Ask AI Transaction-ready in 30 days
Senior finance leadership for your next fundraise, growth, and exit — without the full-time hire.
Explore Fractional CFOCFO • STRATEGIC FINANCE • CONTROLLER
Finance for Healthcare Billing & RCM.
The finance team for RCM, medical billing, and practice management software companies. Bridges provides CFO, strategic finance, and controller support to companies preparing to fundraise, navigating growth, and preparing for exit.
31 companies guided through fundraise, growth, and exit
We've helped healthcare billing companies raise over $400M, scale 2X-5X, and deliver $1.1B in exit value.
“Tim brought financial clarity that let us scale profitably, grow the team, invest in sales & marketing, and move fast without worrying about cash or risk.”
Levon BrutyanCo-Founder & CEOCollectly · Healthcare Billing“Tim navigated Kabbage through near-zero runway — bringing financial discipline and analytical rigor — and prepared us for a premium exit.”
Rob FrohweinCo-Founder & CEOKabbage“We overstaffed to meet demand. Then pipeline dried up, margins collapsed, payroll at risk. Tim showed path to profit and gave me confidence to act.”
Jacki LeahyCEOActivate the Magic · GTM SaaS“We expanded too fast, but underestimated our cash needs. Tim modeled our options which helped get our investors back on board.”
Nick SteeleCFOStimLabs · Life Sciences SaaSHealthcare billing has business complexity that breaks standard SaaS playbooks.
Most finance consultants understand horizontal SaaS. Few specialize in healthcare — which requires deep knowledge of revenue cycle management, insurance payments, reimbursements, and HIPAA compliance. We model your business as it actually works, not force it into a generic SaaS template.
Every payment reconciled to your AR
Every invoice, payer remittance, and patient payment reconciled to your AR — so your financials reflect reality.
Bottom-up forecasts built for claims cycles
Forecasts built around annual contracts, claims volumes, and collection cycles — by payer, specialty, or patient cohort.
Growth investments modeled by channel
Growth investments modeled across direct sales, inbound, and partnerships — so you know how each channel is performing.
Fractional CFO, Strategic Finance, and controller services — built for RCM, medical billing, and practice management SaaS.
Forecasts that inform decisions
Models, metrics, and analysis built around contracts, claims volume, and reimbursements.
Explore Strategic FinanceAccurate, timely financials
Clean books, claims and reimbursements reconciled, and monthly financials delivered on time.
Explore Controller ServicesReal companies. Real outcomes.
Case study
Collectly builds finance operations in 90 days to accelerate growth after raising Series A
Collectly closed a $25M Series A with no finance infrastructure. Tim joined as the first finance hire – rebuilding the books to accrual standards, optimizing billing workflows, and delivering real-time revenue reporting by client — the foundation Collectly used to grow 3X over two years.
Read the case study100%+
Revenue growth momentum sustained
10 hrs
Saved weekly on finance operations
$200K+
Saved annually in G&A
“Tim brought financial clarity that let us scale profitably, grow the team, invest in sales & marketing, and move fast without worrying about cash or risk.”
Levon BrutyanCo-Founder & CEO · Collectly
Bridges brings specialized finance and operating experience to early-stage founders — before they're ready to build a full-time team.
Meet the teamBrought in at pivotal moments.
We do our best work when the stakes are high and deadlines are tight.
Where you
are today
are today
- Reconciled Stripe, ASC 606 compliant revenue, accrual books
- Bottoms-up projections across contracts and claims volume
- Investor narrative, pitch deck support, organized data room
- Unit economics modeled by payer, specialty, or patient cohort
- GTM spend modeled across outbound, inbound, and partnerships
- Headcount planning tied to cash controls and spend projections
- Clean, accurate financials that survive scrutiny
- Retention, expansion, and churn analysis by payer / specialty
- Exit narrative and management presentation support
Where you
want to be
want to be
From onboarding to results — in 30 days
Most finance consultants hand you a report. We embed into your team, take ownership, and influence decisions.
Week 1
01 — Align
We evaluate your books, Stripe, and billing stack. 1 hour of your time — we prioritize what matters most.
Weeks 1–4
02 — Build
We close books, reconcile payouts, and deliver first analysis. 2–4 hours of your time — then we run.
Weeks 3–6
03 — Deliver
Financials, forecast, and action plan delivered. From here, monthly or quarterly cadence.
We read every message.
Tell us where it hurts — we'll scope it and quote a flat fee before you commit.
Book an Intro CallNot generic SaaS advice.
Strategic insights developed from leading finance and operations at medical billing SaaS companies.
Who to bring as your first finance hire?
Controller or head of finance? Here's a framework for your situation.
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Sales cycle is the number one factor. How to target the right ICP at your stage.
Read moreHow to choose the right pricing model?
Per seat vs usage-based vs hybrid. Learn downstream implications.
Read moreQuestions we hear from healthcare billing founders
How is Bridges different from other fractional CFO firms for SaaS companies?
Most fractional CFO firms serve horizontal SaaS companies. Bridges brings specialized expertise for RCM, medical billing, and healthcare billing — companies where revenue spans subscriptions, contracts, usage, and payment volume, and where standard SaaS playbooks fall short.
Our team has direct experience with insurance payments, reimbursements, Stripe Connect, interchange economics, gross vs. net revenue reporting, and usage-based billing. We don't learn your business model on your dime. Strategy and books come from one team — Fractional CFO, Strategic Finance, and controller services always aligned — so nothing slips through the cracks.
Among our current and past clients are companies like Collectly (RCM and healthcare billing), Keep Financial (payroll solutions for healthcare providers), and over 20 others across RCM, medical billing, and practice management.
What services does Bridges offer to healthcare billing companies?
For healthcare billing, we connect cash, metrics, forecasts, and operating decisions. Cash Management starts from $5,000/month; Strategic Finance starts from $10,000/month and includes all of Cash Management with deeper analysis. Fractional CFO starts from $15,000/month and includes Strategic Finance, board and investor reporting, and data-room readiness. Controller services are separate.
How does Bridges handle revenue recognition for healthcare billing companies?
Revenue recognition is one of the most mishandled areas in healthcare. Three issues come up consistently.
Gross vs. net revenue under ASC 606: if your platform processes payments on behalf of customers, you need to determine whether to recognize full payment volume, total payment fees, or only your net take rate. Getting this wrong distorts your P&L and creates problems in diligence, compliance, and operations.
AR, denials, and restatements: aggressive revenue recognition on contingency fees before claim resolution creates restatement risk. Denial spikes can force retroactive adjustments to previously booked AR.
Stripe reconciliation: Stripe batches payouts and withholds fees, meaning bank deposits rarely match invoices. We reconcile every payout to the underlying customer transactions, processor fees, and refunds — and ensure the correct revenue entry hits your books each month.
How much does fractional CFO support cost for a healthcare billing company?
Cash Management starts from $5,000/month, seed stage getting to Series A. Strategic Finance starts from $10,000/month, deeper, common above $3M ARR. Fractional CFO starts from $15,000/month for post-Series A board accountability. Cash books start from $1,750/month and accrual books from $2,750/month, priced separately. Accrual books are preferable when you are preparing a fundraise or have closed an institutional round, when your board or investors expect accrual reporting, or when you have deferred revenue, annual contracts billed upfront, or usage-based billing. Modeling and financial diligence each start from $10,000, taking 2-4 weeks.
What does the CFO engagement look like once we start?
Most founders have working numbers within 30 days of the first call.
- Week 1 — we review your books, Stripe, and billing stack, and identify what needs attention first.
- Weeks 1–4 — we clean up the books, convert to accrual basis, and establish proper revenue recognition.
- Weeks 2–6 — we stand up SaaS reporting, analyze unit economics, and build scenarios to guide GTM spend.
By Week 6, we aim to deliver accurate numbers, a financial model, and set a recurring cadence.
Touchpoints depend on your tier. Cash Management clients meet monthly. Strategic Finance clients meet bi-weekly. Fractional CFO clients have weekly access plus board meeting support. Between sessions, direct Slack access — most questions answered the same day.
Who would be on our team if we start working with Bridges?
We work concurrently with 10 to 15 companies because Tim Salikhov serves as CFO on every engagement. Controllers and financial analysts support each engagement. Fractional CFO starts from $15,000/month and includes Strategic Finance; board and investor reporting are included in the Fractional CFO engagement.