Carter Freeman in Healthcare Business Today: Why Healthcare Organizations Keep Hitting the Same Growth Wall

August 25, 2026


Carter Freeman in Healthcare Business Today: Why Healthcare Organizations Keep Hitting the Same Growth Wall

Carter Freeman, Vice President of vcfo’s Western Region, was recently published in Healthcare Business Today with an article that reframes the growth struggles of healthcare practices and systems as an infrastructure problem rather than the revenue, staffing, or market problem leaders often assume it to be.

Drawing from vcfo’s work with behavioral health groups, multispecialty practices, and rural health systems, Carter examines why financial trouble so often surfaces after a period of real growth, and why the financial function built for a smaller organization quietly stops holding up as the practice scales. In the article, Carter explains how forward-looking financial leadership changes the decisions leaders face and why sequencing the build of that infrastructure matters as much as the growth itself.

Topics discussed include:

  • Why healthcare growth problems are so often misdiagnosed as revenue, staffing, or market issues
  • The cash-versus-revenue disconnect that leaves practices at full capacity still facing liquidity pressure
  • How reporting can be accurate yet inadequate for the decisions leadership actually needs to make
  • What changes when financial leadership holds a real seat in strategic decision-making
  • How organizations of nearly any size can access CFO-level guidance through fractional support

The article offers a practical lens for healthcare leaders weighing new locations, service lines, or acquisitions and questioning whether the financial foundation underneath is ready to carry the weight.

Read the full article HERE.

Two women collaborating on business insights using a laptop and tablet in an office setting.
Businesswomen collaborating on insights using tablet and laptop in modern office environment.

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