We run the money so you can run the medicine.
Intentional Forward Action
Alignment CFO LLC exists for one reason: to give independent physician owners back their financial control and their time. We do it by pairing fractional CFO and accounting leadership with revenue cycle management, run as one partnered team, so expertise arrives sooner and the practice stabilizes and grows faster.
Stability comes from ownership, not advice.
At scale, practices don’t need another consultant’s report. They need execution. Finance, revenue cycle, and operations have to be run together, with someone accountable for the result.
When the financial engine is owned end-to-end, problems surface earlier, cash becomes predictable, and the physician owner stops being the fallback for every operational decision.
That’s the work: fewer surprises, fewer decisions on your desk, more control over your practice’s future.
Led by Kristen Alwine, MSCA. A healthcare CFO who began as an auditor of hospitals and multi-physician practices, ran finance for a $46M physician group, and has guided platforms from $30M to $200M+ through revenue cycle turnarounds, managed care contracting, year-end audits, and sale readiness.
Execution, not opinions.
Owned, not advised
We don’t hand you a list of recommendations and leave. We run the financial engine and answer for the numbers.
Whole-system view
Finance, revenue cycle, and operations are managed together, because that’s the only way leakage and margin erosion actually get fixed.
Independence-first
Our job is to make staying independent a real, financially sound choice, so any decision you make comes from strength.
Let’s talk about your practice.
A short, honest conversation about where the financial pressure is coming from, and what it would take to relieve it.