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Top Practice CFO
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The fractional CFO for owner-operated practices

Know which services make money. See your cash. Get exit-ready.

Top Practice CFO is the fractional CFO for owner-operated practices. We turn your books into the two or three decisions that move profit and cash, with every number computed from your ledger and reviewed by a CFO.

Led by Cory Salisbury, a named fractional CFO. Backed by a written 3x guarantee.

Every number is computed from your ledger and reviewed by a CFO. No figure is generated by AI.

Built for owner-operated practices

The AI never computes a number

We pull verified data from your ledger, compute every metric in code, and use AI only to explain and flag what it finds. Then a CFO reviews it before it reaches you. That is why we can guarantee the work.

How we work

  1. Step 1

    Book a free consult

    Grab a free 30-minute call. We learn your practice and the money questions keeping you up at night. No cost, no commitment.

  2. Step 2

    Financial X-ray, in writing

    We run your 14-Day Financial X-ray and hand you written findings: where profit leaks, your cash runway, and the levers that move margin most.

  3. Step 3

    Retainer and done for you

    Move to a monthly retainer and we run the financial side for you: forecasting, KPIs, cash, and a board package, every month.

In your first 90 days we find at least 3x your monthly fee in recoverable cash, margin, or tax, quantified in writing. If we do not, we keep working for free until we do.

Common questions

What is a fractional CFO for a practice?
A fractional CFO gives an owner-operated practice senior financial leadership part time: forecasting, profit analysis, pricing, cash, and exit planning, for a flat monthly fee instead of a six-figure salary.
How much does it cost?
Typically $2,500 to $9,500 per month across three tiers, far below a full-time CFO. Most owners start with a $1,500 14-Day Financial X-ray, credited toward the first month if you continue.
How do you keep the numbers accurate?
Every figure is computed in code directly from your ledger, then reviewed by a CFO. The AI explains and flags; it never computes a number.

See what we would find in your numbers

Book a free 30-minute consult. No cost, no commitment.