Monthly bookkeeping
Reconciled books in QuickBooks Online or Xero, including payroll processed as part of the monthly close when that is in scope.
MEDICAL PRACTICES
CFO advisory for independent medical practices
A fractional CFO for medical practices is financial leadership for a physician-owned office that has outgrown weekend books. LedgerFox works as a medical practice CFO: an outsourced CFO for physician-owned practices, keeping the books current and sitting with the owner or practice administrator on what the numbers mean.
We are based in Bozeman, Montana, and we work with independent practices nationwide. The relationship covers monthly bookkeeping and the decisions that books alone do not answer.
THE PROBLEM
A full schedule is not the same as a clear practice.
Overhead, staffing, and collections are hard to see in one place. The owner or administrator is still closing the month after clinic hours. Hiring a provider or opening another office gets decided without a cash picture.
Many practices do not wake up looking for a CFO. They wake up wanting to know whether the practice is actually keeping what it earns, and whether the next decision is affordable.
WHAT WE DO
Books the practice can trust, and a partner for the next decision.
LedgerFox works with independent medical practices. We keep the monthly books current, put overhead and cash in a form the owner can use, and stay in the conversation when a hire, a location, or a cost change is on the table. Healthcare fractional CFO support, CFO services for physicians, and a medical practice financial consultant all describe the same relationship here: advisory without a full-time finance executive. We do not replace your biller, and we do not prepare taxes. We organize the financial side so you and your CPA are working from the same picture.
SERVICES
Where practice finances get specific
PRACTICE FINANCE
What the engagement covers
Management reporting
A monthly view of revenue, overhead, and profit the owner can read before the CPA's year-end package.
Overhead and profitability
Which costs move with volume, which do not, and where provider or service-line results are carrying the practice.
Cash timing
Collections, payroll, and supplies set against the cash actually in the account.
The next decision
A forecast for adding a provider, opening a second office, or changing the cost structure — before you commit.
A standing conversation
Regular time with the physician owner or practice administrator. Not a report dropped in an inbox.
HOW THE WORK MOVES
From the close to the decision
Books current
Overhead and collections visible
Cash picture
Hire or location decision
Monthly advisory
DELIVERABLES
What you receive
A current close
Reconciled monthly books the practice and its CPA can rely on.
A practice scorecard
Revenue, overhead, profit, and cash in one place.
A decision brief
What the numbers imply before a hire, a lease, or a second location.
PROOF
Built for practices that have outgrown basic books
This fits an independent, physician-owned practice or a small medical group that needs financial visibility and does not need a full-time CFO on payroll. Multi-provider offices are welcome. We do not publish client names or performance claims.
FAQ
Common questions
What is a fractional CFO for a medical practice?
It is CFO-level financial leadership without a full-time hire. People also search for a healthcare fractional CFO, a virtual CFO for doctors, outsourced financial management, or CFO services for physicians. At LedgerFox that means current books plus ongoing advice on profitability, cash, and the next practice decision.
Is this personal financial advice for physicians?
No. A search for a financial advisor often means retirement planning, investments, or personal wealth. This page is about the practice: overhead, collections as a financial input, cash, and operating decisions. We are not a personal financial advisor, retirement planner, or investment advisor.
Do you replace our medical billing company?
No. Collections and payer mix affect profitability, and we will read them that way. We do not code, bill, or run revenue-cycle operations.
Do you prepare the practice tax return?
No. We keep the books organized and coordinate with your CPA. Tax preparation and tax advice stay with your tax preparer.
Do you work only with primary care, or with other clinical practices?
The pages are written for independent physician-owned medical practices and small medical groups. Related clinical practices can inquire. We do not maintain separate pages for dental, veterinary, med spa, or other specialties.
Do you work with practices outside Montana?
Yes. LedgerFox is based in Bozeman and works with independent practices nationwide. A local presence is not required.
Talk through the practice, not a generic CFO pitch.
Tell us how the office is structured, who looks at the numbers today, and which decision is in front of you. We will say whether bookkeeping, reporting, or ongoing advisory is the right scope.