Fractional CFO for DPC practices in Raleigh, NC

Your outsourced finance team — built for direct primary care, concierge medicine, and direct specialty care. Membership revenue forecasting, panel economics, payroll, and CFO strategy. One flat monthly fee.

Month-to-month — cancel anytime, no commitments

Works with the tools you already use
QuickBooksGustoStripeRampBill.comQuickBooksGustoStripeRampBill.com

What you get

A full finance department built around the membership model — accounting, payroll, and strategic guidance without the full-time headcount.

Monthly Accounting & Clean Financials

Reconciliations, categorizations, and financial statements delivered every month — structured for membership revenue, lab costs, and practice overhead.

Payroll & AP

Payroll runs for physicians and staff, accounts payable, vendor payments, and bill pay — handled so you can focus on patient care.

Cash Flow Forecasting for Membership Revenue

Predictable membership revenue makes forecasting powerful. We model churn, growth, and seasonal trends so you always know what's coming.

Panel Economics Modeling

Understand the financial impact of panel size, membership pricing, and utilization rates. Know exactly how many members you need to hit your targets.

Growth Planning & Employer Contracts

Adding staff, launching employer contracts, or opening a second location? We build the financial model so you expand with confidence, not guesswork.

Who it's for

DPC, concierge, direct specialty care, and functional medicine practices that need CFO-level guidance without the full-time hire.

Solo DPC physician launching

You're opening your practice or just got started. You need clean financials from day one, a membership pricing model that works, and a financial partner who understands direct care.

Growing DPC adding staff or employer contracts

Your panel is filling up. You're hiring staff, negotiating employer contracts, or adding ancillary services. You need financial clarity to grow without overextending.

Multi-location or DPC network

Multiple locations, multiple physicians, complex payroll. You need consolidated reporting, per-location P&Ls, and a CFO who can see the full picture.

Flat monthly fee. No long-term contracts.

Transparent pricing based on your practice size and complexity. Month-to-month, cancel anytime.

Example 01
Essentials
$525/mo
Solo DPC practice with straightforward membership revenue and clean financials as the priority.
1–2Staff
< $500kRevenue
LowComplexity
Included
  • Monthly categorizations
  • Monthly reconciliations
  • Monthly financial statements
  • Quarterly strategy calls
Get my custom quote
Example 02
Growth
$900/mo
Growing DPC practice with staff payroll, employer contracts, and a need for cash flow visibility.
4–8Staff
$500k–$1.5MRevenue
MedComplexity
Included
  • Full accounting
  • Payroll management
  • AP automation
  • Monthly financials
  • Budget vs. actual
  • Quarterly strategy calls
Get my custom quote
Example 03
Scale
$1,600/mo
Multi-physician or multi-location practice with complex payroll, employer contracts, and CFO-level guidance.
10–20Staff
$1.5M+Revenue
HighComplexity
Included
  • Full accounting
  • Payroll & AP
  • Monthly financials
  • CFO advisory
  • Monthly strategy calls
  • Growth planning
Get my custom quote

Every engagement is month-to-month. No long-term contracts, no cancellation fees.

How it works

Getting started takes less than a week. Here's the process.

1

Free Consultation

We learn about your practice, your current setup, and where the gaps are. 30 minutes, no obligation, no cost.

2

We Audit Your Financials

We review your accounting software, chart of accounts, and workflows — then build a plan to get everything running smoothly for your practice model.

3

Ongoing Management

Every month, we handle your accounting, run payroll, deliver financial reports, and meet with you to review the numbers and plan ahead.

Common questions

Do you understand the DPC membership model? +
Yes. We work specifically with direct primary care, concierge, and direct specialty care practices. We understand membership revenue, panel economics, churn modeling, and the unique cost structure of practices that don't rely on insurance reimbursement.
Can you help me figure out the right membership pricing? +
Absolutely. We build financial models around your panel size, overhead, and growth targets so you can set membership fees with confidence — not guesswork. We also model the impact of employer contracts and tiered pricing structures.
I'm launching a new DPC practice. Is it too early to work with you? +
Not at all — launching is actually the best time. We help you set up your chart of accounts correctly from day one, build your financial projections, and make sure your membership model is viable before you open the doors.
Is there a long-term contract? +
No. Every engagement is month-to-month. No long-term contracts, no cancellation fees. You stay because the service is worth it, not because you're locked in.
Will you work with my CPA? +
Absolutely. We keep your financials clean and current throughout the year so your CPA has everything they need at year end. We act as the liaison, so you don't have to.

Get your free consultation

Tell us about your practice and we'll reach out within one business day.

No commitment required. Month-to-month, cancel anytime.

Prefer to just talk?

Schedule a free 30-minute consultation. No sales pitch — just an honest look at your practice financials and how we can help.

Schedule a Free Consultation
Your DPC practice CFO.Flat fee, no contracts.
Free Consultation