What is a fractional CFO for a practice?

A fractional CFO gives an owner-operated practice senior financial leadership part time: forecasting, profit analysis, pricing, cash, and exit planning, for a flat monthly fee instead of a six-figure salary.

How much does it cost?

Typically $3,500 to $7,500 per month, far below a full-time CFO. Most owners start with a fixed-scope 14-Day Financial X-ray for $1,500 to $2,500.

How do you keep the numbers accurate?

Every figure is computed in code directly from your ledger, then reviewed by a CFO. The AI explains and flags; it never computes a number.

The fractional CFO for owner-operated practices

Know which services make money. See your cash. Get exit-ready.

Top Practice CFO is the fractional CFO for owner-operated practices. We turn your books into the two or three decisions that move profit and cash, with every number computed from your ledger and reviewed by a CFO.

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Led by Cory Salisbury, a named fractional CFO. Backed by a written 3x guarantee.

Every number is computed from your ledger and reviewed by a CFO. No figure is generated by AI.

Built for owner-operated practices

Veterinary Practices

Know which services make money, see 13 weeks of cash, and get exit-ready. Every number computed from your ledger and reviewed by a CFO.

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Med Spas

See which treatments pay you, make owner take-home steady, and run on a clear cash picture. Every number computed from your ledger and reviewed by a CFO.

Explore Med Spas CFO

The AI never computes a number

We pull verified data from your ledger, compute every metric in code, and use AI only to explain and flag what it finds. Then a CFO reviews it before it reaches you. That is why we can guarantee the work.

How we work

Step 1
14-Day Financial X-ray
A fixed-scope diagnostic: profit by service line, your cash runway, and the levers that move margin most.
Step 2
6-Week Profit Command Sprint
Defined-scope work that turns the X-ray findings into recovered cash and margin, fast.
Step 3
Command Retainer
Ongoing 13-week forecasting, a monthly board package, and strategy on pricing, hiring, and exit value.

In your first 90 days we identify at least 3x the fee in recoverable cash, margin, or tax, quantified in writing, or you do not pay for those 90 days.

Common questions

What is a fractional CFO for a practice?: A fractional CFO gives an owner-operated practice senior financial leadership part time: forecasting, profit analysis, pricing, cash, and exit planning, for a flat monthly fee instead of a six-figure salary.
How much does it cost?: Typically $3,500 to $7,500 per month, far below a full-time CFO. Most owners start with a fixed-scope 14-Day Financial X-ray for $1,500 to $2,500.
How do you keep the numbers accurate?: Every figure is computed in code directly from your ledger, then reviewed by a CFO. The AI explains and flags; it never computes a number.

Read the full FAQ

See what we would find in your numbers

Start with a 14-Day Financial X-ray. No long-term commitment.

Book a consult