Running a medical practice, clinic, or hospital comes with unique financial challenges, particularly in accounting. From cash flow management across multiple billing streams, complex payroll, and Medicare or private billing compliance, to managing staff costs, equipment purchases, and regulatory reporting — it’s a lot to juggle.

Hiring a full-time CFO is costly, but without financial leadership, your practice could face delayed payments, cost overruns, or inefficient resource allocation.

We provide outsourced CFO-led accounting services for medical professionals, doctors, GPs, hospitals, and healthcare providers, combining strategic financial guidance with hands-on accounting expertise.

Why Medical Practices Need a CFO FOR THEIR ACCOUNTING

Bookkeepers

are great at keeping records but not at interpreting the information.
to achieve better business performance is beyond their scope – at this point you need CFO experience.

Accountants

are great at managing compliance and minimising tax, using historic numbers to report on state-of-play, but often
they don’t have the commercial knowledge and experience of a CFO.

A CFO gives you strategic oversight.

But hiring one internally can cost well over $250k per year.

Our CFO-led accounting service bridges the gap.

You get medical-specific financial expertise, better systems, accurate numbers, and strategic guidance — all delivered at a fraction of the cost of a full-time CFO.

How Our Medical Accounting Services Compare

How Our CFO Services Compare
OptionCFO-led accounting (outsourced)In-house CFOAccountant / BookkeeperController
CostPredictable monthly retainerFull salary package (+ on-costs)Lower (compliance-focused)Moderate
Practice financial oversightYes — practice, clinic, and hospital department oversightYesNoLimited
Job / Department costing & margin trackingAccurate department-by-department costing & profit analysisYes (depending on internal systems)LimitedLimited to operational tracking
Cash-flow forecastingIncluded — factoring in patient billing cycles, insurance claims, Medicare payments, and payrollYesNot typicalModerate
Billing & claims supportManaged — invoicing, claims submissions, and reconciliation oversightDepends on workloadNot typicalSometimes
Payroll & supplier payment managementStreamlined workflows & complianceYes (resource-dependent)Basic processingModerate
Time-to-valueWeeks — 30–60 days for quick winsMonths — recruitment & ramp-upImmediate (limited scope)Months
Coverage & resilienceTeam-based coverage & escalationSingle point of dependencySingle point of dependencySingle point of dependency
Meeting cadenceFortnightly financial sessions; monthly management packAs set internallyAd-hoc / EOFYMonthly ops focus
Best forMedical practices, clinics, hospitals, and healthcare providers needing CFO-level oversight without full-time costLarge hospitals or healthcare groupsBasic bookkeeping & tax supportProcess & operational control discipline

 

ACCOUNTING SERVICES FOR EVERY TYPE OF MEDICAL PRACTICE OR HEALTHCARE PROVIDER

We provide tailored CFO services for:

  • GP clinics and multi-doctor practices
  • Specialist medical practices and allied health providers
  • Private hospitals and small healthcare facilities
  • Multi-department or multi-site practices
  • Practices expanding services or opening new locations
  • Organisations managing cash flow challenges from delayed billing, Medicare, or insurance claims
  • Practices needing better department- or service-line costing and financial systems
  • Clinics or hospitals wanting reliable, real-time reporting for strategic decision-making

If your practice or healthcare organisation operates across multiple departments, locations, or services and depends on accurate costing, forecasting, and margin protection, we can help.

Included Medical CFO Accounting Services at a glance

ServiceDescription
Practice & Department CostingTrack revenue and expenses for each department, doctor, or clinic; monitor profitability per service line and ensure optimal resource allocation.
Budgeting, Forecasting & Cash FlowIncludes rolling budgets and forecasts, scenario analysis for patient billing cycles, Medicare or insurance claim delays, and working capital planning for smooth operations.
Revenue, Profit & Cash Flow ImprovementStrategies to improve revenue, profit and cash flow through analysis, KPIs and close monitoring.
Billing & Claims SupportManage invoicing, Medicare or insurance claims submissions, and reconciliations to ensure timely payments.
Payroll & Supplier Payment ManagementStreamline payroll for medical staff and manage supplier payments efficiently while maintaining compliance with healthcare regulations.
Management Reporting & DashboardsMonthly reporting and dashboards with KPIs including revenue per doctor, patient throughput, cost per department, and practice-wide profitability.
Systems & Process ImprovementOptimise accounting, billing, and practice management systems (Xero, MYOB, MedicalDirector, or other healthcare platforms) for better accuracy and workflow efficiency.
Strategic Advice & Growth PlanningProvide guidance on service line expansion, clinic profitability, staff utilisation, capital planning, and practice growth strategies.
Finance Team Support & Capability BuildingSupport and mentor internal admin or accounting staff to ensure smooth operations, accurate reporting, and strategic decision-making across the practice or hospital.

What People Are Saying About Our Medical Accounting Services

“He has taken the pressure off me. Net profit is growing and I’m confident our strategy can be implemented and turned into reality. I’m now living the dream - running the business remotely.”
Mike Brewill
CEO Velocity Electrical
“We’ve already made improvements of six figures! Our CFO On-Call’s experience has made a huge difference to our bottom line. He’s streamlined our processes and efficiency to better use our systems and people.”
Rodney Frost
Group GM lamson Paragon Group.
“We have the useful information we need to make the financial and business decisions at the right time. Our CFO’s input has led to a 27% improvement in profitability.”
Greg Jaques
GM Nolans Transport
“I was flying by the seat of my pants and not always enjoying the ride. One day great - the next day chaos. I was always putting out fires. I don’t want to go forward without my CFO On-Call. His blood is worth bottling!”
Richard Ching
CEO of QME
“I’ve now got the confidence to grow the business. I’ve got lots of ideas about business direction and his input is great. Our CFO On-Call is a valuable asset who helps with the planning and ensures cost effectiveness.”
Francis Vigliante
CEO of BRI
“My CFO has provided me with a fantastic insight into the KPIs that really drive my business. We now have a better understanding of smarter pricing and the type of work that provides better margins.”
Kerry Matthews
CEO Powerex

How It Works

Step 1: Free Consultation

We start with a no-obligation call to understand your medical practice, billing cycles, cash flow and current financial challenges.

Step 2: Meet your CFO-level accountant

You’re matched with a healthcare-experienced CFO who develops a 90-day plan covering budgeting, cash flow, reporting improvements and quick wins for your practice or hospital.

Step 3: Collaborate for impact

Your CFO manages cash flow and budgets, prepares monthly dashboards, attends practice or management meetings, and provides ongoing strategic guidance. Engagements can be monthly, quarterly or project-based to suit billing and operational cycles.

First 30 Days – Onboarding

To de-risk the transition, we follow a structured onboarding:

Week 1: Access & diagnostics – review your general ledger, billing records, prior year accounts, and compliance filings.
Week 2: Clean-up & KPI design – tidy the chart of accounts, streamline department or doctor tracking, and design practice-specific KPIs.
Week 3: Forecast & budgeting – build a 13-week cash flow model and department budgets.
Week 4: First management-ready pack – deliver a dashboard and action plan; refine the plan for the next 60 days.

We will ask for access to your accounting system, bank/merchant portals, billing records, employment agreements, and practice policies to get started.

Pricing & Commitment

Hiring a full-time CFO in Australia can cost well over AU$250,000 per year.

Our CFO accounting services are available on a retainer or project basis, typically ranging from AU$3,000 to AU$15,000 per month, depending on complexity, size, and scope.

Engagements can be month-to-month or three-month terms. There are no hidden setup fees. Most clients see quick wins in the first one to two months, with benefits that far outweigh the cost.

Outcomes & Proof

Our goal is to maximise profitability and efficiency across your practice. Working with our CFOs, medical practices, clinics, and hospitals have:

  • Optimised cash flow – patient billing, Medicare, or insurance payments are managed efficiently.
  • Improved profitability – department and service-line margin tracking ensures resources are allocated effectively.
  • Stable operations – forward-looking forecasts prevent interruptions in practice services or hospital operations.
  • Transparent reporting – dashboards and KPIs for owners, directors, or practice managers provide clear insights.
  • Sustainable growth – strategic guidance supports expansion, staff planning, and resource allocation.

Client Snapshot: 🏆

One multi-doctor GP clinic reduced month-end close time by five days and increased department margin visibility after implementing our 13-week cash forecast and department budgeting methodology.*

* example for illustration; specific client results vary.

Does Your Medical Organisation Need Help With Its Accounting & Financials?

Our Virtual CFOs are ready to help you, Australia-wide. Tell us about your financial challenges, we can talk by phone, online or in person.

Call 1300 36 24 36

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