Fractional CFO
The Fractional CFO services at Sarah Beth Herman are provided by a trained virtual team, offering high-level financial oversight, strategic analysis, and reporting. While guided by Sarah Beth Herman, this service is executed by a dedicated team, ensuring seamless financial management.
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Clients receive weekly and monthly reporting, regular meetings, and structured financial insights. To streamline communication, we set up a secure virtual collaboration channel for efficient and compliant interaction.

Fractional CFO Services by Sarah Beth Herman
The team at Sarah Beth Herman provides high-level financial leadership, operational analysis, and strategic planning for businesses seeking expert financial oversight without the commitment of a full-time CFO. Our Fractional CFO services are designed to enhance business performance through KPI tracking, cost reduction strategies, financial reporting, and operational efficiencies—all customized to the unique needs of each organization.
We do not handle tax strategy, compliance, or bookkeeping. Instead, we focus on financial strategy, data-driven decision-making, and process improvement to ensure sustainable business growth.
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Fractional CFO Support Levels
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Level 1 – High-Level Financial Oversight & Strategy (Starting at $3,000–$25,000 per month based on business size and scope)
This package provides executive-level financial guidance to help businesses gain financial clarity, optimize operations, and align strategy with long-term goals. Services include:
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Financial Roadmap Development – Establishing clear financial objectives and aligning business decisions with growth strategies.
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KPI Monitoring & Reporting – Identifying key performance indicators, tracking trends, and providing data-driven insights for informed decision-making.
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Cost Reduction & Profitability Analysis – Evaluating operational costs and revenue models to maximize efficiency and profitability.
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Operational Strategy & Efficiency – Assessing business processes, staffing models, and revenue streams to optimize workflow and financial performance.
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Financial Reporting & Performance Reviews – Reviewing financial data to provide insights and opportunities for financial improvement.
This level is designed for organizations that need high-level financial oversight and strategic planning without day-to-day financial management.
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Level 2 – Accounts Receivable & Billing Oversight (3% of revenue)
In addition to financial oversight, Level 2 includes full accounts receivable (AR) and customer or patient billing management, ensuring businesses maintain strong revenue collection processes. Services include:
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AR Monitoring & Management – Reviewing outstanding balances, analyzing payment trends, and implementing collection strategies.
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Customer & Patient Billing Oversight – Ensuring accuracy in invoicing, improving collections, and reducing outstanding balances.
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AR Reporting & Insights – Providing detailed reporting on AR performance and implementing strategies to improve financial stability.
At this level, a dedicated AR team is assigned per location, ensuring focused oversight and structured billing management for each business.
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Level 3 – Full-Service Billing & Insurance Verification (3.5% of revenue)
Our Level 3 package expands upon Level 2, adding full-service insurance verification and eligibility management to ensure streamlined revenue cycle processes. Services include:
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Complete Billing & AR Oversight – Managing invoicing, payment posting, and collections.
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Eligibility Verification & Insurance Coordination – Confirming patient benefits, verifying coverage, and handling claim submission.
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Payment Research & Claim Resolution – Reviewing denials, managing reimbursement processes, and optimizing financial outcomes.
This level provides comprehensive financial and billing management, allowing businesses to focus on operations while ensuring efficient revenue cycles.
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Contract Terms & Technology Fees
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Minimum Commitment: All Fractional CFO services require a 6-month contract, billed monthly.
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Upfront Costs: Depending on the organization’s size and scope, a higher upfront fee may be required due to labor-intensive setup.
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Technology Fee: There is a $399 annual technology fee per user requiring remote system access. This fee is dependent on the size of the business and the number of locations needing support.
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Our Team & Structure
Each Fractional CFO engagement includes a minimum of three dedicated professionals, ensuring comprehensive financial oversight, operational monitoring, and AR/eligibility management for each location. Our team structure includes:
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CFO-Level Analysis & Reporting – Providing high-level financial insights and operational strategy.
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AR & Billing Management – Overseeing revenue cycle processes and collections.
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Eligibility & Insurance Coordination – Ensuring accurate benefit verification and claim submission.
The team at Sarah Beth Herman partners with Dentistry Support® for dental billing and insurance verification while maintaining full billing management under our brand. This ensures a seamless, full-service approach to financial strategy and revenue cycle management for businesses of all sizes.
For organizations seeking expert financial leadership, structured billing oversight, and revenue optimization, our Fractional CFO services provide a customized, scalable solution to enhance business performance.
Factors to Determine the Size of a Brand & Cost of Fractional CFO Support
To accurately assess the size of a business and determine the appropriate pricing for Fractional CFO support, we evaluate several key factors related to their operations, revenue, and financial complexity.
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1. Business Structure & Scale
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Number of Locations – Each location requires separate monitoring and financial oversight.
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Business Type – Whether it is a single-owner practice, multi-location business, franchise, or corporate structure.
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Number of Employees – Total staff size, including management and support teams.
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Operational Complexity – Assessing whether the business has multiple revenue streams, partnerships, or unique financial considerations.
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2. Revenue & Financial Scope
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Annual Revenue – Helps determine pricing tiers and financial strategy needs.
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Billing Volume – Number of transactions processed monthly (patients/customers served, invoices generated).
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Accounts Receivable Volume – Outstanding balances, the number of customer/patient accounts, and payment collection frequency.
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Payer Mix – If applicable, whether the business deals primarily with private pay, insurance claims, or a mix of both.
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3. Reporting & KPI Needs
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Key Performance Indicators (KPIs) Tracked – Determining the level of reporting required (basic financials vs. deep-dive analytics).
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Reporting Frequency – Whether they need weekly, bi-weekly, or monthly financial reports.
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Custom Reporting Requirements – Any specific metrics, benchmarks, or operational insights required for financial strategy.
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4. Billing & AR Management (For Level 2 & Level 3 Support)
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Number of Monthly Claims/Invoices Processed – Determines workload for AR and billing teams.
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Current AR Aging & Collection Rates – How much is outstanding, and how effectively payments are being collected.
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Eligibility Verification Needs – If insurance verification is required, the volume of verifications per month.
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Complexity of Insurance Processing – The number of insurance companies worked with and whether additional research is needed for claims management.
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5. Technology & System Access Requirements
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Software Used – What financial, billing, and reporting software the business operates on (e.g., Dentrix, Eaglesoft, Open Dental, proprietary systems).
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Remote System Access Requirements – How many users require access for our team to perform financial oversight.
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Security & Compliance Considerations – Whether additional HIPAA, PCI compliance, or cybersecurity measures are required.
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Annual Technology Fee Per User – Based on the number of remote access users, billed at $399 per user per year.
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6. Customization & Strategic Planning Needs
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Depth of Strategic Financial Planning Needed – Whether they need basic financial guidance or in-depth business expansion plans.
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Mergers, Acquisitions, or Exit Strategies – If the business is buying, selling, or restructuring, additional financial analysis may be needed.
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Scalability & Growth Planning – If the business is expanding, we assess how involved our team needs to be in forecasting and structuring financial strategy.
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7. Upfront Costs & Contract Terms
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Labor-Intensive Setup Needs – If additional onboarding, historical financial analysis, or restructuring is required, a higher upfront cost may apply.
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Minimum Contract Commitment – A 6-month minimum contract is required, with billing occurring monthly.
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Ongoing Support Scope – Whether the business will need long-term financial strategy or shorter-term consulting.
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Next Steps for Cost Calculation
Using these factors, we assess:
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What support level the business needs (Level 1, Level 2, or Level 3).
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Whether additional technology access fees apply based on the number of users.
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The estimated labor required to manage financial oversight, billing, and reporting.
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Potential setup costs if additional onboarding work is needed.