How much does a full-time CFO cost?
A full-time CFO's salary alone runs about $200,000 a year: BLS counts CFOs among chief executives, whose median annual wage was $197,090 in healthcare and social assistance and $213,990 across all industries in May 2025. Sorso estimate: benefits add about 23 percent (BLS employer-cost data), taking the healthcare median to roughly $242,000 before any bonus, and a retained search, which SPMB prices at about a third of first-year cash pay for a CFO, adds about $65,700 in year one, a third of the salary alone.
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Definition
A full-time CFO is the senior-most finance executive at a company, responsible for accounting, financial planning, treasury, and strategic finance.
The detail
BLS does not publish a CFO wage on its own. It counts CFOs among chief executives, whose median annual wage was $213,990 in May 2025, with the lowest 10 percent under $75,700 and the highest 10 percent above $507,730. In healthcare and social assistance the median was $197,090, below the all-industry figure. One level down, financial managers, who BLS says may advance to become CFOs, earned a median $166,570, with the top decile above $323,270. These are wages only: BLS says its wage figures exclude nonproduction bonuses and employer benefit costs. Benefits are the next layer. In BLS's June 2026 employer-cost survey, private employers of management, business and financial staff paid $15.42 per hour worked in insurance, retirement and legally required benefits against $68.32 in wages and paid leave. Sorso estimate: that is about 23 percent on top of salary, so the $197,090 healthcare median costs roughly $242,000 a year. Recruiting is a one-time cost on top. Executive search firm SPMB says retained fees run 25% to 35% of first-year guaranteed cash compensation, and typically one third for a CFO search; on the healthcare median salary alone that is about $65,700. Sorso estimate for year one: $197,090 in salary, about $44,500 in benefits and about $65,700 in search fees, roughly $307,000 before any bonus or equity. Whether that is worth paying depends on how much finance work the practice has; the part-time alternative is fractional engagements, which at Sorso start at $4,000 a month.
Median financial manager wage was $166,570 in May 2025; 90th percentile exceeded $323,270.
Retained search fees are calculated on first-year guaranteed cash compensation and can range from 25% to 35%; for a CEO or CFO search the fee is typically one third (33.3%).
Source: SPMB Executive Search: Executive Search Fees, How Much CEO & CFO Searches Cost
BLS counts CFOs among chief executives, whose median annual wage was $213,990 in May 2025 (lowest 10 percent under $75,700, highest 10 percent above $507,730) and $197,090 in healthcare and social assistance.
Source: BLS Occupational Outlook Handbook, Top Executives (May 2025)
In June 2026, private employers of management, business and financial staff paid $6.63 per hour worked for insurance, $3.23 for retirement and savings and $5.56 for legally required benefits, against $59.85 in wages and $8.47 in paid leave.
Source: BLS Employer Costs for Employee Compensation, Table 4 (June 2026)
What this means for clinic owners
From Sorso
A full-time CFO earns their cost only when better forecasting and capital allocation can move EBITDA by more than the all-in cost, roughly $307,000 in year one on the estimate above. If the decisions on your desk are smaller than that, buying the same judgment part-time is the cheaper route.
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How much does a fractional CFO cost?
Most fractional CFO engagements are quoted at $3,000 to $10,000 a month, rising to $10,000 to $20,000 or more when the work is heavy, according to fractional CFO firm The Good CFO. Sorso's fractional CFO service for clinics starts at $4,000 a month. A full-time CFO costs far more: BLS counts CFOs among chief executives, whose median pay in healthcare and social assistance was $197,090 a year in May 2025, before bonuses, benefits or a search fee.
When should I hire a fractional CFO?
Most clinics should hire a fractional CFO when they add a second location, raise debt or equity, start preparing for a sale or partner buy-in, or keep missing their numbers without knowing why.
What is the difference between a CFO and a controller?
A controller manages historical accounting (close, statements, audit, compliance), while a CFO is forward-looking (forecasting, capital allocation, M&A, strategy). Most growing clinics need both, sequenced controller first.
What does a fractional CFO actually do?
A fractional CFO owns financial forecasting, KPI dashboards, cash flow management, capital decisions, and strategic finance work, delivered on a monthly retainer instead of a full-time salary.
Sources
Founder of Sorso and a CFA charterholder. Before Sorso, Stan spent 19 years in corporate finance at institutions including UniCredit and Société Générale — managing a $450M loan portfolio and making senior partner at a major mezzanine lender by 29 — then built a fractional CFO firm exclusively for outpatient healthcare clinics.
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