Know your numbers. Know where you stand.

A financial health assessment for independent dental practice owners.

Benchmarked to your specialty. Reviewed by a fractional CFO who reads every number herself.

Certified Management Accountant (CMA) · Member, IMA

Why independent practice owners end up guessing about their finances

That works until it doesn’t.

You didn’t go to school to read a balance sheet. You went to school to take care of patients. Somewhere along the way you also became the CEO.

So you check the bank balance. You look at production. Once a year your CPA sends a tax return, and you hope the number at the bottom is a good one.

Collections look fine, but cash is tight. A new hire felt affordable in March and doesn’t in September. An insurance payer has been slow for months, and nobody noticed because the total A/R number looked normal.

None of this means you’re doing something wrong. It means you’re making real decisions without real information.

What that costs you: Hiring, equipment, and expansion decisions made on gut feel. Cash surprises that keep showing up. Problems you find out about at tax time, when it’s too late to fix them for that year.

What’s included in your Financial Pulse Assessment

Two years of P&L and balance sheet.

Where your money’s actually going, and how your practice is really doing, not just what taxes say.

Cash flow.

What’s coming in and going out, so surprises stop feeling like surprises.

Accounts receivable and collections.

How fast you’re actually getting paid, including a payer-by-payer aging report so you know exactly where to look closer first.

Expense structure.

What’s normal for your practice type versus what’s quietly draining it.

If your practice has more than one owner, more than one location, or your books haven’t been reviewed in the last three months, we go further: performance by location or provider, and why the differences exist.

What you walk away with:

What you walk away with:

A written summary.

What I found, in plain language, with the items that need attention first at the top.

A written summary.

What I found, in plain language, with the items that need attention first at the top.

A written summary.

What I found, in plain language, with the items that need attention first at the top.

A walkthrough meeting.

Video or in person. I walk you through the findings and answer your questions.

A walkthrough meeting.

Video or in person. I walk you through the findings and answer your questions.

A walkthrough meeting.

Video or in person. I walk you through the findings and answer your questions.

The recording.

So you can rewatch it, or share it with a partner or your office manager.

The recording.

So you can rewatch it, or share it with a partner or your office manager.

The recording.

So you can rewatch it, or share it with a partner or your office manager.

An honest recommendation.

Ongoing advisory, a scoped project, or nothing at all. If you don’t need me, I’ll say so.

An honest recommendation.

Ongoing advisory, a scoped project, or nothing at all. If you don’t need me, I’ll say so.

An honest recommendation.

Ongoing advisory, a scoped project, or nothing at all. If you don’t need me, I’ll say so.

What the Financial Pulse Assessment costs

The assessment is a paid, flat-fee engagement.

It’s required before any ongoing work. I won’t recommend a plan for a practice I haven’t looked at. That wouldn’t be fair to you.

Why it isn’t free:

Free assessments tend to be sales calls with a spreadsheet attached. This is actual work, done by me, and what you get is yours to keep whether or not we keep working together.

If you move forward, the fee comes with you.

If you move forward, 25% of your assessment fee is credited toward what comes next.

What to expect, and when

Day one.

After our first conversation, you get a secure upload link and a simple checklist of what to send. No guesswork on what’s needed.

Weeks one and two.

I review your numbers. Findings typically come back within one to two weeks of receiving your documents.

Your walkthrough.

We sit down together and go through what I found.

By day 30.

You know where your practice stands and have a clear next step.

If you move forward.

We shape a proposal together, and your first 90 days of advisory build directly on what the assessment found.

The biggest variable is how quickly documents come in. Practices with current books usually move fastest.

Why practice owners choose Keystone for their financial assessment

Two things shape how I read every number in your practice.

I’ve worked chairside.

I started as a certified dental assistant. I know what a no-show, a morning that runs long, or a short-staffed day actually does to a practice, because I was there for it. Most finance people only ever see it as a dip on a report.

I’ve worked chairside.

I started as a certified dental assistant. I know what a no-show, a morning that runs long, or a short-staffed day actually does to a practice, because I was there for it. Most finance people only ever see it as a dip on a report.

I’ve worked chairside.

I started as a certified dental assistant. I know what a no-show, a morning that runs long, or a short-staffed day actually does to a practice, because I was there for it. Most finance people only ever see it as a dip on a report.

I’ve worked inside insurance companies.

I’ve worked on the payer side. Ten years in healthcare finance, including health insurance and workers’ compensation. I know why claims get denied, what payers look for, and where reimbursement quietly slips away.

I’ve worked inside insurance companies.

I’ve worked on the payer side. Ten years in healthcare finance, including health insurance and workers’ compensation. I know why claims get denied, what payers look for, and where reimbursement quietly slips away.

I’ve worked inside insurance companies.

I’ve worked on the payer side. Ten years in healthcare finance, including health insurance and workers’ compensation. I know why claims get denied, what payers look for, and where reimbursement quietly slips away.

Put those together and you get a different view.

Most CFOs look at your practice from the books outward. I look at it from the chair, the claim, and the books, and how each one affects the others.

Put those together and you get a different view.

Most CFOs look at your practice from the books outward. I look at it from the chair, the claim, and the books, and how each one affects the others.

Put those together and you get a different view.

Most CFOs look at your practice from the books outward. I look at it from the chair, the claim, and the books, and how each one affects the others.

And the rest of what you’d expect.

A CMA built on forecasting and decision analysis. You work with me directly, no associates. A small client list on purpose. And I’ll tell you if I’m not the right fit.

And the rest of what you’d expect.

A CMA built on forecasting and decision analysis. You work with me directly, no associates. A small client list on purpose. And I’ll tell you if I’m not the right fit.

And the rest of what you’d expect.

A CMA built on forecasting and decision analysis. You work with me directly, no associates. A small client list on purpose. And I’ll tell you if I’m not the right fit.

If you walk away from our conversation without a clear picture of where your practice stands, I’ll sit down with you again at no additional cost until that’s true.

The written summary and the recording are yours to keep, whether or not you decide to move forward. No pressure to continue, and no follow-up sequence of emails you didn’t ask for.

If you walk away from our conversation without a clear picture of where your practice stands, I’ll sit down with you again at no additional cost until that’s true.

The written summary and the recording are yours to keep, whether or not you decide to move forward. No pressure to continue, and no follow-up sequence of emails you didn’t ask for.

If you walk away from our conversation without a clear picture of where your practice stands, I’ll sit down with you again at no additional cost until that’s true.

The written summary and the recording are yours to keep, whether or not you decide to move forward. No pressure to continue, and no follow-up sequence of emails you didn’t ask for.

Financial Pulse Assessment FAQ

Financial Pulse Assessment FAQ

What is the Financial Pulse Assessment?

Why do I have to pay for it? Can we skip it?

What do I need to send?

What if my books are a mess?

Is my financial information secure?

What happens if I don’t move forward?

Keystone Advisors

Know your numbers. Own your direction.

© 2026 Keystone Advisors. All rights reserved.

Keystone Advisors

Know your numbers. Own your direction.

© 2026 Keystone Advisors. All rights reserved.

Keystone Advisors

Know your numbers. Own your direction.

© 2026 Keystone Advisors. All rights reserved.