Outsourced CFO Services

Virtual | Fractional | Part Time | Consulting

For private companies, there are so many choices other than hiring a full-time CFO.  We offer a range of customized services. The first step is to understand how a CFO Advisor can help you.

We Help You Drive The Numbers

Our CFOs Help You Understand the Financial Health of Your Company and Drive Growth
  • Save Time AND Money

  • Understand Your Finances

  • Transform Your Business

  • Build Leaders Confidence

The Healthcare CFO Helping Physicians an
Outsourced Financial Planning, Data Anal

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

The Healthcare CFO Financial Planning an

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?  

With Only 10% to 20% of Businesses Succeeding 

Who You Have On Your Team Really Matters!

The Healthcare CFO What  Healthcare Star

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

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Custom Outsourced CFO Solutions

Plug Us Into Your Organization And We Get Started Right Away...

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. more 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. 

Our Value To Our Clients

CFO & Financial Management Advisory Services
Save Time and
Save Money
Consulting Services
Understand Your Finances
Make Informed
Bus. Decisions 

Get timely and relevant business intelligence, ad-hoc and scenario analysis, and financial advice to help you make informed decisions. We help identify and narrow down alternatives based on your objectives.

Build Leader Confidence

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

CFO & Financial Management Advisory Services
Transform Your Business

We help you strategize,

plan for growth, devise  action plans, budget, forecast cash, create financial projections,  secure funding, pricing, reduce costs, improve margins, track and monitor performance.

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

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.

Hire The Healthcare CFO Today

We Care About Our Clients The Healthdare

We Want You AND 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. 

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Who We Are

Paula Waggoner-Aguilar President & CEO T
Paula Waggoner-Aguilar
CEO & Managing CFO

Our Firm

  • The Healthcare CFO is a division of The Energy CFO, a successful 8-year old CFO Advisory and Consulting Firm headquartered in San Antonio, Texas.

  • We specialize in helping private entrepreneurial organizations.

  • We are a women majority owned and led by an award-winning CFO/CPA. Both owners work as CFOs.



"The ability to be so innovative is a great talent, and Paula/her firm will continue to rise and be even more successful than they are now."  NAWBO President, Shirley Crandall 

Its Easy! Get Started Today! Contact The

How to Get Started Today - 4 Easy Steps! 

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.

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Virtual CFO Services For Growing Companies

While the scope of services for each client engagement is unique, 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

  • 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
  • Advisory and analytical support for negotiations and contracting​

Virtual CFO Services For Established 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

    • 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)
    • Resource management
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What Clients Say About Working With Us

The Healthcare CFO What Physician Owners

"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

Physician / Practice Owner

The Healthcare CFO What  Healthcare Star

""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." 



Regenerative Medicine

PreRevenue Startup

Chairman & CEO

The Healthcare CFO What Clients Say Abou

"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

Director of Global Marketing