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River Edge Advisors — Complete Back Office Solution River Edge Advisors Fractional CFO & Back Office Book a Consultation
Industries · Healthcare

Fractional CFO services for healthcare and human-services providers

A CPA-led team of 75+ based in Cedarhurst, NY, serving home care, ABA, behavioral health, assisted living and multi-site practices nationwide and internationally.

In short

River Edge Advisors is an outsourced accounting and fractional CFO firm for healthcare and human-services providers. We keep the books, reconcile payroll, manage payables and report profit by location, program and payor, with a CFO who turns those numbers into decisions.

The work

What a fractional CFO keeps track of for a provider

Clean monthly books

Bookkeeping, bank and card reconciliations, and financial statements delivered on a fixed date.

Payroll you can see

Every payroll run reconciled to the books, with labor cost allocated to the right location, program or service line.

Payables under control

Vendor bills entered, approved in your workflow and paid on time, with a clean audit trail.

Reporting built for healthcare

Location and program P&Ls, payor mix and net collection analysis, census and authorization tracking, and provider productivity.

Cash you can plan

A 13-week cash forecast that shows the squeeze before payroll day, while you still have options.

A CFO when it matters

Budgets, lender and investor reporting, and the financials behind an acquisition or a new location.

Results

What changes in the first year

Engagements across the industries we serve: what we walked into, what we changed, and what it was worth. Read the case studies →

+9 pts
margin improvement

“We were busiest in the location that was losing the most money.”

Multi-site healthcare practice · 4 locations
10 days
monthly close, down from 6 weeks

“For the first time I know which buildings actually make money.”

Multi-entity real estate owner · 12 properties
180
loans reconciled monthly

“Our warehouse line stopped being a monthly fire drill.”

Bridge lender · ~180 active loans
FAQ

Questions owners ask

Yes. We build reporting around census, authorizations, payor mix and provider productivity, the numbers that actually drive a provider's margin, and we report them by location and by program.

No. We work alongside your billing team or billing company; we make sure what they collect shows up correctly in your numbers.

Usually not. Many owners keep their bookkeeper and add a controller and CFO above them, plus extra hands when volume grows.

Yes. Every client gets a dedicated team assigned to the account, working inside your systems and following your approval process.

Start with a free review of last month's books. Call (516) 548-1622 or email sales@riveredgeadvisors.com.

Free review of last month's books

You run the care. We run the numbers behind it.

Start with one month. We'll read your books the way a lender or a buyer would and tell you plainly what we see.

  • → Tell us about your business and the questions you want to answer.
  • → We discuss what we see: where cash is going, what doesn't tie, what we'd fix first.
  • → A follow-up conversation to walk through it. No obligation either way.
More on our healthcare accounting work →

Request your free review

Tell us a little about your company. We'll follow up to schedule a call. Do not send financial files through this form.

No obligation. Do not include sensitive financial, employee or patient information in this form.