Case Study 1: Cleaning Up a Prior CFO’s Mess
Industry: Healthcare Services
Engagement Type: Fractional CFO | Financial Cleanup | Cash Flow Stabilization
The Situation
A fast-growing healthcare organization operating across multiple legal entities was generating strong top-line revenue—but cash was tight, reporting was unreliable, and leadership lacked confidence in the financials.
Financial systems had become overly complex and poorly maintained. Monthly closes were significantly delayed, balance sheet accounts were unreconciled, and intercompany activity obscured true profitability. Despite growth, leadership could not answer critical questions:
How much cash do we really have?
Which entities are performing—and which are draining resources?
Can we safely continue expanding?
The organization needed immediate financial clarity—without slowing operations or creating further disruption.
What We Did
We stepped in as fractional CFO with a mandate to quickly stabilize the finance function and restore decision-grade financial visibility.
Our team began with a rapid diagnostic of the general ledger, balance sheet, and intercompany structures across all entities. We identified material errors, unreconciled balances, and structural flaws that were distorting financial performance.
From there, we executed a focused remediation plan:
Cleaned up and standardized the chart of accounts across entities
Reconciled historical balances and corrected misclassifications
Implemented a disciplined, repeatable monthly close process
Rebuilt executive-level financial reporting designed for clarity—not complexity
Introduced rolling cash flow forecasts to support near-term liquidity decisions
All work was completed while keeping day-to-day operations fully intact.
The Results
Within 90 days:
Leadership had accurate, timely financial statements they could trust
Cash flow visibility was restored, improving working capital control
Reporting delays were eliminated across all entities
Financial credibility with lenders, partners, and external stakeholders was reestablished
Most importantly, the executive team regained confidence in their numbers—allowing them to make informed strategic decisions, plan growth responsibly, and operate from a position of financial control rather than uncertainty.
Why This Matters
Many organizations don’t need more complexity—they need experienced financial leadership that brings order, clarity, and execution.
This engagement is a clear example of how a fractional CFO can quickly correct course, protect the business, and create a stable financial foundation for long-term growth.