Fractional CFO for digital health companies
Digital health sits at an unusual intersection - investors underwrite the commercial trajectory while regulators and payers diligence the clinical and reimbursement side. Revenue can come from self-pay, commercial payers, public systems, employer channels or device sales, and each one has its own contracting, billing and cash cycle.
A generalist finance function rarely handles reimbursement mix, payer concentration, claims aging and the compliance overhead of FDA, MDR or local regulators without something falling through the cracks. A fractional CFO who has lived inside digital health understands how to reconcile the commercial story with the clinical and regulatory reality - in the same model.
We have worked across telehealth, clinical software, mental health, devices and biotech tooling, and we bring that combined commercial-and-clinical lens to the finance function from the start.
Choose a fractional CFO that understands digital health
Reimbursement-aware modelling
Net revenue in healthtech is what lands after payer adjustments, denials, claw-backs and write-offs - and that gap can be 20% or more of gross. We build the revenue model that reflects payer mix, claims aging and bad debt, so the board sees what the business actually collects.
Regulatory cost visibility
FDA, MDR, HIPAA and equivalent regimes carry quiet but persistent costs - QMS, clinical evidence, post-market surveillance, security audits. We sit between the regulatory team and the P&L, so the compliance roadmap is funded in the operating plan rather than discovered as a surprise three months before a submission.
Device and service together
Many digital health businesses mix hardware, software and clinical service in one contract, and the accounting for each line is genuinely different. We build the revenue recognition and unit economics view that keeps device margin, SaaS margin and service margin readable on the same P&L.
Pitch to healthcare investors
Healthtech rounds get re-cut every couple of years as reimbursement and payer appetite shifts, and generalist VC framing rarely fits. We position the story for the funds that underwrite healthcare risk credibly, with the clinical, regulatory and reimbursement evidence already lined up.
Recent fractional CFO projects for digital health companies
From the UK to Colombia, we acted as a fractional CFO to high-growth companies around the globe
We've helped set up FP&A, build financial models, and prepare for fundraising and M&A.
As a fractional CFO we helped Cannadorf, an Israel-based pharma-grade medical cannabis leader applying tissue culture technologies, build out its financial plan ahead of scaling production.
Simple pricing
No hidden costs, no complicated long-term contracts. We understand how important flexibility is for digital health startups.
Per month
- Accounting / FP&A tech stack implementation
- Monthly financial statements and reporting pack
- Quarterly board pack with detailed financial analysis (with variance analysis vs. budget, relevant KPI observations etc.)
- Investor-friendly output
Per month
- Everything in Core, plus
- Operating model (via an online platform like Runway or Excel-based)
- Ongoing model maintenance, refining projections, burn/runway management
- Customer cohorts modelling, churn and retention analysis
- LTV / CAC, unit economics analysis
- Cap table management
Per month
- Everything in Grow, plus
- M&A / fundraising support; review of business plan
- Pitch deck preparation
- Investor approach strategy / list building
- Due diligence support and deal negotiation
- Valuation as required and free access to Multiples Pro
Packages shown are illustrative, final pricing is tailored to client requirements.
Financial modelling for digital health startups
We work with digital health founders to build investor-ready, KPI-driven financial models.
We dive deep into your company and sector specifics, to build a custom-made financial model driven by operational KPIs, requiring a minimal learning curve and time spent on monthly updates.
Net revenue after payers
Gross billings adjusted for payer denials, claw-backs, write-offs and claims aging. Closes the 20 percent gap between what the system bills and what the business actually collects.
Payer & reimbursement mix
Self-pay, commercial, public and employer revenue modelled with their own contracting, billing and cash cycle. Shows which channel is paying the bills and which is a slow-collecting promise.
Regulatory cost roadmap
FDA, MDR, HIPAA and QMS costs - clinical evidence, audits, post-market surveillance - funded in the operating plan. Stops the compliance bill being a surprise three months before a submission.
Device + SaaS + service P&L
Hardware, software and clinical service revenue recognised and margined separately on the same contract. Keeps device margin, SaaS margin and service margin readable on one board pack.
Patient cohort economics
Acquisition cost, episode revenue and lifetime value measured by patient cohort and condition. The view that separates a digital therapeutic that compounds from one that loses patients after week eight.
Claims aging & bad debt
Outstanding claims tracked by age bucket and payer, with bad debt provisioning tied to historical collection rates. Surfaces the cash gap that smooth revenue recognition usually hides.
Recent fractional CFO digital health track record
Selected fractional CFO engagements and prior CFO experience.
Fractional CFO for all digital health niches
From digital therapeutics to EHR & practice management, we're a specialized fractional CFO to digital health companies.
Our fractional CFO experience spans across all digital health verticals.
Explore other sectors
We know tech inside & out.
We live and breath tech - true understanding of how startups operate is fundamental at what we do.
Recent digital health insights
Talk to us
Schedule a call to get a health check on your business and see how we could help.
Fractional CFO
- Fractional CFO for Software
- Fractional CFO for AI & ML
- Fractional CFO for Fintech
- Fractional CFO for Consumer internet
- Fractional CFO for Digital media
- Fractional CFO for E-commerce & marketplaces
- Fractional CFO for Consumer products
- Fractional CFO for Mobility
- Fractional CFO for Digital health
- Fractional CFO for Industrial technology
- Fractional CFO for Digital infrastructure
- Fractional CFO for IT services
Stages
Countries
- UK Fractional CFO
- Ireland Fractional CFO
- France Fractional CFO
- Germany Fractional CFO
- Spain Fractional CFO
- Portugal Fractional CFO
- Italy Fractional CFO
- Netherlands Fractional CFO
- Belgium Fractional CFO
- Switzerland Fractional CFO
- Austria Fractional CFO
- Denmark Fractional CFO
- Sweden Fractional CFO
- Norway Fractional CFO
- Finland Fractional CFO
- Poland Fractional CFO
- Estonia Fractional CFO
- US Fractional CFO
- Canada Fractional CFO
- Mexico Fractional CFO
- Brazil Fractional CFO
- UAE Fractional CFO
- Australia Fractional CFO
Cities
- London Fractional CFO
- Dublin Fractional CFO
- Paris Fractional CFO
- Berlin Fractional CFO
- Madrid Fractional CFO
- Lisbon Fractional CFO
- Milan Fractional CFO
- Amsterdam Fractional CFO
- Brussels Fractional CFO
- Zurich Fractional CFO
- Vienna Fractional CFO
- Copenhagen Fractional CFO
- Stockholm Fractional CFO
- Oslo Fractional CFO
- Helsinki Fractional CFO
- Warsaw Fractional CFO
- Tallinn Fractional CFO
- New York Fractional CFO
- Toronto Fractional CFO
- Mexico City Fractional CFO
- São Paulo Fractional CFO
- Dubai Fractional CFO
- Sydney Fractional CFO