K-38 CONSULTING

Get CFO-Level Financial Clarity for Your Medical Practice in 30 Days - Or You Don't Pay

Most practice owners are making million-dollar decisions on incomplete data. We fix that. Unified reporting, real-time KPIs, and recovered revenue - delivered by a CPA-led team that has helped clients raise over $10 billion in funding.

Watch how K38 helps practices gain financial clarity in 30 days
Book Your Free 30-Minute Strategy Call

The Problem Nobody Talks About

Your Practice Is Generating Revenue.
But Where Is It Actually Going?

You went to medical school, not business school. Yet every day you are forced to make financial decisions that determine whether your practice thrives or slowly bleeds out.

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Disconnected Financial Data

Your EHR says one thing. Your billing system says another. QuickBooks tells a third story. Nobody - including you - knows which number is real.

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Revenue Leaking Quietly

Denied claims, under-coded procedures, collections falling through the cracks. You are losing money every single month and the reports do not show it.

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Decisions on Instinct, Not Insight

Should you hire another provider? Expand locations? Renegotiate payer contracts? You are guessing - because you have no financial model to test against.

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Margin Drift You Cannot See

Costs are rising. Reimbursements are tightening. But without real-time KPI tracking, you will not notice the squeeze until it is already a crisis.

Get Your Free CFO Clarity Assessment

What Our Clients Say

Real Results. Real Financial Clarity.

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“K-38 Consulting has been an invaluable partner...improving cash flow, increasing profitability, and strengthening our revenue cycle.”

Robert Moses
Managing Partner
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“Their outsourced CFO services have helped us streamline our finances, improve cash flow, and boost profitability.”

John Moyer
President
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“Their expertise has helped us increase profitability, optimize cash flow, and enhance our revenue cycle.”

Jane Hamilton
CEO
$10B+
Client Funding Raised
CPA
Licensed & Credentialed
National
Reach Across All 50 States
30-Day
Risk-Free Guarantee

Meet Your Fractional CFO

Dallas Alford IV, CPA, Founder of K38 Consulting

Dallas Alford IV, CPA

Founder & Partner • K-38 Consulting • Raleigh, NC

Dallas built K-38 Consulting with one mission: give business owners the same financial firepower that Fortune 500 companies take for granted - without the Fortune 500 price tag.

As a licensed CPA with deep expertise in healthcare finance, Dallas and his team have helped clients representing over $10 billion in funding raised. From medical practices to SaaS startups, K38 brings clarity to chaos.

His approach is simple. Stop guessing. Start seeing the numbers that actually matter. Then make decisions based on data, not instinct.

Talk to Dallas - It's Free

What We Deliver

Financial Clarity Is Not a Luxury. It Is a Survival Requirement.

Every service is designed to give you the visibility, control, and confidence that your practice finances demand.

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Fractional CFO Services

A dedicated CFO-level strategist embedded in your practice - forecasting, budgeting, KPI dashboards, and board-ready reporting. At a fraction of a full-time hire.

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Outsourced CFO Services

Full-scope financial leadership for practices that need more than a bookkeeper but are not ready for a $250K executive. Strategic planning, cash flow management, and growth modeling.

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Controller Services

Clean books, accurate monthly closes, and financial statements you can actually trust. We handle the accounting engine so you can focus on patient care.

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R&D Tax Credit Services

Many medical practices qualify for significant R&D tax credits and do not even know it. We identify, document, and capture every dollar you are owed.

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Cost Segregation

Own your practice building? Cost segregation accelerates depreciation and puts real cash back in your pocket - often six figures in the first year.

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Accounting Automation

Eliminate manual data entry, reduce errors, and cut your close time in half. We implement and integrate the systems that let your finances run on autopilot.

See How K38 Can Help Your Practice

Is This Right for You?

We Are Not for Everyone. And That Is the Point.

This Is for You If...

  • You own or run a medical practice doing $1M+ in annual revenue
  • You make financial decisions based on gut feeling because the data is a mess
  • You suspect you are leaking revenue but cannot pinpoint exactly where
  • You want CFO-level strategy without a $250K full-time salary
  • You are planning to grow, sell, or raise capital in the next 1-3 years
  • You are tired of your accountant just filing taxes and never helping you actually grow

This Is NOT for You If...

  • You just need someone to do your bookkeeping and file your taxes
  • You are happy with your current financial visibility and growth trajectory
  • You want the cheapest option regardless of strategic value
  • You are not willing to look at the real numbers - even if they are uncomfortable
  • You see accounting as an expense rather than a growth lever
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The 30-Day Clarity Guarantee

If we do not deliver meaningful financial clarity within your first 30 days - clear reporting, actionable insights, and a roadmap you can actually use - you do not pay. Period. No contracts. No fine print. No risk.

Book Your Free Strategy Call - Zero Risk

Frequently Asked Questions

Questions We Hear Every Week

What is the difference between a fractional CFO and an outsourced CFO?
A fractional CFO is embedded in your business part-time - typically a set number of hours per week - focused on strategy, forecasting, and high-level financial leadership. An outsourced CFO provides full-scope financial management on an ongoing basis. Which model fits depends on your practice size, complexity, and growth stage. We will help you determine the right fit on your strategy call.
How quickly will I see results?
Most clients see meaningful financial clarity within the first 30 days. That includes unified reporting, identified revenue leaks, and a clear financial roadmap. Larger strategic outcomes - like improved margins, recovered revenue, and optimized cash flow - typically build over 60 to 90 days.
What does it cost?
Engagements range from $3,000 to $10,000+ per month depending on scope, complexity, and the level of support your practice needs. We also offer project-based engagements for specific needs like R&D tax credits or cost segregation studies. Every engagement starts with a free strategy call so we can assess the best fit.
Do you work with practices outside of dermatology?
Absolutely. While we have deep expertise in medical practices - including dermatology, dental, orthopedics, and multi-specialty groups - K38 also works with SaaS companies, law firms, e-commerce brands, biotech, and construction firms. If you are doing $1M+ in revenue and need financial clarity, we can help.
What if I already have a bookkeeper or accountant?
Great - we work alongside your existing team. A bookkeeper handles the day-to-day transaction recording. We sit above that layer, translating raw data into strategic insight. Think of us as the financial brain your practice has been missing. We do not replace your accountant; we make their work actually useful for decision-making.
What happens on the free strategy call?
It is a 30-minute conversation - no pitch, no pressure. We will ask about your practice, your current financial setup, and where you are feeling the most pain. By the end, you will have a clear picture of where the gaps are and what it would take to fix them - whether you work with us or not.

Stop Guessing. Start Seeing.

Your practice deserves the same financial clarity that the largest hospital systems in the country rely on. K38 delivers it - and we guarantee results in 30 days or you do not pay.

Book Your Free 30-Minute Strategy Call