Pinnacle Management Accounting helps healthcare clinics, physician-led practices, and growing healthcare operators build the financial clarity, forecasting, reporting, and decision support they need to grow sustainably and serve more patients.
Strengthening the financial foundation behind patient care.
Powered by Pinnacle OS
Pinnacle is service-led fractional CFO + strategic finance advisory. Pinnacle OS is the internal operating system behind it—connecting productivity, RCM, operations, payroll planning, cash flow forecasting, scenarios, reporting, and state-rule awareness so you get answers faster.
What Pinnacle OS Tracks
Physician productivity & provider profitability
Payer performance & revenue leakage
Cash, AR, collections, runway forecasts
Budget vs actual & KPI rhythm
Scenario planning for hiring/expansion
Comp + staffing + payroll planning inputs
Decisions we help you answer
Should I hire another provider?
Should we open another location?
Is this service line profitable?
Where is revenue leaking?
Do we have enough cash runway?
Who it’s for / not for
For: physician-owned multi-provider practices, specialty & multi-location groups, MSO/PC operators.
Not for: One-off “report-only” accounting engagements, or practices wanting legal advice (we recommend counsel for state-rule specifics).
Founded by a CMA with 8+ years in healthcare finance, supported by 16+ years in healthcare operations—built for the decisions that actually move sustainability and growth
Executive dashboard: cash, payers, providers, profit
A sample KPI view for MSO/PC and physician-owned practices—built to make decisions obvious.

