By: Andrew Miller

Let’s be real: You didn’t go to med school to become an accountant. You went to perfect your craft, change lives, and maybe even sculpt a few jawlines along the way. But if you're running a plastic surgery practice and still budgeting with a spreadsheet you made during residency, it might be time to bring in some financial reinforcements.

And no, I’m not talking about a TikTok finance bro who just discovered compound interest. I’m talking about a Fractional CFO, the kind of financial partner who helps your practice scale with intention, track real KPIs (instead of just relying on vibes), and make data-backed decisions that actually move the needle. At Maven, we focus on the numbers that matter most to your bottom line, like how profitable each case really is, how efficiently your team (and ORs) are being used, and what it’s actually costing you to acquire new patients. In other words, strategic financial insight without the full-time C-suite price tag.

So, What Does a Fractional CFO Actually Do?

Think of a Fractional CFO as your financial co-pilot, minus the ego and seven-figure salary. They work part-time or project-based, bringing all the experience of a seasoned CFO without the full-time overhead.

Here are a few examples of the many things Fractional CFOs actually do:

• Build and manage budgets that actually reflect your goals (not just guesswork)
• Create financial forecasts that help you plan for growth, new hires, or that dream laser device
• Help you understand your profit margins by service line (because not all procedures are created equal)
• Analyze cash flow, overhead, and staffing to ensure you’re not burning through capital unnecessarily
• Assist with ASC planning, financing, and execution (if you’re thinking about owning your own OR)
• Track the important key performance indicators that actually matter to your bottom line, such as:
  
  • Case volume trends to help you plan, not just play catch-up
  • Consult-to-case conversion rates so you know where leads are falling off
  • Aesthetic appointment volume to gauge how your non-surgical side is performing
  • Provider utilization rates to ensure your schedule is optimized, not just busy
  • Revenue per case and revenue per hour by provider, so you know exactly where
  • your revenue is coming from

In short: We make sure your practice is not just surviving; but scaling, profitably.

Are Your Financials a Guessing Game? Why a Fractional CFO Might Be the Real Glow-Up Your Practice Needs

When Is It Time to Bring in a CFO or Financial Partner?

If you’ve ever caught yourself asking, “Where is all the money going?”, “Can I afford to hire another injector?”, “Should I lease or buy this new piece of equipment?”, or “Is now the right time to buy real estate for my second location?” Congrats, you’ve officially outgrown DIY finance!

Most practices wait until they’re overwhelmed, behind on taxes, or stuck in a “feast or famine” cycle before seeking help with their finances, whereas the most proactive surgeons bring in a CFO when they’re gearing up for growth—not when they’re drowning in receipts. Bringing in a Fractional CFO early means you can avoid expensive mistakes, make smarter hiring decisions, and actually understand your numbers before you're forced to react to them. Because let’s be Honest, revenue doesn’t equal profit, and a busy practice doesn’t inherently mean you’re running a profitable business.

Bottom Line: If It makes Dollars, then it makes Sense

The truth is that many high-performing surgeons are operating blind when it comes to their finances. They’re crushing it in the OR, but leaking cash behind the scenes. That’s where Maven steps in, not to take over, but to give you clarity, control, and confidence in your financial future. Whether you’re ready to open your own practice or just want to stop stressing over cash flow every month, having Maven Financial Partners in your corner can be a game-changer.

Ready to get started? Contact Maven Financial to build a smarter, more profitable practice; without doing it all yourself.

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