Fractional & Interim CFO Support
Not every health center needs—or can support—a full-time CFO. But every organization needs experienced financial leadership when the stakes are high.
Cris Julian Consulting provides fractional and interim CFO support for community health centers that need senior-level financial leadership during transition, growth, recovery, or periods when the finance function needs more structure and direction.
The goal is to give leadership the financial insight, oversight, and decision support it needs without forcing the organization into a one-size-fits-all staffing model.
When Fractional or Interim CFO Support Makes Sense
Fractional or interim CFO support is most useful when an organization needs experienced financial leadership now, but a permanent full-time hire is not the right answer yet.
- The CFO position is vacant or recently turned over
- The organization needs senior financial leadership during a search
- A full-time CFO is not currently practical or necessary
- Financial reporting, cash flow, or board oversight needs stronger direction
- The finance team is capable but needs executive-level leadership and prioritization
- The organization is growing, restructuring, or entering a period of increased complexity
- Leadership needs help evaluating whether the current finance structure is sufficient
- The center needs short-term CFO support during financial recovery or compliance remediation
What the Engagement Can Include
Executive financial leadership
Provide CFO-level guidance to the CEO, leadership team, and board on financial priorities, risks, decisions, and organizational direction.
Cash flow and financial oversight
Strengthen cash forecasting, liquidity monitoring, financial reporting, and the processes leadership relies on to understand the organization’s financial position.
Board and finance committee support
Help translate financial information into clear, useful reporting so board members can understand risk, ask stronger questions, and fulfill their oversight responsibilities.
Finance team leadership and development
Support controllers, finance directors, accountants, billing leaders, and other staff by clarifying priorities, strengthening accountability, and building internal capacity.
Strategic financial planning
Support budgeting, forecasting, service-line analysis, staffing decisions, growth planning, and other major financial decisions.
Transition and stabilization support
Provide continuity during CFO turnover, leadership changes, financial recovery, organizational restructuring, or while a permanent staffing solution is being developed.
What You Gain From the Engagement
Fractional or interim CFO support should give leadership more than temporary coverage. It should improve visibility, strengthen decision-making, and leave the organization with a clearer financial structure.
- Consistent CFO-level financial leadership
- Stronger cash flow visibility and forecasting
- Clearer financial reporting for leadership and the board
- Better prioritization of financial risks and opportunities
- Stronger support for the existing finance team
- Improved accountability across departments
- Greater continuity during leadership transition
- A clearer path toward the organization’s long-term finance structure
Why Work With Cris Julian Consulting
Interim and fractional CFO work requires more than technical finance knowledge. It requires judgment, calm decision-making, and the ability to step into an organization quickly, understand what matters most, and help leadership move forward without creating unnecessary disruption.
Cris Julian brings more than 20 years of community health center financial leadership experience, including service as an FQHC CFO, interim and consulting roles, financial recovery work, board reporting, revenue cycle oversight, compliance, and executive-level decision support.
- Former FQHC CFO
- More than 20 years in community health
- Interim and fractional CFO experience
- Financial recovery and stabilization expertise
- Board and executive financial communication
- Revenue cycle and operational finance experience
- Practical support tailored to the organization’s actual needs
Who This Is For
This service is designed for health centers that need experienced CFO-level leadership during a period when their permanent finance structure is incomplete, changing, or not yet sufficient.
- Health centers between CFOs
- Organizations beginning or struggling through a CFO search
- Smaller centers that need senior financial leadership but cannot justify a full-time CFO
- Centers experiencing rapid growth, restructuring, or increased financial complexity
- Organizations where the finance team needs executive-level direction but not replacement
- Health centers navigating a leadership transition that could disrupt financial oversight
- Centers that need temporary continuity before deciding what their long-term finance structure should look like
CFO Leadership Without the Full-Time Commitment
If your health center needs experienced financial leadership during a transition, search, recovery period, or time of increased complexity, fractional or interim CFO support can provide stability without forcing a premature long-term staffing decision.
Let’s talk about what your organization needs now, what can wait, and what type of CFO-level support would be the best fit.
Questions about fractional or interim CFO support? Contact Cris Julian Consulting to discuss your current leadership needs and next steps.
