CMA-led strategic finance for healthcare practices
About Emily H, CMA
Emily founded Pinnacle Management Accounting to help established healthcare practices turn reliable financial information into clearer cash, profitability, capacity, and growth decisions. Her approach combines healthcare operating experience, management accounting, forecasting, and practical executive follow-through.
Healthcare finance experience
Financial leadership shaped by healthcare operations.
Emily brings 17 years of healthcare experience, including 10 years in healthcare finance, and experience managing and analyzing more than $500 million in budgets. Her specialty experience includes anesthesia, cardiology, behavioral health, family medicine, and general medicine.
Healthcare finance at scale
Experience with complex budgets, capacity, staffing, and operating tradeoffs provides a practical foundation for work with established practices and physician-led organizations.
Management accounting and FP&A
Work has included budgets, rolling forecasts, cash planning, profitability, provider and compensation scenarios, and clear thresholds for growth decisions.
Healthcare-specific decision support
The work connects financial data to access, staffing, provider capacity, service-line performance, liquidity, and the choices leadership must make next.
Why Pinnacle exists
Healthcare finance should strengthen the organization behind patient care.
I founded Pinnacle Management Accounting after spending my entire professional life in healthcare, beginning at age 17 and eventually moving into senior healthcare finance leadership. Over the years, I saw how deeply financial decisions affect access to care, staffing, provider capacity, growth, and the patient experience.
My connection to this work is also personal. As a cancer survivor, I know what it feels like to be the patient waiting for answers, access, and treatment. I was fortunate to understand the healthcare system and receive timely, high-quality care. That experience shaped the way I see healthcare finance: strong financial systems are not just administrative infrastructure—they are part of what allows practices to care for more people when it matters most.
Pinnacle was built to help healthcare practices and physician-led organizations gain the financial clarity, structure, and strategy they need to grow sustainably and serve patients well.
How Emily works
From accurate records to an accountable next move.
Pinnacle’s role is to make financial information useful to leadership. That means distinguishing verified results from assumptions, connecting the operating drivers to the financial view, and keeping the decision, owner, timing, and monitoring threshold visible.
Start with a dependable foundation
Confirm close status, source data, definitions, reconciliations, and the limitations that affect what the analysis can support.
Build the forward view
Connect cash, budgets, forecasts, provider and service-line economics, capacity, and scenarios around the decision at stake.
Make accountability explicit
Translate the analysis into a clear decision frame, named owners, timing, and the financial signals leadership should watch next.
Professional responsibilities
Strategic-finance leadership with clear scope boundaries.
As a Certified Management Accountant, Emily’s work centers on management reporting, forecasting, financial modeling, controls, profitability, cash planning, and executive interpretation. Pinnacle can work alongside the client’s existing bookkeeper and CPA or coordinate a broader outsourced Finance Department when that is the agreed scope.
Professional boundary: Pinnacle does not provide tax returns or tax opinions, audit or attest opinions, legal advice, clinical guidance, coding determinations, valuations, investment advice, or regulatory conclusions. Those services remain with the appropriately qualified professional. Client leadership remains responsible for operating and clinical decisions.
Healthcare pathways
Explore the financial questions closest to your organization.
Anesthesia groups
Coverage, provider mix, facility economics, collections timing, productivity, cash forecasting, and subsidy decisions.
Cardiology groups
Provider and service-line profitability, capacity, ancillary services, equipment, cash flow, and growth.
Physician groups and MSO/PC organizations
Provider economics, locations, multi-entity reporting, shared costs, cash oversight, governance, and growth modeling.
Start with fit
Bring the next financial decision into a clearer operating view.
Use the Cash Clarity Tool for a focused starting point, or request a private conversation about the financial decision already in front of the practice.