A CFO’s

Perspective

Without the

CFO’s Salary

Apex Strategic CPAs offers fractional CFO services to Louisville-area businesses and practice owners who need a financial partner in the room — not just a tax return in April. We sit beside you a few days a month, help you read the numbers, and build the plan to reach your next financial summit.

See How a Fractional CFO Engagement Works →

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New Construction

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Renovations

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Remodels

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Commercial Design

See How a Fractional CFO Engagement Works → ✳︎ New Construction ✳︎ Renovations ✳︎ Remodels ✳︎ Commercial Design

 The Problem We Solve

Most Louisville business owners don’t need a $200,000 CFO. They need someone who can answer the question that’s been keeping them up at night.

Cash is tight even though sales are up. The bank is asking for projections you don’t have. You’re considering a second location, or hiring three more associates, or buying out a partner and you don’t know what the numbers say.

That’s where a fractional CFO comes in. And that’s where Apex comes in.

  • A fractional CFO is a senior financial executive who works with your business part-time — typically one to four days a month — instead of as a full-time hire. You get the same caliber of strategic finance leadership a much larger company has on staff, scaled to what your business actually needs and can afford.

    At Apex, your fractional CFO becomes part of your leadership team. We sit in on the conversations where decisions get made: pricing, hiring, expansion, lending, succession. We translate the financials into plain English, build the forecast that runs the business, and help you see around the next corner.

    Think of it as having a CFO on speed dial — minus the salary, the benefits, and the recruiter’s fee.

Who Benefits Most from Our Services?

HEALTHCARE PRACTICE OWNERS

Independent practices, group practices, and DSOs/MSOs.

You went into medicine, dentistry, or veterinary care to take care of patients, not to read P&Ls. We help practice owners understand provider productivity, overhead, profit per chair or operatory, and what your practice is actually worth. Eric is a Certified Healthcare Business Consultant (CHBC), and healthcare is one of the deepest specialties on our team.

GROWING SMALL BUSINESS

$1M–$10M revenue. Owner-operators. Family-owned firms.

You’ve hit the ceiling of what a bookkeeper and a tax CPA can do for you. You’re making seven-figure decisions without seven-figure financial guidance. We give you the cash flow visibility, the budget vs. actuals, and the strategic finance partner you need to grow without flying blind.

EXISTING APEX CLIENTS READY FOR MORE

If we already do your accounting, taxes, or payroll, you’re halfway to having a fractional CFO.

We know your books. We know your industry. The next step is moving from compliance to strategy — forecasting, dashboards, lender conversations, and decision suppor with the same team you already trust. Most of our fractional CFO engagements start as a conversation with a long-time Apex client.

What’s Included?

  • Rolling 13-week and annual cash projections so you always know what’s coming.

  • A real budget you can use — plus monthly reviews of where you’re on track and where you’re drifting.

  • The five to ten numbers that actually run your business, on one page, every month.

  • Pricing models, hiring scenarios, expansion ROI, equipment vs. leasing analysis.

  • Loan packages, covenant tracking, banking relationship management.

  • Service line, product line, location, or provider-level profitability.Item description

  • Valuation, buy/sell modeling, transition readiness.

  • Clear, lender- and investor-ready financials when you need them.

2025

Built for Louisville’s

Independent Practices.

Independent dental, medical, and veterinary practice owners face a financial reality most generalist CPAs don’t see often enough: insurance reimbursement complexity, provider compensation models, equipment financing decisions, multi-location and partnership structures, and an exit market full of DSOs, MSOs, and corporate buyers.

Apex was built around this work. Our founder, Eric Reskin, is a Certified Healthcare Business Consultant (CHBC), one of the few in Louisville. We already serve dental, medical, and veterinary practices across Kentuckiana with accounting and tax work; the fractional CFO service is what comes next when a practice is ready to grow, add a partner, open a second location, or plan an exit.

If you’re a practice owner trying to make a real decision, should I add an associate, should I buy that building, should I sell now or in five years, we’re the firm in Louisville that has the answer in the room with you.

How an Engagement

Starts →

A FREE 30-MINUTE CONSULTATION

We listen. You tell us what’s on your mind — the cash flow worry, the expansion question, the partner buyout, whatever it is. We’ll be honest about whether a fractional CFO is the right answer or not.

 A SCOPED PROPOSAL

Within a week of our first call, we send you a written proposal: what we’d do, how often, and what it costs. Most engagements are flat-fee monthly retainers — no hourly surprises.

BASECAMP IN 30 DAYS

Once you say go, the first 30 days are about getting the foundation right. By month two you have your first dashboard. By month three the conversations get strategic.

Get In Touch