RHC finance run by someone who's audited RHCs.
33 years in healthcare finance — including 5 years as a Medicare auditor — brought to bear as your fractional or project-based CFO. I build RHC cost reports, reimbursement strategy, and board reporting that hold up because I know exactly what the other side of the desk is checking for.
Three ways to bring in an RHC CFO
Engagements are scoped to what your clinic's finance function actually needs right now — not a fixed retainer that outgrows it or undershoots it.
Fractional CFO
Embedded part-time finance leadership for RHCs that need real oversight without a full-time hire.
- Medicare & Medicaid cost reporting
- Reimbursement rate optimization
- Monthly close & board reporting
- Cash flow & grant compliance
Project-Based CFO
Focused engagements around a specific event — a cost report cycle, an audit, a certification change.
- Medicare audit preparation & defense
- RHC certification & re-designation
- Cost report reconstruction
- Provider-based vs. freestanding analysis
Advisory Retainer
Light-touch, ongoing counsel for a clinic administrator or existing finance staff who need an experienced second opinion.
- Monthly strategy sessions
- Board & grant reporting review
- Compliance & audit-readiness checks
- On-call for reimbursement questions
What the first 90 days look like
A real sequence, not a formality — each step determines the scope of the next one.
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01
Discovery call
A 30-minute conversation about where the finance function is today and what's actually at stake — a raise, a cash crunch, a board that's stopped trusting the numbers.
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02
Financial diagnostic
A structured review of your books, reporting cadence, and systems, ending in a short written assessment of what's broken and what's just underbuilt.
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03
Engagement scope & start
A proposal matched to the diagnostic — fractional, project, or advisory — with a defined cadence and the first 30/60/90-day priorities.
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04
Ongoing reporting rhythm
Monthly close, a board-ready package, and a standing check-in — so the numbers are trusted well before anyone outside the company sees them.
Representative engagements
Anonymized to protect client confidentiality — details available on a call.
Rebuilt the cost report process from scratch and cleared a backlog that had left two years unfiled.
Prepared documentation and represented the clinic through a Medicare audit with no repayment findings.
Identified and corrected a cost-reporting gap that had understated reimbursable costs for three consecutive years.
Garrett Merryman
- Experience33 years in healthcare finance
- FocusRural Health Clinics (RHC)
- Background5 years as a Medicare auditor
- Based inMissouri · remote nationwide
I've spent 33 years on the finance side of healthcare — including 5 years as a Medicare auditor, reviewing the same cost reports and reimbursement filings I now help RHCs build correctly the first time.
Rural Health Clinics run on a reimbursement model most CFOs never have to learn — cost-based Medicare and Medicaid reporting, provider-based vs. freestanding designation, grant compliance layered on top of clinical operations. I specialize in exactly that gap.
Every engagement starts the same way: a real look at your cost report and reimbursement position, an honest read on what's at risk in an audit, and a plan scoped to what your clinic actually needs.
Start with a 30-minute call
No pitch, no pressure — just a conversation about where your finance function stands and whether this is a fit.
- garrett@jrscfo.com
- Phone
- (555) 555-5555
- Scheduling
- Book directly on my calendar →