Fractional CFO · Operating Advisory

Senior finance and operating leadership for healthcare.

Siddiqi Advisory works with health systems, physician organizations, and healthcare services companies on the finance and operating problems that need senior attention without a full-time hire. Engagements are scoped, fixed-fee where possible, and discreet.

Start a conversation See how I help

Most recently SVP of Finance for Fresenius Kidney Care, the U.S. dialysis business of Fresenius Medical Care · Prior senior finance leadership at Tufts Medicine and Massachusetts General Hospital

01 · How I help

Engagements

Engagements are scoped to the problem and the moment. Diagnostic work is fixed-fee with clear deliverables; longer work runs on retainer. All work is delivered by the principal — no leveraged teams, no offshored analysis.

01

Physician Compensation & PSA Structuring

Redesign of physician compensation plans to align with strategy, market, and productivity. Restructuring of Professional Services Agreements across multiple sites. Work has been deployed at academic medical centers, large physician organizations, and multi-specialty groups.

8–12 week fixed-fee engagement
02

Funds Flow & Multi-Entity Integration

Design and implementation of funds flow models, academic medical center–university integration, hospital-PO consolidation, and post-merger financial structures. For health systems and academic institutions navigating governance and economic alignment across multiple entities.

12–16 week fixed-fee engagement
03

Performance Management & Margin Improvement

Build of performance management systems, productivity benchmarking, executive dashboarding, and disciplined cost takeout. For organizations where the finance function reports but doesn't yet partner with operations to drive margin — work that has produced $85 million in cost reduction at Tufts Medicine.

8–12 week fixed-fee engagement
04

Fractional CFO on Retainer

Embedded senior finance leadership for PE-backed healthcare platforms, physician organizations between full-time CFO hires, or health system divisions that need senior attention without a full-time role. Operating presence at the leadership table.

3–6 month retainer minimum

02 · How I work

Principles

Fixed-fee where possible.

Diagnostic work is fixed-fee with clear scope and deliverables. Open-ended billing creates the wrong incentives for both parties.

System before individuals.

Most finance and operating issues are structural before they are personal. The work focuses on what to change in the system, not who to blame.

Options, not mandates.

Recommendations are presented as a menu with trade-offs in financial impact, cultural impact, and effort. Leadership decides what to implement.

Discretion is the default.

Senior advisory work requires confidentiality. Engagements operate under mutual NDA with discreet stakeholder access.

Senior presence, not junior delivery.

All work is delivered by the principal. No leveraged teams, no offshored analysis, no white-labeled deliverables.

03 · Fit

Who I work with

A good fit

  • Health systems and academic medical centers navigating finance integration or transformation
  • Physician organizations dealing with compensation redesign, PSA structuring, or performance management
  • PE-backed healthcare services platforms needing senior CFO attention without a full-time hire
  • Boards and leadership teams that want the system understood before individuals are acted on

Not a good fit

  • Forensic investigation of named individuals (better handled by counsel and investigators)
  • Organizations under active regulatory enforcement
  • Early-stage companies needing first-time finance setup (better fit for a full-time CFO or operating partner)
  • Non-healthcare engagements without an introduction

04 · Background

About

Assad Siddiqi

Assad Siddiqi

Healthcare CFO. Senior finance leadership across academic medical centers, large physician organizations, and global healthcare services.

Most recently SVP of Finance for Fresenius Kidney Care, the $10 billion U.S. dialysis business of Fresenius Medical Care operating 2,800 clinics, serving as its chief financial partner. Before that, System SVP of Finance at Tufts Medicine, with CFO accountability for both Tufts Medical Center and the Professional Group, a $1.7 billion portfolio. Earlier, a decade in progressive finance leadership at Massachusetts General Hospital, including Director of Finance and Business Operations for the MGH Cancer Center.

Across those roles, the work has centered on physician compensation redesign, funds flow and multi-entity integration, performance management, and margin improvement at scale — including $85 million in cost reduction at Tufts Medicine and performance frameworks deployed across 2,800 Fresenius clinics.

Siddiqi Advisory was founded to bring this work to organizations on a focused, scoped basis. MBA, Boston University Questrom School of Business.

Focus areas · Academic medical centers · Physician organizations · Dialysis and ambulatory care · PE-backed healthcare services · Health system finance integration

07 · Contact

Start a conversation

I take on a small number of engagements at a time. Most start with a 30-minute conversation — no agenda, no pitch — to understand the situation and whether I'm the right person to help.

Email
assad@siddiqiadvisory.com
LinkedIn
linkedin.com/in/assadsiddiqi
Location
Boston, MA

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