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Accounting Systems and ERP Implementation

CFO-level leadership for ERP, accounting, and payroll system implementations, including Oracle, NetSuite, and ADP migrations, with oversight of financial data integrity, reconciliations, controls, and transition to go-live.

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At a glance
Defined project or inside a retainer
Health systems, medical groups, behavioral health platforms
Remote nationwide, on site when necessary across LA and Orange County

What This Covers

01

System implementation

Implementation leadership across ERP, accounting and payroll platforms — Kaufman Hall, Oracle, NetSuite, Essbase, Cognos, and ADP — covering requirements and configuration decisions.

02

Chart of accounts design

A structure built around how the organization reports and is measured today.

03

Data migration and validation

Balance validation before and after cutover, which is the step most often compressed and most often regretted.

04

Complex system reconciliation

Reconciling between systems that disagree, including recovery work after a migration has gone wrong.

05

Reporting rebuild

Management and board reporting re-established on the new system, so the parallel spreadsheets can finally be retired.

06

Process and control redesign

Close, approval, and control processes redesigned to suit the new system.

How These Projects Are Led

The finance lead on a system project is responsible for the questions the implementation partner cannot answer: what the chart of accounts should be, which historical data genuinely needs to come across, what reporting must exist on day one, and who signs off that the balances agree. Elevate holds that seat. Where a migration has already failed, the work starts with reconciliation, because nothing else can be fixed until the numbers agree.

Delivered as a defined project or within a fractional or interim CFO engagement.
[ PRICING PLACEHOLDER — rates to be set after market research ]

Common Questions

Do you replace our implementation partner?
No. The implementation partner configures the system. This is the finance seat that answers the questions they cannot, and signs off that the balances agree.
Which systems have you implemented?
Kaufman Hall, Oracle, NetSuite, and ADP, alongside a system-wide accounting conversion consolidating 136 clinics onto a single centralized platform.
Our migration already went wrong. Can you help?
Yes, and that work starts with reconciliation. A $7M net receivables discrepancy caused by a prior flawed migration has been traced and resolved before.
How much of our history should move across?
Less than most organizations assume. Deciding that properly is a finance judgement, and compressing it is the most common cause of post-cutover pain.
When will reporting be back to normal?
That depends on whether reporting was rebuilt on the new system or kept running in parallel spreadsheets. The second option feels faster and tends to become permanent.
Evidence
$7M
Net receivables discrepancy traced and resolved following a prior flawed migration project.
136
Clinics consolidated onto a single centralized financial platform in a system-wide accounting conversion.

The discrepancy at the ambulatory network was not a technical fault anyone could point to; it was the accumulation of balances that had never been validated at cutover. Tracing it took longer than the migration itself would have taken to do properly.

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Partner with a Healthcare CFO

Direct access to seasoned financial leadership changes how healthcare executive teams operate. Contact Elevate to discuss your financial structure, operational bottleneck, or leadership needs.

Email info@elevatecfo.co
Based in Los Angeles, California
Elevate

Executive financial leadership for healthcare organizations: fractional and interim CFO, controller services, margin improvement and revenue cycle recovery.

Get in touch
info@elevatecfo.co
Los Angeles, California
Remote nationwide
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