Mountains and lake, New Zealand
Fractional CFO · Healthcare & Specialty Practices

Your numbers should tell you the truth — before it costs you something.

I'm Rob Freels, a 25-year operator-focused CFO. FreeRivers CFO Advisory brings real financial leadership to healthcare and specialty practices — on a fractional basis, without the full-time price tag.

You can be busy, profitable on paper, and still one bad month away from a real problem.

Most practice owners don't find that out until it's expensive — because nobody's actually looking at the full picture. Bookkeeping tells you what happened. It rarely tells you what to do next.

That's the gap I fill: clear financials, real cash flow visibility, and a CFO-level read on what's actually driving — or draining — your margins.

How We Work Together

Two ways to start

No long-term commitment required to find out what's really going on in your numbers.

Step One

Practice Financial Diagnostic

A focused, two-week look at your books. I'll surface the top issues quietly costing you money — pricing gaps, margin leaks, cash timing problems — and hand you a short, plain-English findings report. No jargon, no 40-page deck.

Flat feeScoped after a free intro call
Selected Outcomes

What this looks like in practice

500%+
Profitability increase via pricing & margin visibility
75%
Reduction in A/R days, bad debt eliminated
~400%
Working capital expansion through tighter process
40%+
Revenue growth via operational alignment
20%
Opex reduction with faster reporting cadence
How I Think About This

A few principles I don't bend on

Cash flow is the truth

Everything starts there. Profit on paper means nothing if cash doesn't follow.

Finance and operations are one thing

Reporting without execution is just noise. The numbers should change what happens next.

Clarity beats more data

Leadership needs actionable insight — not another dashboard nobody opens.

Rob Freels, Founder of FreeRivers CFO Advisory

25 years on every side of the finance desk.

I've worked as a banker, an auditor, and — for the last 16 years — a CFO, across healthcare services, physician practice operations, product distribution, and public accounting. That mix gives me a practical lens on how capital, operations, and risk connect in real businesses, especially in regulated, high-friction environments.

I'm most effective in environments that require building, fixing, or scaling the financial engine behind the business — and right now, I'm taking on a select number of fractional CFO engagements with healthcare and specialty practices that want exactly that.

Lexington, KY — working with practices nationwide

If your numbers feel like a black box, let's open it up.

First conversation's on me — no pitch, just a straight look at where things stand.