The people who run your financial engine.
Intentional Forward Action
Senior finance and revenue cycle leaders who don’t just advise. They own the result alongside you.
Owners of the outcome, not authors of a report.
Senior operators across finance and revenue cycle. People who own the result alongside you.
KAKristen Alwine, MSCA
Founder & Fractional CFO
A healthcare CFO who has run finance for physician groups and PE-backed platforms from $30M to $200M+, and who started where clean books begin: in audit.
- Began as a healthcare auditor at Mayer Hoffman McCann (CBIZ), auditing hospitals, long-term care, and multi-site physician practices
- Ran accounting for a $46M, 15-profit-center physician group: physician contracts, compensation plans, and board reporting
- 20+ years as CFO across behavioral health and PE-backed healthcare platforms
- Revenue cycle turnarounds (A/R cut by roughly 29 days), managed care contracting, and year-end audit readiness
- Closed sell-side deals end-to-end: sale prep, due diligence, buyer materials, and $16M in negotiated debt forgiveness
- Caught a poor tax structure costing a practice roughly $1M, corrected with a trusted tax partner
CSCharles Shoenfelt
Revenue Cycle Management
A revenue cycle leader who turns underperforming billing operations into high-performing engines across multi-site, multi-specialty groups.
- 20+ years leading RCM across health systems, behavioral health, orthopedics, pain management, and ambulatory surgical centers
- Ran centralized billing for multi-state platforms: physician contracts, payer onboarding, and credentialing at scale
- Cut DSO sharply (one platform from 80+ days to under 45) and lifted clean-claim and same-month submission rates
- Stood up EMR optimization and KPI dashboards through multi-state launches and acquisitions
- Trusted by CEOs and private-equity partners to lead turnarounds and vendor transitions
- Platforms include Allscripts, ModMed, and Raintree; HIPAA and 42 CFR Part 2 compliance
One team. One accountable system.
Ownership
We answer for the numbers. Execution is the deliverable, not a slide deck.
Alignment
Finance, revenue cycle, and operations move together, so nothing falls between the seams.
Forward Action
Intentional, decisive progress. Fewer surprises, fewer decisions on the owner’s desk.
Want to meet the team?
Book a call and we’ll introduce the people who’d run your financial engine.