From Leading Major Health System CFO Roles to Delivering Fractional CFO Expertise
Founded by Derrick Hollings after more than two decades as an executive vice president and CFO at major health systems. The Hollings Consulting Group delivers executive-level financial leadership to organizations that need it.

From Major Health Systems to Fractional Leadership
For more than 25 years, I have held chief financial leadership roles at prominent health systems nationwide, guiding organizations through complex challenges and driving transformative results. Each of these roles shared a dynamic healthcare landscape, consistently presenting new challenges that demanded robust financial stability and adaptability. Throughout my career, I have taken an active, hands-on approach to leadership, dedicating myself to enhancing financial operations and cultivating a supportive environment that allowed my colleagues to excel in financial management. My commitment centers on empowering teams, streamlining processes, and fostering professional growth to ensure both individual and organizational success. What has helped me succeed is creating a tight bond between strategic plans and the financial planning and analysis processes. Financial systems have a functional or practical life cycle that requires routine updating to remain effective. In my CFO roles, I revamped the approach to budgeting and performance management by integrating comprehensive strategies that included clinical effectiveness, quality and safety, workforce management, and financial sustainability. This holistic methodology ensures that every aspect of the organization’s operation contributes to both immediate and long-term success. As CFO, I have elevated financial operations to new levels of performance, ensuring that our revenue cycle runs efficiently, supply chains operate seamlessly, and financial reports accurately reflect our results. My leadership has driven the implementation of robust financial systems that empower data-driven decision-making, enabling the organization to achieve both operational excellence and strategic growth. I founded Hollings Consulting Group (HCG) to support healthcare organizations seeking expert, part-time executive financial leadership. My consulting services are tailored for organizations experiencing persistent operating losses or those requiring focused executive-level management for critical initiatives. By delivering specialized, results-oriented expertise rather than simply fulfilling a traditional role, I enable my clients to overcome chronic financial challenges and achieve maintainable long-term success. My career began with an accounting degree from the University of Alabama at Birmingham (UAB) Collat School of Business. Throughout my career, I have relentlessly pursued and implemented industry-leading best practices, rigorously evaluating and adapting innovative strategies that drive measurable improvements. My proactive approach ensures that each organization I serve benefits from transformative solutions that deliver immediate and lasting impact.
Insights Gained from my Years as a Health System CFO
Career Highlights
Throughout my career, I have excelled in navigating and leading within healthcare organizations characterized by intricate decision-making structures, spanning both public hospitals and private health systems.
Executive Vice President, CFO, Treasurer
Led financial strategy for Cleveland's academic medical center and community health system. Overseeing capital planning, bond financing, and operational performance for a complex multi-site organization serving urban and suburban communities.
Senior Vice President, System Chief Financial Officer and Treasurer
Led inaugural public bond rating for statewide integrated health system. Managed financial operations for a multi-hospital system, negotiated strategic partnerships, and guided the organization through significant market changes.
Chief Financial Officer
Directed financial operations and business strategies for an integrated health system led by a prominent academic medical center. Led revenue cycle transformation, managed relationships with payers and regulators, and improved financial performance while maintaining the academic mission.
Cofounder and President
Served as the leader of a firm specializing in interim CFO solutions for hospitals, with a strong focus on customized financial leadership. The company leveraged a network of seasoned professionals who excel at navigating the complex challenges specific to healthcare organizations.
How We Approach Financial Leadership
Our approach to financial leadership is rooted in a deep understanding of healthcare’s complexities and a proven record of guiding organizations through transformative change.
01
Clarity That Drives Decisions
Financial data should empower action. HCG goes beyond basic financial reporting by translating complex data into targeted insights. We empower boards, executives, and clinical leaders to make decisions that shape their organization's future.
03
Hands-On Execution
We work side-by-side with your team, managing projects and driving performance improvements with direct communication, realistic goals, and measurable outcomes. Our hands-on approach ensures that your organization sees immediate and sustainable impact.
02
Mission-Driven Financial Strategies
Every recommendation we make is guided by your mission to provide exceptional patient care. Our financial strategies are designed to strengthen long-term fiscal health while advancing patient outcomes. We recognize that achieving strong margins is essential to sustaining and advancing the mission.
04
Trusted Partnership
HCG integrates CFO-level expertise into your organization through leveraging your internal leaders' strengths. We become true partners in your success, committed to elevating both financial stewardship and organizational excellence.
The Gap We Fill
Some expertise isn’t required every day, but when you bring it in strategically, it can be the catalyst for meaningful transformation.
When Expertise Matters Most
Driving meaningful change in your organization requires more than good intentions. It demands proven leadership. Whether it's optimizing the revenue cycle, reimagining the budgeting process, or spearheading performance improvement initiatives, these critical efforts shape your organization's future.
Flexibility You Need
Executive-level expertise available precisely when and how you need it. For the specific initiative, transition period, or strategic project, we are structured to align with your timeline and organizational requirements.
Meaningful Transformation
Backed by 25 years of proven success as a Chief Financial Officer in leading health systems nationwide, HCG delivers the high-impact financial leadership your organization demands.