Meet The Founder
David Gutierrez is a finance and operations executive with a proven track record of scaling high-growth companies, particularly in healthcare. Over more than a decade at Radiology Partners, he played a central role in growing the business from $9 million to more than $3 billion in revenue, raising over $8 billion in capital, and successfully executing more than 40 acquisitions. His experience spans corporate finance, capital markets, M&A, and building finance teams that can scale from early-stage growth to national platforms.
Today, David partners with founders, CEOs, and private equity sponsors through his fractional CFO platform, xCFO, where he provides strategic financial leadership, operational clarity, and investor-ready execution. He focuses on aligning financial infrastructure with growth ambitions—whether through de novo expansion, acquisitions, or restructuring—and brings hands-on experience navigating the complexities of healthcare, technology, and service-based businesses.
In addition to his CFO advisory work, David is developing ventures at the intersection of health, longevity, and thriving lifestyles. He is passionate about advancing medicine beyond traditional care models, helping individuals and organizations proactively extend healthspan while building sustainable businesses that scale. Grounded in both strategic rigor and entrepreneurial vision, David brings a unique blend of financial expertise, operational discipline, and mission-driven leadership to every organization he serves.
Solutions tailored to your growth
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Gain senior-level financial leadership when you need it—without the long-term expense of a full-time hire. xCFO provides experienced CFOs to step in seamlessly, stabilize operations, and accelerate growth.
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Turn numbers into strategy. xCFO builds dynamic budgets, forecasts, and scenario models, delivering board-ready insights that empower leadership to make confident, data-driven decisions.
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Secure the right capital to fuel your growth. From preparing investor materials to structuring debt, xCFO helps optimize financing and supports you through every step of investor and lender discussions.
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Whether you’re buying, selling, or merging, xCFO ensures you’re deal-ready. We handle due diligence, structure negotiations, integration planning, and execution to protect value and reduce risk.
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Unlock cash trapped in your operations. xCFO improves billing, collections, and revenue processes to strengthen cash flow, reduce leakage, and drive sustainable profitability.
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Build the foundation for scale. xCFO designs and implements accounting systems, reporting frameworks, and internal controls that grow with your business and withstand scrutiny.
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See your business clearly. xCFO develops tailored performance metrics and dashboards that give leaders the visibility they need to drive accountability and make smarter strategic moves.
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Deliver the clarity your stakeholders expect. xCFO creates concise, actionable reports that translate complex financials into insights boards and investors can trust.
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Stay ahead of risks before they become issues. xCFO strengthens governance, builds control frameworks, and ensures audit readiness to safeguard your business.
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More than just finance. xCFO acts as a strategic partner to CEOs and leadership teams, providing financial clarity and insight to guide the big decisions that shape your company’s future.
The xCFO Advantage
When you partner with xCFO, you gain:
Senior-level financial leadership on demand
Strategic insights for growth and transactions
Scalable processes, systems, and reporting
A partner invested in your long-term success
Our Trusted Partners
When you partner with xCFO, you gain:
Senior-level financial leadership on demand
Strategic insights for growth and transactions
Scalable processes, systems, and reporting
A partner invested in your long-term success
From KPIs to ROI.
Contact us
Interested in working together? Fill out some info and we will be in touch shortly. We can’t wait to hear from you!