Strategic Finance Consulting

Fractional CFO &
Business Growth Advisory

We partner with growth-stage companies facing the financial complexity of early commercial growth — bringing hands-on CFO leadership that drives confident decisions, accelerates scale, and builds lasting enterprise value.

Clarity

Real visibility into actual results and emerging trends — going beyond the numbers to surface what the data signals about where the business is headed.

Confidence

Turning strategic thinking into informed decisions — backed by financial modeling that empowers leadership to move quickly and decisively.

Insight

Translating complex data into clear, actionable insights — surfacing meaningful value creation and growth opportunities worth pursuing.

Areas of Focus

Expertise where it
matters most

Below are the areas where we most often add value. But the right engagement is the one we build together — purpose-built for companies in the early stages of commercial growth, and focused on what matters most at your stage.

Fractional CFO Services

"CFO-caliber support, built around your needs and budget."

Senior finance leadership that brings clarity to your numbers and takes ownership of the finance agenda — so you and your team can stay focused on running and growing the business. Designed for companies that need experienced CFO oversight without the full-time commitment, every engagement is scoped and structured around where you are today and where you're headed.

Some examples include

Financial planning and analysis
Budgeting and forecasting
Cash flow management
KPI and dashboard design

Business Growth Advisory

"Bringing financial rigor to the way you grow."

Early-stage commercial growth demands more than a sales strategy — it needs a financial architecture to support it. Working alongside commercial leadership to design the selling models, incentive structures, and performance dashboards that drive the right behaviors and make growth sustainable.

Some examples include

Commercial sales model assessment
Sales incentive plan design and infrastructure
Sales performance and growth driver dashboards
Revenue forecasting and pipeline analytics

Market Entry Services

"Enter with confidence. Operate with clarity."

For foreign-owned businesses — particularly those from Australia — establishing their presence in the US and Canadian markets, we provide the financial expertise to build it right and the ongoing fractional finance leadership to keep it running. From initial setup through to steady-state North American operations.

Some examples include

Market entry strategy and financial planning
Finance infrastructure and entity setup
US and Canadian tax and compliance readiness
Ongoing fractional finance leadership for North America

Don't see exactly what you're looking for?

Every engagement is shaped to fit. Let's talk about your business — and design the right scope together.

Meet the Founder

Big Four discipline. Commercial instinct. Trusted partner for the journey.

Joe Buttacavoli CPA (inactive) CGMA

Founder & Principal Consultant

Joe Buttacavoli is a Strategic Finance Executive who has dedicated the last two decades to serving growth-stage companies across the medical technology and life science sectors. He founded Right On Insights with a clear purpose — to channel a unique blend of finance, commercial, and operational experience into the growth-stage companies navigating the hardest parts of early commercial growth.

His career spans public accounting, corporate finance, and general management — from his early years at a Big Four firm serving life sciences clients across the US and Australia, to senior finance roles at publicly traded medtech companies, to serving as a founding member of the North America leadership team of a global medical technology company, scaling the business from startup to over $100M in annual revenue.

That experience is the foundation — and putting it to work for growth-stage companies at the moments that matter most is the mission. Every engagement is built on the belief that the right insight, at the right stage, changes outcomes.

For a full career background, connect with Joe on LinkedIn.

Professional Endorsements

Colleagues. Collaborators. Advocates.

What sets Joe apart is that he is far more than a finance leader. He brings a strong commercial mindset and a deep understanding of what it takes to build, run, and scale a business, consistently connecting financial insight to strategy in a way that drives sustainable growth and long-term value creation. He has a unique ability to see around corners, identify opportunities, and help leadership teams move forward with confidence during moments that matter most. Any founder or executive team would benefit tremendously from having Joe as a trusted partner during pivotal stages of growth.

Ken Shaw

Former President & CEO, Americas · Nanosonics

I have worked closely alongside Joe for many years. He has a sharp strategic mind — he understands the business, not just the numbers, and combines that with strong commercial instincts and real attention to detail. Above all, he operates with genuine integrity; his advice is always straightforward and given in the interests of the organisation. He is a trusted and valuable partner.

McGregor Grant

CFO & Executive Director · Impedimed Limited

Scaling a service operation to match aggressive sales growth requires financial thinking that keeps pace with the operational reality — and Joe delivered that consistently. He understood our business deeply enough to build models that actually reflected how we operated, and his approach to investment planning was both rigorous and practical. He was one of the most valuable partners I’ve had at the leadership table.

Charlie Wemhoff

COO · Modular Devices

During our years building the North American business together, Joe distinguished himself not just as a finance leader, but as a genuine strategic partner to the entire leadership team. He brought financial rigor to key decisions across sales and operations in a way that sharpened our thinking and made our growth investments more deliberate. Any organization at an inflection point would be fortunate to have him.

Ron Bacskai

Retired President & CEO · Nanosonics, Inc.

Fractional CFO &Business Growth Advisory

Fractional CFO &
Business Growth Advisory