Appalachian Physician Advisors
Strategic Guidance.
Stronger Practices.
Appalachian Physician Advisors partners with physicians and healthcare organizations to drive financial performance, operational excellence, and long-term value.
Optimize Financial Performance
Strengthen
Operations
Support Growth &
Strategic Initiatives
Navigate Change
with Confidence
Supported
Providers
500+
Trusted Healthcare Advisory
Deep healthcare expertise with a personalized approach to help physician-led organizations thrive.
25+
Organizations
Advised
15+
Years of Healthcare
Experience
Proven Results
Sustainale Growth
Our Advisory Services
Comprehensive strategic guidance designed to optimize performance and ensure the operational viability of your healthcare provider group. Select a service below to explore our core focus areas.
Business Performance
Your outsourced finance department. We convert fragmented bookkeeping and reporting into a coordinated monthly management process focused on cash, margin, growth, and accountability.
- Fractional CFO: Strategy, capital planning, board reporting, and executive decision support.
- Controller Services: Close management, controls, reporting accuracy, and team oversight.
- FP&A: Budgets, rolling forecasts, scenarios, and profitability analysis.
- Client Accounting: Books, payroll, AP, AR, reconciliations, and financial statements.
Your outsourced finance department
Your C-Suite advisory arm at a fraction of the price. We handle strategy, analysis, board presentations, and represent your company as an extension of your brand. Access world-class expertise.
CEO Services
Strategy, board reporting, growth & sustainability, leadership coaching, and executive decision support.
COO Services
Leadership development, RCM optimization, vendors management and bidding, decision-support, provider scheduling
CFO Services
Close management, controls, reporting accuracy, capital planning, budgets, rolling forecasts, profitability analysis.
CHRO Services
Succession Planning, Talent Management, Retention Strategies, Recruitment Assistance, Employee Handbooks, Policies & Procedures.
Healthcare performance management
Financial and operational advisory designed for physician practices, MSOs, ambulatory organizations, and healthcare entrepreneurs.
Revenue Cyle
Collections, denials, payer performance, DSO, and reimbursement strategy.
De Novo Support, Payor Negotiations, Vendor RFP and Analysis, Compliance Review.
Special Projects
Practice Analytics
Provider productivity, staffing ratios, margin, capacity, and service-line results.
Provider compensation, incentives, governance, and performance alignment.
Compensation Design
Prepare, evaluate, and execute with confidence
We help owners understand normalized earnings, financial risks, valuation drivers, and the operational work required before or after a transaction.
Quality of Earnings
Normalized EBITDA, revenue quality, add-backs, and working capital.
Financial, operational, and commercial review of acquisition targets.
Buy-Side Diligence
Sell-Side Readiness
Data-room preparation, KPI cleanup, and buyer-ready reporting.
Day-one planning, reporting alignment, synergies, and accountability.
Integration Support
Financial, legal, and operational risk in one view
With coordinated legal and financial capabilities, we help clients reduce friction, strengthen governance, and make better-informed decisions.
Contract Support
Vendor, employment, lease, payer, and commercial agreement review.
Policy frameworks, internal controls, and risk-monitoring programs.
Compliance Advisory
Entity & Governance
Ownership structure, governance documents, and decision rights.
Compensation terms, restrictive covenants, and leadership agreements.
Employment Risk
Focus on Clinical. We handle the Back Office Support.
The complete back office support you need to focus on patient care. You retain complete control of your practice. Non-captive services can be terminated if we do not perform. We don't hold you hostage.
Timekeeping, Employee Handbooks, Compliance, Recruitment, Onboarding, Employee Retention, Performance Management
HR & Payroll
A/R, A/P, Reporting, Forecasting, Budget Development, Margin Restoration
Finance & Accounting
Revenue Cyle
Billing, Collections, Payor Contracting, CAQH Re-attestation, Payment Acceleration
Operations & Strategy
Market Analysis, Scheduling Optimization, Digital Marketing Strategy, De Novo & Acquisition Support, Integration, Leadership Coaching, Training Programs, Operational Playbooks, Data-Driven Culture
Individual or Bundle Services available
Built for complex, owner-led organizations.
Our work follows a repeatable cycle that turns financial data into operational action.
Healthcare Organizations
Physician practices, MSOs, outpatient platforms, healthcare entrepreneurs, and investor-backed groups.
Reliable books, reconciliations, payroll, and source-system data.
01
Capture
A monthly rhythm built around better decisions.
Close the period and translate results into meaningful reporting.
02
Clarify
Private Companies
Growing companies that need stronger financial leadership without building a full internal department.
Interpret performance, model alternatives, and identify risks.
03
Advise
Assign priorities, track execution, and measure improvement.
04
Act
