make it stick.

  • AI readiness assessment
  • Automated reporting & forecasting
  • Workflow redesign for finance teams
  • Tool selection & rollout
  • Team training & guardrails
Retainer + Success

M&A Advisory

Buy-side, sell-side, or getting ready for either. We make sure your numbers hold up under diligence.

  • Exit & sale readiness
  • Quality-of-earnings preparation
  • Due diligence & data room
  • Valuation support
  • Post-close integration
Ongoing · Retainer or Workshop

Business Coaching & Mentorship

Develop the team you already have. We coach owners and mentor finance and operations staff so better decisions happen at every level, not just in the CFO seat.

  • One-on-one coaching for owners & leaders
  • Mentoring your bookkeeper, controller & finance staff
  • Financial literacy training for managers
  • KPI ownership & accountability rhythms
  • Team structure, hiring & succession planning
Project · Fixed fee

Financial Assessment

A top-to-bottom review of your last three years of financials that shows where profit and cash are leaking and what to fix first. It’s the best place to start.

  • 3-year historical review, findings in 3–4 weeks
  • Profitability by service, product & client
  • Cash flow & working capital review
  • Pricing, margin, team & systems review
  • Written roadmap with prioritized next steps
Who does what

Bookkeeper, controller, CFO: three different jobs.

Each role matters. The trouble starts when a business expects one of them to do all three. Here's where each one begins and ends.

BookkeeperRecords the past ControllerProtects accuracy Fractional CFOShapes what's next
Core questionWhat happened?Is it right, complete, and controlled?What does it mean, and what should we do?
Typical workTransactions, reconciliations, AP/AR, payroll entriesMonth-end close, internal controls, financial statements, audit prepForecasting, cash strategy, pricing, capital raises, M&A, board and lender reporting
Time horizonLast monthThis quarterThe next 12 to 36 months
OutputClean ledgerReliable, timely reportsDecisions, plans, and a financial story others trust
When you need itFrom day oneOnce volume and complexity growWhen decisions carry real weight and you can't afford to guess

ALM is the CFO seat only. We work alongside your existing bookkeeper, controller, and CPA, give them clear direction, and help them grow into a stronger team.

Engagements & pricing

Priced to your stage. Built to grow with you.

Every engagement is scoped after a discovery call, but you shouldn't have to guess where we start.

Not ready for ongoing support?

CFO Strategy Hour

A CFO for the decision in front of you.

A focused, one-time session for owners facing a key decision right now: setting next year’s budget, deciding where to put cash to work, or weighing a hire or a big purchase. We review your numbers first, then sit down together, so you leave knowing exactly where you stand and what to do next.

Starting at
$395 one-time
A $695 value

What’s included

  • 30-minute review of your financial statements before we meet ($200 value)
  • 60-minute one-on-one strategy session by Zoom ($495 value)

You’ll leave with

  • Clear recommendations to strengthen your finances
  • Confidence in the direction you’re heading
  • Answers your bookkeeper isn’t set up to give
  • Advice tailored to your business, not a template
  • A recording of our session to revisit anytime
The path to clarity

Diagnose first. Then build the foundation.

Step 1

Financial Assessment

A 3-year historical review: two weeks of analysis, then your findings report in weeks 3–4.

Flat fee
$4,800 one-time
  • 3-year historical financial review
  • Profit & cash leak review
  • Pricing & margin analysis
  • Team & systems review
  • Written findings, priorities & debrief
Step 2

Strategic Financial Roadmap

We put the Assessment’s findings to work and build a foundation you can grow on.

Typical investment
$10K–$20K per project
  • Accounting & reporting cleanup, led and overseen by us
  • A strategic budget built around your goals
  • KPIs and a monthly reporting package
  • Hands-on CFO support for the issues we uncovered
  • Practical and tactical, about 2–3 months on average
Ongoing fractional CFO support

A CFO in your corner, every month.

CFO Essentials

Lighter-touch CFO oversight for early-stage or simpler businesses.

Starting at
$2,000 /mo
  • A few hours of CFO time each month
  • Quarterly review & planning session
  • Basic financial oversight & KPI check-ins
  • Email access between reviews
  • Guidance for your bookkeeper & CPA

CFO Advisory

A 10-hour monthly engagement for owners who need a strategic sounding board.

Starting at
$3,500 /mo
  • Monthly financial review & strategy session
  • Budget vs. actual reporting
  • KPI dashboard
  • On-call decision support
  • Guidance for your bookkeeper & CPA

Executive CFO

A deeper, 20–25 hour monthly engagement for rapid growth, capital raises, or transaction prep.

Starting at
$10,000 /mo
  • Everything in Full Fractional CFO
  • Capital raise & refinancing
  • Sale or acquisition readiness
  • Board meeting participation
  • Finance team oversight
À La Carte

Project engagements

Fixed scope, fixed fee, quoted after discovery. Add to any plan or book on their own.

Strategic PlanningModels, budgets, and scenario plans for a defined decision
AI IntegrationAssessment, rollout, and training for finance and operations
M&A AdvisoryRetainer plus success fee, credited at close

Retainers can be billed monthly or semimonthly (1st and 15th). Pricing varies with transaction volume, number of entities, and industry complexity.

Our process

A clear path in. No long-term lock-in.

130 minutes · Free

Discovery call

We talk through where the business stands, what's keeping you up at night, and whether we're the right fit.

2Weeks 1–4

Financial Assessment

Two weeks inside three years of your financials, systems, and cash cycle, then your written findings and priorities in weeks 3–4.

3Months 2–4 (typical)

Strategic Financial Roadmap

We fix the foundation: cleaner reporting, a real budget, KPIs, and CFO support for the issues we found.

4Monthly

Ongoing partnership

A steady rhythm of close reviews, reporting, strategy meetings, budgets, and forecasts, scaling up for a raise, acquisition, or exit when you need it.

Fixed monthly feeNo surprise hourly bills
90-day startThen month-to-month
NDA firstBefore any data changes hands
Remote, with on-site visitsMonthly or quarterly, as you need
April Marrs, Founder of ALM Advisory Solutions
April MarrsFounder & Fractional CFO
About ALM

A financial partner, not just a report.

Numbers only matter when someone turns them into a decision.

ALM Advisory Solutions was founded to give growing businesses the kind of financial leadership usually reserved for companies with a full executive team. We embed with your leadership, learn how your business actually runs, and take ownership of the finance function from the ledger to the boardroom.

Whether you're a founder navigating early growth, an owner who wants to take home more of what the business earns, or an established company planning its next chapter, we bring the expertise to get you there, and the plain language to make sure you understand every step.

Meet the founder

April Marrs is a results-driven, hands-on strategic finance executive with over 15+ years of experience driving performance, strategy, and transformation across high-growth and complex organizations.

She has proven expertise in budgeting, forecasting, and long-term planning, and in aligning finance operations with broader business goals. She is known for building agile finance teams, implementing scalable systems, process improvements, and partnering with leadership to drive growth and profitability.

Most recently, she was CFO of a $200M independent, family-owned grocery retailer, where she rebuilt the finance team, led acquisitions and divestitures, reduced operating costs, and completely transformed the finance function. She started her career in public accounting as an auditor with Grant Thornton LLP and holds a B.S. in Accounting and an MBA in Finance.

Today she brings that experience to owner-led businesses, needing guidance and explaining Finance in plain English. What she enjoys most is working with the small businesses that need a CFO’s judgment but can’t justify a full-time CFO’s salary. Those owners are often making their biggest decisions, like a new location, a key hire, or a major loan, with the least financial support.

April loves being the person in their corner: turning a stack of reports into a clear answer, showing an owner exactly where the money is going, and coaching their team so the business keeps getting stronger. For her, the best part of the work is watching an owner go from worrying about the numbers to leading with them.

Executive-level expertiseA seasoned finance leader, without the six-figure salary.
Truly flexibleFrom 10 hours a month to 25, scaled up or down as your needs change.
Strategic, not just tacticalWe interpret, challenge, and shape. We don't just report.
We build your teamWe mentor your people so the gains last after we step back.
Who we serve

Owner-led companies at an inflection point.

~$1M – $5M revenue

Growing past the spreadsheet

You've outgrown running finance on instinct. You need a real budget, a cash forecast, and someone to call before big decisions like these:

  • Should we open our next location?
  • Can we make the next hire, and what will it do to the full financial picture?
  • Can we afford that big equipment purchase, and what’s the best way to finance it?
  • Are our prices keeping up with rising costs?
  • Which clients or jobs actually make us money?
  • How much can I safely pay myself?
  • Why is cash tight even in a good month?
~$5M – $50M revenue

Scaling with complexity

Multiple locations, entities, or service lines. You have a bookkeeper and maybe a controller, but no one owns strategy, cash, and capital.

Any size · Event-driven

Preparing for what's next

A bank loan, investor round, acquisition, sale, or succession plan. You need your numbers ready before anyone asks for them.

Common questions

What owners ask before the first call.

What is a fractional CFO?

A senior finance executive who works with your business part-time on a retainer. You get the same strategic leadership as a full-time CFO (forecasting, cash strategy, capital planning, and reporting) scaled to the hours your business actually needs.

Do you do bookkeeping or taxes?

No. ALM provides CFO-level services only. We work alongside your bookkeeper, controller, and CPA, set direction for them, and mentor your team. If you need one of those roles filled, we’ll refer you to trusted partners.

My books are a mess. Can you still help?

Yes. The Financial Assessment will show exactly what needs fixing. We'll point you to a trusted bookkeeping partner for the cleanup, oversee the work, and build forecasting and strategy once the numbers are reliable.

How much of my time will this take?

Less than you spend on finance today. Most of the work happens on our side. Expect a monthly strategy session and quick check-ins as decisions come up.

How long is an engagement?

We ask for an initial 90 days so there's time to build a real forecasting rhythm and show results. After that, retainers run month to month and scale up or down as your needs change.

Do you work remotely or on-site?

Primarily remote, with on-site visits monthly, quarterly, or as needed for planning sessions, board meetings, and lender or buyer meetings. We're based in Maryland and work with clients nationally.

Can you help us raise capital or sell the business?

Yes. Getting your numbers ready for lenders, investors, or buyers, and supporting you through diligence, is core CFO work and the focus of our M&A Advisory service.

Let's talk

Let's find the clarity in your numbers.

A free, 30-minute consultation. No commitment, just a conversation about where your business stands and where it could go.

EmailApril.Marrs@ALMAdvisorySolutions.com
Based inMaryland · Serving clients nationwide

Let’s find the clarity in your numbers.

Book a Free Consultation
← Back to Insights Getting started

Seven signals your business has outgrown its finance team

By April Marrs, Founder & Fractional CFO

Most owners don't wake up one morning and decide they need a CFO. It creeps up on them. The business grows, the decisions get bigger, and the finance support that worked at $1M quietly stops working at $5M. Here are the signals I see most often, and what each one usually means.

1. Revenue is up, but profit isn't

This is the most common one, and the most frustrating. Sales grew 20% and the bank account doesn't look any different. Usually the answer is hiding in one of three places: pricing that hasn't kept up with costs, a handful of customers or jobs that lose money, or overhead that grew faster than anyone noticed. Your P&L shows the total. It doesn't show you which part of the business is carrying the rest.

2. Cash is always tight, even in a good month

Profit and cash are not the same thing. A business can be profitable on paper and still struggle to make payroll because customers pay slowly, inventory ties up money, or a loan payment lands at the wrong time. If you can't say with confidence what your bank balance will be in 90 days, you're managing cash by feel. The fix is a rolling 13-week cash forecast, updated weekly. It's one of the first tools I build for every client, because it turns surprises into decisions you can make ahead of time.

3. Big decisions are made on instinct

Should we open the second location? Can we afford two more hires? Should we lease or buy the new equipment? Owners make these calls every year, and many make them with a gut feeling and a quick look at the bank balance. Instinct matters. But a simple model that shows what the decision does to cash, margin, and break-even over the next 12 to 24 months turns a guess into a plan.

4. Your numbers arrive too late to use

If your monthly financials show up 30 or 45 days after month-end, you're steering by the rear-view mirror. By the time you see a problem, it has already cost you another month. A healthy close for a small business is 10 to 15 business days. At a company I worked with, we moved the close from quarterly to monthly, and leadership started catching issues while they were still small.

5. Nobody really owns finance

Your bookkeeper records transactions. Your CPA files your taxes. Both do important work. But when the question is "What should we do next?", it lands on your desk, on top of sales, operations, and everything else you're responsible for. When finance has no owner, the forward-looking work just doesn't get done.

6. You don't have a budget you actually use

Plenty of businesses have a budget. Far fewer compare it to actual results every month and act on the differences. A budget that lives in a drawer is a document. A budget you review monthly, with someone explaining the variances, is a management tool. It's also how you catch overspending early. At a $200M grocery retailer, a zero-based budgeting process I led identified $2.4M in operating costs the business didn't need.

7. A lender, investor, or buyer is starting to ask questions

A bank wants projections for a line of credit. A partner wants to buy in. Someone asks if you'd ever consider selling. The questions they ask (What's your EBITDA? What do your margins look like by service line? What's your 12-month forecast?) are hard to answer on the spot. Getting those answers ready before anyone asks puts you in a much stronger position.

What to do if several of these sound familiar

If two or three of these hit home, you don't necessarily need a full-time CFO. Most businesses under $25M in revenue need the judgment, not the 40-hour-a-week seat. That's exactly what a fractional CFO provides: senior financial leadership, scaled to the hours your business actually needs.

A good first step is a financial assessment. I review three years of history, find where profit and cash are leaking, and give you a written roadmap of what to fix first. From there, you can decide how much ongoing help makes sense.

Want to see where your business stands?

Take the 2-Minute Check-Up
← Back to Insights The role

What a fractional CFO does, and what we don't

By April Marrs, Founder & Fractional CFO

"Fractional CFO" has become a popular title, and it means different things to different people. Before you hire anyone, it helps to know exactly where the role starts and stops.

The short version

A bookkeeper tells you what happened. A controller makes sure it's accurate and controlled. A CFO tells you what it means and what to do next. A fractional CFO does that third job part-time, at a fraction of the cost of a full-time executive.

What a fractional CFO does

Builds your forward view. Budgets, forecasts, and a rolling 13-week cash forecast, so you can see problems and opportunities before they arrive instead of after.

Turns numbers into decisions. Should you raise prices? Add a location? Hire now or next quarter? A CFO builds the model behind the decision and walks you through the trade-offs in plain language.

Finds the profit you're leaving on the table. Margin by customer, job, product, or service line. Pricing that hasn't kept up with costs. Spending that crept up without anyone noticing. This is often where the engagement pays for itself.

Manages cash and banking relationships. Working capital, lines of credit, loan covenants, and the conversations with your banker. In one role, restructuring the company's debt eliminated about $200,000 a year in interest expense.

Picks the few numbers that matter. Most businesses track too many metrics or none at all. A CFO identifies the handful of KPIs that actually drive your results and puts them on one dashboard you'll look at.

Gets you ready for big moments. Bank loans, investors, acquisitions, or a sale. The numbers need to hold up when someone looks closely, and that preparation takes months, not days.

Develops your team. A good fractional CFO gives your bookkeeper and controller clear direction and helps them grow, so the improvements last after the engagement scales back.

What a fractional CFO doesn't do

Bookkeeping. Entering transactions, reconciling accounts, and running payroll are essential, but they're a different job. I work alongside your bookkeeper, and if you don't have a good one, I'll refer you to someone I trust.

Tax preparation and filing. That's your CPA's work. A CFO plans with your CPA so there are no surprises, but doesn't replace them.

Audits. An independent auditor can't also be part of your management team. I started my career as an auditor at Grant Thornton, so I know how to get a company ready for one, but the audit itself belongs to an outside firm.

Make your decisions for you. It's your business. My job is to make sure every big decision is made with clear numbers and an honest view of the risks. The call is still yours.

How it works in practice

Most fractional engagements run on a fixed monthly retainer. A lighter engagement might be around 10 hours a month: a monthly financial review, a strategy session, and on-call support when decisions come up. A deeper engagement for a company going through fast growth, a raise, or a sale might be 20 to 25 hours a month.

The work is mostly remote, with on-site visits for planning sessions, board meetings, or meetings with lenders and buyers. You get a senior finance leader who knows your business, without a six-figure salary, benefits, and a full-time seat you may not need yet.

Is it the right fit?

A fractional CFO makes the most sense when your business has real complexity (growth, multiple locations, financing decisions, a team that needs direction) but can't yet justify a $300,000 to $500,000 full-time executive. If you're not sure which side of that line you're on, a short conversation usually makes it clear.

Not sure what level of support you need?

Book a Free Consultation
← Back to Insights Hiring

How to hire a fractional CFO: from first call to signed scope

By April Marrs, Founder & Fractional CFO

Hiring a fractional CFO is a big decision, and most owners have never done it before. The good news is that the process doesn't need to take months. Here's how I'd approach it if I were on your side of the table, in six steps.

1. Write down the problem, not the title

Before you talk to anyone, write two or three sentences about what isn't working. "Cash is always tight and I don't know why." "I want to open a second location and need to know if we can afford it." "The bank wants projections and I don't have any." A clear problem helps you find the right person and makes every conversation more useful.

2. Decide on a rough scope and budget

Do you need ongoing leadership, or help with one specific project? Ongoing fractional CFO work typically runs $4,000 to $10,000 or more per month depending on hours and complexity. A one-time project, like a financial assessment or a model for a specific decision, is usually a fixed fee. Knowing your range up front saves everyone time.

3. Look for the right experience, not just the right résumé

Credentials matter, but fit matters more. Look for someone who has actually sat in the CFO or senior finance seat, not only advised from the outside. Ask whether they've worked with businesses your size and in situations like yours: growth, turnaround, acquisitions, or getting ready to sell. Someone who has only worked at billion-dollar companies may not be comfortable in a 20-person business, and the reverse is also true.

4. Ask the questions that reveal how they work

Listen for specifics. Vague answers now usually mean vague deliverables later.

5. Get a written scope before you sign

A good proposal should include:

If a proposal can't tell you what you'll get each month, keep looking.

6. Plan the first 90 days together

The first three months set the tone. In my engagements, the first few weeks are spent inside the numbers: three years of history, your systems, your cash cycle, and your team. That's followed by a written roadmap with clear priorities. By the end of 90 days, you should have a working cash forecast, a monthly reporting rhythm, and at least one or two concrete wins. That's also a fair point to decide whether to adjust the scope.

A few red flags

The right fractional CFO should feel like a partner who understands your business and tells you the truth about it, even when it's not what you want to hear.

Have questions about the process?

Book a Free Consultation
← Back to Insights Profitability

Why a 50% gross margin can still sink a service firm

By April Marrs, Founder & Fractional CFO

A 50% gross margin sounds healthy. For a lot of service businesses (consulting, marketing agencies, engineering, IT services, contractors) it's the number owners point to when they say the business is doing fine. But gross margin only tells you half the story, and the other half is where many service firms quietly get into trouble.

What gross margin leaves out

Gross margin is revenue minus the direct cost of delivering the work, which for a service firm is mostly the people doing it. What's left has to cover everything else: rent, software, insurance, admin staff, sales and marketing, the owner's salary, and ideally some profit. That second layer is overhead, and it's where margin disappears.

Here's a simple example. A firm bills $3M a year with a 50% gross margin, so $1.5M is left after paying the people who do the work. If overhead runs 40% of revenue ($1.2M), the business earns $300,000, or 10%. That sounds fine until you remember the owner's fair salary may be buried in overhead, one lost client can wipe out the profit, and there's nothing left to reinvest.

A healthier way to look at it

Instead of focusing on gross margin alone, look at three layers of every revenue dollar:

Many well-run service firms aim to keep delivery costs somewhere around 50 to 60% of revenue, overhead around 20 to 30%, and profit in the 15 to 20% range. Your targets will depend on your industry and model, but if profit is under 10%, one bad quarter can put the business at risk.

Where the margin usually leaks

Utilization. If your team is paid for 40 hours but only 25 are billable, your real delivery cost is much higher than it looks. Small drops in billable time add up fast.

Write-offs and discounts. Hours worked but not billed, scope creep on fixed-fee jobs, and "just this once" discounts rarely show up clearly on the P&L, but they come straight out of profit.

Pricing that hasn't moved. Wages, insurance, and software costs go up every year. If your rates haven't moved in two or three years, your margin has been shrinking even if nothing else changed.

Overhead creep. A new tool here, an extra admin hire there. Each one makes sense on its own, but together they can add several points to overhead without anyone deciding they should.

Unprofitable clients or jobs. Most firms have a few clients that take far more time than they pay for. Without margin by client or project, they're invisible.

What to do about it

  1. Measure margin by client and by job. This is usually the most eye-opening exercise. In many firms, a small group of clients produces most of the profit.
  2. Track utilization monthly. Compare billable hours to paid hours for each person and each team.
  3. Review pricing every year. Build annual increases into contracts and re-price work that consistently runs over.
  4. Put overhead on a budget. A zero-based review, where every expense has to justify itself, often finds more savings than owners expect.
  5. Pay yourself a fair salary first. Then measure profit. Otherwise the business looks healthier than it is.

None of this requires complicated software. It requires someone to set up the right reports and look at them every month. That's often the fastest return on a CFO engagement: finding profit the business has already earned but isn't keeping.

Want to know where your margin is going?

Ask About a Financial Assessment
← Back to Insights Industry

When a medical or aesthetic practice needs a CFO

By April Marrs, Founder & Fractional CFO

Physicians, dentists, and aesthetic practice owners are trained to treat patients, not to run a multi-million-dollar business. Yet a growing practice has all the financial complexity of any other company, plus some that are unique to healthcare. Here are five moments when a practice's financial needs change, and what to think about at each one.

1. Opening a second location

A new location is usually the biggest financial decision a practice makes. Build-out, equipment, staffing, and marketing all come before the first patient walks in, and a new site often takes 12 to 24 months to reach steady profitability. The question isn't only "Can we afford to open it?" but "Can we afford for it to ramp slowly?" A location-level model that shows break-even, cash needs month by month, and what happens if patient volume comes in 20% below plan is the difference between an expansion and a gamble.

2. Buying major equipment

Lasers, imaging systems, and treatment devices can cost six figures. Before buying, you want to know how many procedures it takes to pay for the device, how realistic that volume is, and whether to buy, lease, or finance it. The right financing structure can matter as much as the purchase price. Equipment that sits unused is one of the most common ways practices lose money.

3. Changing how providers are paid

Salary, production-based pay, or a mix? Adding a nurse injector, physician assistant, or associate is a big step, and the compensation model affects both your margin and your culture. A CFO can model what each structure costs at different production levels so the plan is fair to the provider and sustainable for the practice.

4. Shifting the revenue mix

Many practices are adding cash-pay services, memberships, or retail products alongside insurance-based care. Each has a different margin, a different cash cycle, and different risks. Memberships create predictable revenue but need to be priced correctly. Retail and injectables tie up money in inventory. Insurance revenue depends on clean billing and collections. Knowing your true profit by service line tells you where to grow and where to pull back.

5. Planning for a partner buy-in, sale, or private equity offer

Private equity firms and larger groups have been actively buying practices. If you get an offer, or want to bring in a partner, the value of your practice will be based on normalized earnings: what the business earns once owner compensation and one-time costs are adjusted. Buyers will look closely at your financial records. Having clean, well-documented financials and a clear view of your practice's value puts you in control of the conversation instead of reacting to it.

The numbers every practice owner should know

If you can't answer most of these quickly, the practice has likely grown past what your current setup can support.

Where a fractional CFO fits

Most practices don't need a full-time CFO. They need someone senior who can build the models, keep an eye on cash and margin, work alongside their billing team and CPA, and be in the room for the big decisions. That's what a fractional engagement provides, at a cost that makes sense for a practice.

Planning a new location or major purchase?

Book a Free Consultation
← Back to Insights AI in finance

From chaos to clarity: what AI can take off your finance team's plate

By April Marrs, Founder & Fractional CFO

Every owner I talk to has heard that AI will change how businesses run. Very few know where to start. In finance, the answer is surprisingly practical: AI is very good at the repetitive, time-consuming work that keeps your team from doing the thinking. Used well, it gives you faster numbers and frees people up for the work that actually needs judgment.

Where AI helps most today

Categorizing transactions. Tools built into modern accounting systems can learn how your business codes expenses and handle most of it automatically. Your bookkeeper reviews the exceptions instead of coding every line.

Capturing bills and receipts. Invoices can be read, matched to purchase orders, and routed for approval without anyone retyping them. This alone can save hours every week and reduce errors.

Speeding up the month-end close. Reconciliations, flagging unusual entries, and pulling reports together can be partly automated, which helps close the books faster so the numbers arrive while they're still useful.

Drafting variance explanations. AI can compare actual results to budget and draft a first pass at explaining what changed. A person still reviews it, but they start from a draft instead of a blank page.

Building and updating forecasts. Models can be refreshed with new data automatically, and AI tools can help test different scenarios quickly: what happens if sales drop 10%, or if we hire three people in the spring?

Spotting anomalies. Duplicate payments, unusual vendor charges, and spending that doesn't match past patterns can be flagged automatically. In one CFO role, tightening controls helped me identify and recover more than $250,000 in missing cash. Automated monitoring makes that kind of problem much easier to catch early.

Dashboards on demand. These tools let owners ask questions of their data in plain English instead of waiting for someone to build a report.

What AI shouldn't do on its own

AI is fast, but it isn't accountable. It can be confidently wrong, and it doesn't know your business the way you do. In finance, that means a few firm rules:

How to get started without the chaos

  1. Start with your biggest time drain. Ask your team where they spend the most hours on repetitive work. That's usually your best first project.
  2. Clean up the foundation first. AI works best on organized data. A clear chart of accounts and consistent processes make every tool more effective. When I've moved companies from QuickBooks to NetSuite, remapping the chart of accounts first made everything after it easier.
  3. Pick one tool and one process. Get it working, measure the time saved, then expand.
  4. Train your people. The goal isn't to replace your team. It's to give them better tools so they can spend more time on analysis and less on data entry.
  5. Set the rules up front. Decide what gets reviewed, who approves what, and how data is protected before you roll anything out.

Done right, AI doesn't replace financial judgment. It gives your team, and you, more time to use it.

Curious what AI could do for your finance team?

Ask About AI Integration