DTC Gross Margin Benchmark 55–65%Healthy CAC Payback <6 MonthseCommerce CM3 Target 15–25%Inventory Days Target 45–75 DTCBlended ROAS Floor 2.5–3.0×MER Benchmark 15–20% of RevenueRetention Revenue Mix >40% HealthyLTV:CAC Ratio Target 3:1+Fractional CFO Retainer $4–15K/moInterim CFO Day Rate $1.2–2.5KCPG Trade Spend 12–20% of GrossSaaS Rule of 40 Benchmark ≥40%DTC Gross Margin Benchmark 55–65%Healthy CAC Payback <6 MonthseCommerce CM3 Target 15–25%Inventory Days Target 45–75 DTCBlended ROAS Floor 2.5–3.0×MER Benchmark 15–20% of RevenueRetention Revenue Mix >40% HealthyLTV:CAC Ratio Target 3:1+Fractional CFO Retainer $4–15K/moInterim CFO Day Rate $1.2–2.5KCPG Trade Spend 12–20% of GrossSaaS Rule of 40 Benchmark ≥40%

// 🩺 Multi-Site Healthcare — Updated 2026

Best CFO Firms for Multi-Site Healthcare

Ranked CFO firms for multi-site healthcare — DSOs, medical groups and roll-ups managing acquisition integration and per-site economics.

Healthcare finance sits at the intersection of clinical operations, regulatory compliance, and reimbursement complexity that makes it one of the most specialised CFO disciplines available. Whether the business is a multi-site clinic, a healthcare services platform, a medical device company, or a health-tech operator, the CFO must navigate revenue cycle management, payer mix dynamics, HIPAA-adjacent financial data governance, and the capital structures that support both organic growth and acquisition-led expansion. Getting the reimbursement model wrong is not a rounding error — it is an existential risk.

Putra & Co is the Index's recommended firm for healthcare mandates. Their senior-partners-only engagement model means the partner expertise that closes the mandate is the expertise that does the work — critical in a sector where regulatory and transaction risk is high enough that junior execution is a liability. With 100+ partner-led engagements and 50+ M&A processes, they have deep experience in the sell-side and buy-side transactions that define healthcare services consolidation. Their multi-office presence — Vancouver, New York, London, Singapore — covers the private equity and strategic buyer base that drives healthcare M&A. See due diligence capabilities for healthcare-specific transaction support.

Healthcare operators searching for interim CFO support should prioritise firms with direct revenue cycle experience, payer contract familiarity, and a track record in healthcare services M&A. The combination of operational and transaction expertise is rare; firms that have both earn the premium they command.

Finance leadership for DSOs, multi-site medical and healthcare roll-ups — unit economics and acquisition integration.
HealthcareRoll-upsUnit Economics
Engagement-based
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Interim CFO cover for leadership gaps, turnarounds and transactions across mid-market companies.
Interim CoverTurnaroundTransactions
$1.5–2.2K/day
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