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FRACTIONAL CFO
MEDTECH & MEDICAL DEVICE

The financial clarity your board expects

For PE-backed and bootstrapped MedTech companies that have outgrown their accounting function, but aren't ready for a $300K full-time CFO.

15

Years at Abbott & Boston Sci in FP&A, corporate strategy & financial modeling

$100M+

In R&D growth initiatives modeled and funded

$150M

Cost savings contributions recognized with CFO Award at Boston Scientific

ES/EN

Bilingual, for medtech companies with LatAm distribution exposure

FP&A    •     BOARD REPORTING      •     R&D CAPITAL ALLOCATION      •     CASH FLOW FORECASTING     •     EXIT READINESS     •      PE-BACKED STRATEGY     •     KPI DASHBOARDS     •     ANNUAL BUDGET BUILD     •     FINANCIAL MODELING     •

FP&A    •     BOARD REPORTING      •     R&D CAPITAL ALLOCATION      •     CASH FLOW FORECASTING     •     EXIT READINESS     •      PE-BACKED STRATEGY     •     KPI DASHBOARDS     •     ANNUAL BUDGET BUILD     •     FINANCIAL MODELING     •

THE PROBLEM

Your controller closes the books. But who tells you what the numbers mean?

Medtech founders and CEOs at the early- to growth-stage all face a version of the same challenge. The accounting gets done. But there's no strategic financial voice in the room.

"I don't trust my numbers."

"

"I'm always reacting, never planning."

"

"I'm the CEO and I'm still doing finance work I shouldn't be doing."

"

"My board asks questions I can't answer confidently."

"

"I know we're leaving money on the table but I don't know where."

"

"We continue to need funding sooner than planned."

"

MBA

CPA (inactive)

B.S. Finance

15 Yrs Abbott & Boston Scientific

FP&A • Corporate Strategy • Accounting

Bilingual EN/ES

Minneapolis, MN

ABOUT US

The FP&A and strategy combination most fractional CFOs don't have

I spent 15 years inside two of the most complex medical device companies in the world — Abbott and Boston Scientific. Not in one function, but across accounting, FP&A, and corporate strategy. That combination is rare, and it's exactly what MedTech companies at the growth stage need.

 

Many fractional CFOs come from accounting or controllership. I came up through FP&A and corporate strategy, which means I don't just report on what happened. I help you understand what to do next, and how to make the financial case for it.

 

I've built R&D prioritization frameworks, modeled capital allocation decisions, led board-level financial storytelling, and helped drive major growth initiatives, all inside the regulatory and operational complexity that makes MedTech finance its own discipline.

 

Now I work directly with MedTech founders and PE-backed company leaders who need that level of financial leadership, without the cost of a full-time executive hire.

CFO Award · Boston Scientific

$150M in cost savings contribution recognized at the executive level

coronary stents
$100M+ Funded · Abbott

Growth initiatives modeled, presented, and approved at the executive level

occluders
400% TAM Expansion

Structural Heart market model at Boston Scientific used in strategic planning

aortic valves
R&D Efficiency

Portfolio management process redesign improved capital allocation across the R&D pipeline

ablation catheters
SERVICES

Fractional CFO engagements built for MedTech complexity

All engagements are governed by a Master Services Agreement and defined Statement of Work. Monthly retainer packages based on business complexity. Retainers start on a 3-month minimum, then month-to-month with 30-day notice for termination. Add-on projects are billed separately from retainer hours.

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ESSENTIAL
Essential CFO
8-10 hrs / week

Monthly close review & variance commentary

Rolling 12-month cash flow forecast

KPI dashboard (8–12 metrics)

Monthly CFO memo — plain-language summary

Board reporting support (quarterly)

Email & Slack advisory access

Best for stable medtech companies that need financial oversight and board support without active FP&A leadership.

MOST COMMON
Strategic CFO
15-20 hrs / week

Everything in Essential, plus:

Active FP&A and forecasting leadership

Budget vs. actual deep dives (quarterly)

Rolling annual forecast update

Strategic financial analysis on demand

R&D and capex investment review

Pricing and channel economics analysis

EMBEDDED
Embedded CFO
25-35 hrs / week

Everything in Strategic, plus:

PE board meeting preparation & attendance

Transaction and exit readiness support

Finance team leadership & development

Systems and process implementation

M&A financial modeling support

Investor reporting and LP communication

For PE-backed, high-complexity, or transaction-preparing companies requiring near full-time CFO presence.

A full-time medtech CFO costs $250,000–$350,000/year in salary and benefits. The Embedded retainer is less than $200,000/year — and you pay only for what you need.

ADD-ON PROJECTS (billed outside of retainer)
Annual Budget & Financial Plan

Full budget build with assumptions documentation and board-ready presentation.

Exit & Transaction Readiness

Financial clean-up, quality of earnings prep, and narrative for PE transactions or sale process.

R&D Prioritization Model

Capital allocation framework for R&D investment decisions, built on my methodology from years at major MedTech companies.

Board Presentation Package

Quarterly or one-time board package with KPIs, financial results, and forward-looking CFO commentary.

ENTRY-POINT ENGAGEMENT

Strategic Finance Diagnostic — before committing to a retainer

A focused 3–4 week assessment that gives you a clear picture of your financial risks, gaps, and opportunities — and exactly what to prioritize.

01

Financial Statement Review

2–3 years of P&L, balance sheet, and cash flow — patterns, anomalies, and structural issues surfaced and explained.

02

Cash Flow Analysis

Current visibility, forecasting gaps, runway assessment, and working capital dynamics specific to medtech revenue cycles.

03

Revenue Quality Review

Mix by product, channel, and customer. Concentration risk, pricing integrity, GPO and distributor margin analysis.

04

R&D and Capital Spend Assessment

Are your investment decisions supported by a financial framework? Where are the gaps relative to your strategic plan?

05

Board & Investor Reporting Review

Gap analysis between what you currently report and what a PE board or sophisticated investor actually needs.

06

Finance Team & Systems Assessment

People, tools, and process maturity relative to your current revenue stage and growth trajectory.

07

Findings Report & Executive Readout

Written report with prioritized findings, risk flags, and a 90-day roadmap. Live 90-minute presentation with your leadership team.

FIXED FEE
DEPENDS ON COMPANY COMPLEXITY

3–4 week engagement timeline

50% at start, 50% on delivery

Written findings report included

Live 90-min executive readout

Prioritized 90-day roadmap

$500 credit toward first retainer month

No long-term commitment required

Most clients who find value in the diagnostic convert to a retainer. The close is natural: either I stay on to lead the work, or I hand off the roadmap and you execute internally.

WHO THIS IS FOR

Built specifically for MedTech companies at the growth stage

COMPANY PROFILE
MedTech • $5-$50M Revenue

Post-revenue, PE-backed or bootstrapped. Series B or established SMB. Has a controller or accounting team — but no strategic finance leadership.

 

20–150 employees. Medical device, MedTech, or healthcare-adjacent. Open to contract manufacturing.

DECISION MAKER
CEO, Founder, or President

You're close enough to the numbers to know something isn't working — but too close to the business to solve it alone.

Post-funding round with board pressure

Preparing for exit or transaction

Entering a new market or launching a product

Major R&D or capital investment decision

Cash surprises despite consistent revenue

Board asking questions you can't answer

NOT THE RIGHT FIT
A few honest exclusions

Pre-revenue startups. Seed or Series A companies with heavy VC mechanics needing cap table management, SAFEs, and 409A expertise.

 

Those are gaps I'm direct about. I work where my strengths — MedTech operational finance, FP&A, and strategic modeling — create the most value.

HOW IT WORKS

From first conversation to ongoing CFO partnership

01

Intro Call

30-minute conversation. No pitch. I want to understand your business, your challenges, and whether there's a fit worth exploring.

02

Strategic Diagnostic

A 3–4 week assessment of your financial position, gaps, and priorities. The lowest-risk way to experience the work before committing to a retainer.

03

Findings Readout

Written report plus a live 90-minute session with your leadership team. Prioritized findings, risk flags, and a 90-day roadmap.

04

Ongoing Retainer

If there's mutual fit, we define the retainer scope in a Statement of Work and I become your fractional CFO on an ongoing basis.

COMMON QUESTIONS

What MedTech leaders usually ask

What's the difference between a fractional CFO and my controller?

Your controller closes the books accurately. A fractional CFO interprets what the numbers mean for your decisions — R&D investment, capital allocation, pricing, board reporting, cash management, and long-range planning. Most MedTech companies need both. The controller handles the past; the CFO navigates the future.

Do I need a full-time CFO or would fractional work?

For most MedTech companies between $5M–$50M, a fractional CFO is the right answer. A full-time MedTech CFO costs $250,000–$350,000/year in salary and benefits. A fractional engagement gives you the same strategic leadership at a fraction of the cost — and you pay only for what you need.

How do you work with our existing accounting team?

I work alongside your controller or accounting team, not instead of them. I rely on them for the close data and work with them to improve reporting quality over time. Most controllers are relieved to have strategic financial leadership in the room — it clarifies roles and removes pressure on them to answer questions outside their scope.

Do you work with PE-backed companies?

Yes — PE-backed MedTech companies are one of my primary client profiles. PE boards ask a different level of financial question, and board meeting preparation, investor reporting, and KPI infrastructure are all areas I've operated in directly. I understand the reporting standards PE sponsors expect and can build the financial narrative your board needs.

What does the onboarding process look like?

The first 30 days are structured. Week 1: kickoff call, system access, and data gathering. Weeks 2–4: deep listening and orientation — understanding the business before solving anything. End of day 30: a written memo with observations, focus areas, and working norms. I've found that moving fast on solutions without first understanding context is one of the most common mistakes consultants make.

Do you work with companies outside of Minnesota?

Yes. Most of my work is conducted remotely via video, Slack, and shared document tools. I'm based in Minneapolis and serve clients nationally. For PE-backed or embedded engagements, occasional travel to client sites or board meetings is possible and can be discussed during the scoping conversation.

GET IN TOUCH

Start with a 30-minute conversation

No pitch. No obligation. I want to understand your business and whether there's a fit worth exploring. If there is, I'll suggest a logical next step, usually the Strategic Finance Diagnostic.

Location

Minneapolis, MN · Serving clients nationally

Languages

English · Spanish (ES/EN bilingual)

Industries

Medtech · Medical Device · Healthcare · Contract Mfg

Response

Typically within one business day

COMPANY REVENUE RANGE
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