top of page
Outsourced CFO Services

Outsourced CFO Services

Fractional CFO | Virtual CFO | CFO Consulting

Hiring an outsourced CFO to manage your company’s finances is a great way to strengthen and grow your business. For private companies, there are so many choices other than just hiring a full-time and part-time CFO. For example, a Fractional CFOs are outsourced cfos that are retained to work when you need them. Or maybe you want to limit CFO work to a special CFO Consulting project which is another form of outsourced cfo services we offer. Most of our services are virtual cfo services as most work can be completed remotely.


We offer a range of customized services. The first step is to understand how a CFO Advisor can help you. If you are not familiar with how outsourced cfo services and strengthen your healthcare business, you may want to read our blog post How to Use a CFO To Strengthen Your Business.

We Help You Drive The Numbers

Our CFOs Help You Understand the Financial Health of Your Company and Drive Growth

The Healthcare CFO Financial Planning And Analysis and Business Intelligence Services for
The Healthcare CFO Helping Physicians an
  • Save Time And Money
  • Understand Your Finances
  • Transform Your Business
  • Build Leaders Confidence

CFO Services Tailored To Your Needs

Fractional CFO | Virtual CFO | Part-Time CFO | Interim CFO 

We custom-tailor solutions to fit your unique needs in a very complex industry.  We do this by taking a holistic view when building your processes and teams, as opposed to a standard "cookie cutter" package service offered by alternatives.  To get a better idea of what your scope of service might include, take a look at the examples at the bottom of this webpage for growth companies vs. established (mature) companies needs. 

We make it easy for you to plug and play our services into your organization.  We offer flexible service options that are designed to grow with you until such time when you truly need a full-time CFO, which we can also help you with. Our CFO Advisory and Consulting Service includes a team of experienced finance professionals and our services are designed to wrap around your accounting. We utilize a remote Texas based workforce. Our firm utilizes the latest cloud and automation tech stack along with specialized finance software to perform our analysis, 3-way rolling forecasts, and produce monthly management reports and dashboards. You don't need to buy any software - we come equipped!


Not surprisingly, our custom solutions are often less expensive than other alternatives: executive search recruiters, staffing firms, CPA firms offering CFO services, other CFO advisory firms, independent contractors or CFOs, and management consultants. 

Do You Want To Be In The Same Place Next Year?

The Healthcare CFO Financial Planning and Analysis Services Financial Stakes Do You Really

The answer, of course, is no!


Whether it's been a successful year or one you'd rather forget, the goal is always to keep moving forward.


  • What are you doing to make this goal a reality?


  • Have you quantified what your plan means in terms of future profits and cash flows?


  • Are you measuring and monitoring your performance against your plan?  

Our Outsourced CFO Services can help you develop your company's road map, budget and forecast, visualize your business plan, develop strategy, prepare for transactions, present to your board, and help advise you as you navigate your company to the next level. 

Virtual CFO Services For Growing Companies

The scope of services for each client engagement is unique. However, some of the more common examples of Virtual CFO Services for growing and expanding companies include:

  • Build/leverage accounting systems and staffing

  • Internal controls and corporate governance

  • Business process automation

  • Cash flow and working capital management

    • Cash flow forecasting​

    • 13 Week Cash Flow

    • Accounts Receivable and Accounts Payables terms and processes

    • Inventory management

  • Budgeting and preparing financial projections

    • 3-Way Forecasting (P&L, Balance Sheet, Cash Flows)

    • What-if scenario analysis

    • Funding requirements and cash burn

  • Fundraising analysis and advisory

Advisory and analytical support for negotiations and contracting​

  • Management reporting (looking at the financial health, performance, and operations)

    • Variance analysis​

    • Financial ratios and trends

    • Non-financial performance and trends

  • Profitability consulting
    • Product or service pricing and customer mix​
    • Cost accounting
    • Cost reduction and control
    • Productivity (operations)
    • Resource management
    • Digging into profit margin components
Growth Companies

With Only 10% to 20% of Businesses Succeeding 
Your CFO Team Really Matters!

The Healthcare CFO What  Healthcare Star

Client Success Story

Outsourced CFO Solutions and Financial Modeling


"By far the best business planning and financial modeling experience I have been involved with throughout my 30+ year career.  I highly recommend Paula as a CFO and her firm's fractional CFO solutions for startups." 


Co-Founder, CEO, and Board Chairman

Established Companies

Interim CFO Services For Mature Companies

We have a lot of experience helping middle-market business owners in mature industries achieve their working capital and profitability objectives. Some of the more common Virtual CFO Services for companies in competitive industries include:

  • Leveraging system integrations

  • Automating business processes

  • Cash flow and working capital management​

  • Financial Modeling

    • 3-Way Forecasting (P&L, Balance Sheet, Cash Flows)

    • Running what-if scenario analysis

  • Management Reporting​ (looking at the financial health, performance, and operations)

    • Variance analysis​

    • Segment profitability

    • Analyzing non-financial data impacting P&L

  • Competitor benchmarking​

  • Corporate Finance

    • Recapitalizations​

    • Lease vs. buy

  • Profitability consulting

    Resource management

    • Customer and Profit Margin analysis
    • Pricing and customer strategies​
    • Validating price lists and bid models vs. actual costs
    • Digging into projects and cost accounting
    • Cost reduction and control 
    • Productivity (operations)

Outsource Your CFO Work To The Healthcare CFO 

We Care And Want Your Business to Thrive

Owning and running a private company is tough. Your least abundant resource is time and when you are growing - you never have enough cash. These are common growing pains we see clients struggling with: 

  • Owners are overrun with too many responsibilities - working and running the company.

  • Unfamiliarity with what is going on with the financial health and the performance of their companies. 

  • Not getting relevant and impactful information they need to aid in decision making.

  • Encountering growth resistance points and frustrated with an inability to make traction.

  • Feeling something is off or there is a gap, but not exactly sure what "it" is. 

  • Not getting candid feedback, constructive guidance, or practical solutions to tackle problems.

  • Dealing with gaps in organizational design and governance.

We have experience helping clients with these issues and much more. What we do is help you see the big picture and understand how the administrative and operational pieces of your business impact your profitability, cash flow, and/or hold back growth so you can take action. 

How Our CFO Services Benefit Your Business

Save Time
Save Money

Outsource your CFO work to us and optimize your time. Our CFO Services are designed to save you time and find ways to save you money. You will get more done so your company can make more money.

Your Finances

We analyze your financial information and meet with you monthly to provide you with our analysis, insights, and recommendations. We will explain finance and accounting concepts you have questions about.

Make Informed Bus. Decisions

Get timely and relevant business intelligence, ad-hoc analysis, and financial advice to help you  make informed decisions. We help identify and narrow down options 

based on your objectives.

Build Leader Confidence 

We help maximize the Return on Investment on your time and money invested in your business. Our services not only help you increase your financial acumen, but also build confidence in your business and leadership.

Your Business

We help you strategize and plan for growth, devise an action plan, create budgets

and financial projections, forecast your cash sources and uses, secure funding, lower your costs, improve profits, track and measure business performance.

Who We Are

Paula Waggoner-Aguilar The Healthcare CFO Founder and Managing CFO Fractional CFO Services
Paula Waggoner-Aguilar, CPA
CEO & Managing CFO

​Our CFO Firm

  • The Healthcare CFO is a division of The Energy CFO, a successful 9-year old CFO Advisory and Consulting Service Firm headquartered in San Antonio, Texas.

  • We specialize in helping private entrepreneurial organizations in the healthcare (and energy) space.

  • We are a women majority owned and led by an award-winning CFO/CPA. 

Our CFO Team

  • Combined finance and accounting work experience 100+ years.

  • Strong business, strategic, financial, risk management, and operational acumen.

  • Work for Fortune 500, Fortune Global 100, and all sizes of private companies.

CFO, Business, and Industry Awards

  • Winner of the National Association of Women Business Owner's (NAWBO) prestigious "2019 Woman Business Owner of the Year".

  • Business Journal's 2014 "Best CFO for Private Companies".

  • Additional Industry and Community Awards Received by Parent Company

How to Get Started Today - Its Easy! 

1. Contact us to schedule an initial consultation.

  • Complete our prospective client form or

  • Leave us a voice mail or

  • Email us directly

2. We have a Zoom listening session.


  • Learn more about your company

  • Understand your objectives: business, financial, and personal

  • Assess whether our service is a good fit for your business 

​3. We will provide you with a service recommendation and price quote. 


4. Sign our service agreement and we are ready to begin.

What Our Clients Say

The Healthcare CFO Client Success Stories Family Physician Practice Owner Medical Practice

"I have more cash now than I have had in my 20 years in medical practice."


"Your financial insights into my business are amazing. I can't believe what you guys can do with math! You have helped identify issues that no other business advisor has addressed." 


Family Physician

Medical Practice Owner

The Healthcare CFO What Clients Global Sales and Marketing Medical Devices European Busine

"I drew a conceptual picture of a marketing dashboard and analytics I wanted for myself and my managers on a blank sheet of paper.  Paula and Roland delivered exactly what I asked for in the first draft along with new marketing insights we were not aware of.  Wow!" 

Director of Marketing
Public Medical Device Technology Company

bottom of page