Vital member of the executive leadership team, HCG leads the development and implementation of financial strategies and plays an integral role in shaping organizational direction, ensuring financial stability, and driving sustainable growth.

Performance Improvement

Dedicated to guiding the management team through the design and implementation of a robust performance improvement plan. HCG offers a proactive approach to address existing challenges and embed continuous improvement into the organizational fabric, ultimately driving transformative changes and securing lasting, measurable success.

Consultants play a key role in advancing strategic projects through high-impact, cross-functional deployment. HCG leads complex, time-bound projects that require deep financial acumen, operational insight, and collaborative leadership across clinical, administrative, and external stakeholder groups.

Focused on coaching clinical executives in budget preparation, understanding monthly operating reports, designing board presentations for the Finance Committee, linking financial strategy to areas of clinical responsibilities, and other skills needed for long-term financial success.

Your Hospital Needs CFO Leadership

Transform the Fractional CFO role into a central leadership position by fostering collaboration across departments, bridging numbers and vision to help leaders align resources with quality care, elevate performance, and create lasting impact

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AS FEATURED IN

Read Full Story Here

When It Comes to Major Health System Decisions, Only Proven Leadership Delivers Results

THE REALITY

Despite your finance team’s reporting accurately, your organization continues to experience ongoing financial losses. Repetitive budgeting and unresolved revenue cycle issues persist, and outsourcing will not fix the core challenges. In these critical times, you need proven leadership to guide your organization toward lasting financial stability.

THE PROBLEM

Many organizations focus on hiring for the CFO title instead of the outcomes they need, often resulting in executives who lack the specialized skills to drive measurable improvements. This leads to ongoing financial stress, frequent turnover, and unresolved challenges. What’s truly needed is proven financial leadership targeted at high-impact initiatives.

THE SOLUTION

HCG delivers executive financial leadership to healthcare organizations that target persistent losses and critical financial high-impact initiatives. Through tailored consulting, we implement hands-on solutions that address core challenges, restore financial stability, and empower lasting success by transforming financial management into a tool for organizational improvement.

Derrick Hollings in Global Healthcare Magazine

"Turning Financial Complexity into Clarity,
One Community Hospital at a Time"

Read the full cover story about Derrick's 25+ year journey navigating the financial complexities of major health systems and founding Hollings Consulting Group to bring executive-level CFO expertise to mid-sized hospitals and community health organizations.

Featured insights:
• Why mid-sized hospitals are "drowning in data but
starving for insight"
• The 75% problem: How CFO time gets consumed by admin tasks
• Leading a hospital turnaround from chronic losses to
sustained positive margins
• Building finance teams that think beyond the numbers
• The future of visionary financial leadership in healthcare

Read Full Article

Meet Derrick Hollings

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.

Drawing on a wealth of experience as Chief Financial Officer for leading health systems nationwide, Derrick’s role consistently extended far beyond traditional financial oversight. He played a pivotal role in shaping each organization’s strategic direction and long-term success. Derrick led a financial strategy that secured inaugural bond ratings, locking in favorable borrowing costs; spearheaded multimillion-dollar acquisitions that reshaped local healthcare landscapes; navigated complex post-merger integrations with strategic precision; and built robust performance management systems that accelerated growth and strengthened operational excellence.

Derrick founded Hollings Consulting Group to ensure that high-level financial expertise is available to a broader range of healthcare organizations, not just large health systems with favorable payer mixes. Mid-sized hospitals, community health providers, and emerging healthcare companies face the same complexities - yet many lack access to the right CFO leadership. My mission is to close this gap by delivering proven executive guidance and results-oriented financial strategies to organizations of all sizes.

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Campaign Board Member

Reshaping how the world understands Africa's role in the global economy

Our national part-time CFO practice delivers breakthrough expertise to organizations that have exhausted every option yet still see no change in results. When others hit a wall, we push through by driving real, measurable progress where it’s needed most.

Derrick Hollings, CPA

President and CEO

Four Ways HCG Supports Your Organization

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Healthcare Organizations HCG Partner With

Executive-level expertise for healthcare organizations facing decisions that shape their financial future.

Mid-to-large hospitals and health systems

PIONEERING

FINANCIAL

EMPOWERMENT

FOR HEALTHCARE

ORGANIZATIONS

Expert Insights on Healthcare Finance & Leadership

AI Governance for Healthcare Leaders: How to Adopt AI Without Creating New Risks

A Practical Guide to Responsible AI Adoption in Healthcare As artificial intelligence (AI) continues to transform the healthcare landscape, leaders face the dual challenge of harnessing its potential while ensuring patient safety, compliance, and organizational trust. Successful AI adoption requires more than just integrating new technologies - it demands robust governance to prevent the introduction of new risks. Below, we explore critical angles healthcare executives must a

Mastering the Hospital Budget Process: Strategies for Consistent Resource Optimization

Hospital budgeting is a complex, multifaceted process that is pivotal in aligning an organization's financial resources with its strategic objectives. The process requires careful coordination among executives, strategy planners, financial planners, and operational leaders. This ensures that every dollar spent supports the hospital’s mission and long-term goals. To maximize the effectiveness of the budgeting process, hospitals must foster a supportive organizational culture t

Cybersecurity as a Financial Risk - Why CFOs Must Lead the Conversation

Hospitals are facing a surge in cybersecurity threats that are more sophisticated, more frequent, and more financially damaging than ever before. Ransomware attacks, data breaches, and system outages don’t just disrupt operations - they threaten patient safety, erode community trust, and create multimillion‑dollar financial liabilities. For too long, cybersecurity has been viewed as an IT issue. In today’s environment, it is unmistakably a financial risk , and CFOs must be at

Aligning Capital Planning with Mission Outcomes: A Framework for Hospital Leadership Teams

Hospitals and health systems are under increasing pressure to make capital decisions that are financially sound, strategically aligned, and mission-driven. Yet in many organizations, capital planning becomes a technical exercise - a spreadsheet of competing requests - rather than a leadership opportunity to reinforce purpose and long-term impact. When capital planning is disconnected from mission, organizations risk investing in projects that drain resources, dilute focus, or

AI in Healthcare Finance: Predictive Analytics for Smarter Hospital Decisions

Hospitals and health systems are operating in an environment defined by volatility - shifting reimbursement, rising labor costs, unpredictable volumes, and increasing pressure to make every dollar count. In this landscape, AI-driven predictive analytics is becoming one of the most powerful tools available to CFOs and boards. But the real value of AI isn’t in replacing human judgment. It’s in giving leadership teams clearer visibility , stronger forecasting , and more confide

Revenue Cycle Optimization: Practical Steps to Lift Margins Without Compromising Care

Hospitals and health systems are under immense financial pressure. Reimbursement compression, rising labor costs, and payer friction are squeezing margins at the exact moment when communities need more from their healthcare providers. In this environment, revenue cycle optimization (RCO) isn’t just a finance initiative - it’s a leadership imperative . When done well, RCO strengthens financial performance and protects the organization’s ability to deliver high‑quality care. T

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Expert insights, proven frameworks, and practical tools from 25+ years of executive healthcare finance leadership. Download white papers, guides, and templates to strengthen your financial performance.

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Your Hospital Needs CFO Leadership

When It Comes to Major Health System Decisions, Only Proven Leadership Delivers Results

THE REALITY

THE PROBLEM

THE SOLUTION