Physician CFO Service Framework
Tailored Physician CFO Advisory
The Healthcare CFO offers a modular Physician CFO Service framework designed to be as unique as your practice. We move beyond standard accounting to provide deep-tier financial leadership—from analyzing your EHR revenue cycle (e.g., Athenahealth, eClinicalWorks, or similar platforms) to architecting detailed cash flow and financial forecasts. Our services are structured as a menu of strategic options, allowing you to select the level of intelligence and planning support your practice requires to drive growth and maximize owner distributions.
Financial Vitals
The MFOR™
The Foundation: Monthly performance monitoring and CFO-led leadership review.
Move beyond basic bookkeeping and accounting. Our proprietary MFOR™ (Monthly Financial and Operational Review) framework treats your practice's financial health like a clinical patient—monitoring vitals and identifying issues before they become crises.
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Deep-Dive P&L, Balance Sheet, and Cash Flow Analysis
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Key Performance Scorecards (KPIs)
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Financial Health & Ratio Benchmarking
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Executive Summary & Action Plan
Practice Intelligence
Data Driven Insights
The Deep Dive: Operational and cash flow intelligence.
We bridge the gap between your EHR (Athena, eCW) and your bank account. We analyze your medical billing data at the payer (insurance company) level to identify operational "leaks" and optimize your cash flow timing.
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13-Week Cash Flow Forecasting
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Billing Provider Performance Analysis
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Multi-Location Profitability Tracking
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Operational Variance Reporting
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Margin Resilience Monitoring
Growth Strategy
Future-Proofing & Scaling
The Roadmap: Strategic scaling and capital planning.
Gain the agility to pivot. Whether you are expanding into concierge medicine, acquiring new equipment, or planning a 5-year exit, we provide the math and the roadmap.
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Quarterly Financial Forecasting
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Service Line & Ancillary ROI Analysis
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Strategic Expansion & Capital Planning
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Scenario & "What-If" Planning
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Strategic Board-Level Advisory
Our Physician CFO framework creates a seamless bridge between your daily operations and your ultimate expansion or exit goals. By integrating Practice Intelligence (detailed 13-week cash flow forecasting) with Growth Strategy (multi-year financial modeling), we provide the agility to handle today’s reimbursement challenges while maintaining a clear sightline toward your future objectives.
Whether we are identifying operational leaks through multi-location analytics or stress-testing a "What-If" expansion scenario, our focus remains on Owner ROI. We provide the mathematical roadmap and the strategic board-level advisory necessary for private physician-owners to move from reactive management to proactive, multi-year clarity.
Every practice needs a financial roadmap to meet its growth expectations. To learn more about the strategic benefits of fractional leadership, see our deep-dive: How Outsourcing Your CFO Work Can Strengthen Your Medical Practice.
The "Invisible Burden" of Practice Management
Stop the Balancing Act and Start Scaling
As a physician-owner or concierge leader, you expertly manage clinical excellence. But in today’s increasingly complex environment, the "invisible" burden of financial management is often what prevents true growth.
For practices in the $4M to $300M revenue range, the stakes have never been higher. Are you facing these critical growth barriers?
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Shrinking Margin Resilience: Identifying operational "leaks" before they drain your hard-earned profits.
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Reactive Cash Management: Struggling with reimbursement cycles that are slower than your peers or inconsistent cash flow.
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A "Static" Financial Future: Lacking the agility to pivot when market shifts or rising operational costs test your traditional business model.
Don’t wait for distress to become a disaster. Move from reactive management to proactive, 5-year strategic clarity.
CFO Clients' Success Stories
Texas Doctor Knocked It Right Out of the Ballpark!
“Thank you Paula and Roland (and the team)…I have more cash in the bank now than I have had in my 20 years in medical practice.”
Family Physician
“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 advisor has addressed.”
Physician
Inside the MFOR™ Framework
Monthly Financial & Operations Review
Agility in today's healthcare market requires a deep understanding of your practice's financial dynamics and a commitment to data-driven decision-making. The Monthly Financial and Operations Review (MFOR™) is our proprietary framework designed to move beyond basic accounting by integrating financial performance, cash flow management, and strategic growth benchmarks into a single executive discussion. This specialized service empowers medical practice owners to transform raw clinical data into actionable strategies that protect profit margins and fuel long-term expansion.
Advanced MFOR™ Strategic Insights:
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Performance Benchmarking: Identifying vital financial metrics and comparing your practice against industry benchmark data to enhance financial performance.
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Strategic Growth Planning: Evaluating the financial viability of new service lines, such as concierge models or expanded patient care offerings.
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Scenario & Ad Hoc Analysis: Conducting "What-If" planning for equipment acquisitions, staff expansions, or owner ROI optimizations.
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Risk & Technology Integration: Developing mitigation strategies for emerging industry risks and leveraging technology to optimize workforce efficiency.
Deep-Dive P&L and Balance Sheet Analysis
We help you review your business vitals, assess the financial health of your company, and tackle problems so you can grow.
Our Monthly Financial and Operational Review or MFOR™ includes:
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Profit and Loss Analysis
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Balance Sheet Analysis
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Cash Flow Analysis
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KPI / Performance Scorecard
Other Features
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Executive Summary
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Action Plan
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Key Financial Ratios
Optional Service Plans
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Revenue Management Data
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Operational Analysis
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Continuous Forecasting
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Forecast vs. Actual Variance Reporting.
Specialized Cash Flow Management
It's not uncommon for new clients to tell us they don't know where their cash goes. We can help you follow-the-money, prepare or teach your staff how to create a 13-week cash flow forecast, anticipate future cash shortfalls, and put together an action plan to manage your work capital and identify cash sources.
Hire The Healthcare CFO For Your Medical Practice
We Want You and Your Practice to Thrive
Owning and running a private company is tough. Your least abundant resource is time, and if you are growing, you never have enough cash flow. It's common for us to see clients often hit a series of growing pains.
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Struggling to treat patients and run their businesses because they are overwhelmed with too many responsibilities.
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Unfamiliarity with the financial health of their companies.
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Not getting relevant and impactful information they need to aid in decision making.
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Encountering growth resistance points and frustrated with an inability to make traction.
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Feeling something is off or there is a gap, but not exactly sure what "it" is.
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Not getting candid feedback, constructive guidance, or practical solutions to tackle problems.
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. We offer a range of virtual CFO Services including Physician CFO Services, Outsourced Financial Planning and Analysis Services, and Strategic Planning.
We Deliver Value To Our Clients
Save Time And
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.
Understand
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 Business 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 Leaders' 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.
Transform
Your Business
We help you strategize and plan for growth, devise an action plan, create budgets
and financial projections, forecast your cash flow, secure funding, lower your costs, improve profits, track and measure business performance.
Who We Are
Paula Waggoner-Aguilar, CPA
CEO & Managing CFO
Our CFO Firm
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The Healthcare CFO is a division of The Energy CFO, a successful 12-year old CFO Advisory and Consulting Service Firm headquartered in San Antonio, Texas.
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We specialize in helping private entrepreneurial organizations in the healthcare (and energy) space.
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We are a woman-majority owned and led by an award-winning CFO/CPA.
Our CFO Team
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Combined finance and accounting work experience 100+ years.
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Strong business, strategic, financial, risk management, and operational acumen.
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Work for Fortune 500, Fortune Global 100, and all sizes of private companies.
CFO, Business, and Other Awards
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Winner of the National Association of Women Business Owner's (NAWBO) prestigious "2019 Woman Business Owner of the Year".
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Business Journal's 2014 "Best CFO for Private Companies".
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Additional Industry and Community Awards Received by Parent Company
How To Get Started Today
1. Contact us to schedule an initial consultation.
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Complete our prospective client form, or
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Leave us a voice mail, or
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Email us directly.
2. We have a Zoom listening session.
3. We will provide you with a service recommendation and price quote.
4. Sign our service agreement and we are ready to begin.