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Built for practice owners.
MedPraxis CFO does two things for four kinds of practice. That narrowness is the point — it means we already know the benchmarks your practice type is measured against.
Practice owners are clinicians first. You trained for years in a discipline that had nothing to do with reading a balance sheet, then took on a business with payroll, inventory, financed equipment, deferred revenue, and a payer mix — and the person you hired to keep the books was never asked to explain any of it to you.
So the reports arrive and get filed. The real questions go unanswered. Is this month good? Can I afford the associate? Why is cash tighter than revenue suggests? Should I take the offer?
We think the interpretation is the job, and the bookkeeping is the prerequisite.
That's the whole thesis. Clean books are table stakes; the value is in someone senior sitting down with you every month and telling you what they mean. We're trying to make you literate in your own practice — not to make you dependent on us.
Four commitments.
Named people, every month
The same people every month. No shared inbox, no rotating account manager, no ticket number — you always know who has your file and who is on the call.
We'll tell you when we're wrong for you
If your practice needs a bookkeeper and nothing more, we'll say so on the first call. Selling advisory to someone who doesn't need it is how firms in this category lose their reputation.
Scoped honestly, no contract
You get a written scope and fee after the first call — before you commit to anything. Engagements are month to month with 30 days' notice. If we're not earning it, you shouldn't have to wait out a term.
Depth in four verticals
Dental, optometry, veterinary, mental health. We work only in these four, because the value comes from knowing your revenue model in detail.
Who is behind this.
MedPraxis CFO was founded by Scott Engler, who spent fifteen years at Gartner as a Managing Director, leading its best-practices program for mid-market CFOs — a network of more than 900 finance chiefs.
The work went past the finance function itself to company performance — what drives it, what erodes it, and how the numbers should shape the decisions that determine outcomes and exits.
A practice owner asks the same questions — is this hire working, can we afford to expand, what is this worth — with nobody in the building whose job is to answer them. That gap is why MedPraxis CFO exists.
Book a diagnostic coaching call.
Twenty minutes. No pitch. Tell us about the practice and what’s bothering you about the numbers. We’ll tell you honestly whether we can help, what it would cost, and what we’d fix first. If we’re not right for you, we’ll say so.
Book a call