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Making a decision?

Side-by-side comparisons for clinic owners weighing their financial team options. No spin. Just the trade-offs.

Fractional CFO vs full-time CFO for healthcare clinics

TL;DR: For most clinics under $20M in revenue, a fractional CFO delivers the strategic depth you need at a fraction of the cost. A full-time CFO starts making sense above $20M or when daily financial complexity, multi-entity structures, or active M&A require a dedicated seat. Below: cost, commitment, healthcare expertise, and where each model fits.

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Outsourced accounting vs in-house for medical practices

TL;DR: Outsourced healthcare-specialist accounting usually wins on cost and expertise for most clinics under roughly $10M. In-house still wins when you need same-building response times, tight control over confidential deal work, or daily transaction volume that justifies a full-time seat. Many larger practices run a hybrid of both.

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CPA vs bookkeeper: which does your clinic need?

TL;DR: Most clinics over about $2M in revenue need both. A bookkeeper keeps the books accurate day-to-day. A CPA handles tax strategy, compliance, and advisory. Paying a CPA at $200-$400/hr to reconcile bank statements is an expensive way to do data entry. Below: scope, cost, and when to hire each.

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Fractional CFO vs controller for healthcare practices

TL;DR: Controllers and CFOs solve different problems. A controller owns month-end close, internal controls, and the accuracy of the financial statements. A fractional CFO uses those statements to set pricing, model expansion, and stress-test the next twelve months of cash. Most clinics between $5M and $20M end up needing both. Below: what each role actually produces, what it costs, and how to tell which one your practice needs first.

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Healthcare accounting firm vs general CPA for your clinic

TL;DR: A healthcare-specialized firm is worth it once a clinic is complex enough that billing-system data drives the real financial picture. For solo providers under ~$500K or owners who value a single cross-service CPA relationship, a good generalist can still be the right call. A general CPA reconciles bank deposits. A healthcare specialist also reconciles billing data so you can see payer mix, denials, and write-offs alongside the P&L.

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