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Outsourced Controller and Accounting Services

A CFO is only as useful as the numbers underneath. Where the accounting function is thin, late, or improvised, strategy work stalls. Elevate runs the controller layer for healthcare organizations, covering bookkeeping, month-end close, account reconciliations, and financial reporting on a calendar the board and the bank can rely on.

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At a glance
Standalone or alongside a CFO retainer
Medical groups, behavioral health, PE-backed platforms
Remote nationwide, on site when necessary across LA and Orange County

What Outsourced Controller Services Cover

01

Bookkeeping

Day-to-day transaction recording, coding discipline, and a chart of accounts that accurately reflects the organization’s actual operations.

02

Month-end close

A defined close calendar with owners and deadlines, so the books land in days, not weeks.

03

Account reconciliations

Bank, payor, intercompany, and balance sheet reconciliations performed on a schedule throughout the year.

04

Financial reporting

Monthly statements, variance analysis, and management reporting packages written to be understood.

05

Payroll and AP oversight

Payroll and accounts payable cycles with the approval structure around them, including payroll system implementation where the infrastructure is not there yet.

06

Analytics and management reporting

Operating reports, variance analysis, and the benchmarks leadership needs to see, built into the ledger itself.

How the Controller Function Is Run

The initial work is a clean-up and a calendar. Where the books are behind, they are caught up; where reconciliations have drifted, the differences are found and cleared. Out of that comes a written close calendar with named owners and dates. From there the function runs to that calendar, along with a monthly reporting package and a short review meeting. Organizations that also require fractional CFO work get both layers from the same practice, which removes the usual gap between the people who produce the numbers and the person who interprets them.

Runs standalone or alongside a fractional CFO retainer.
[ PRICING PLACEHOLDER — rates to be set after market research ]

Common Questions

Do you replace our bookkeeper or work with them?
Either. Where there is an internal bookkeeper, the controller layer sits above them and gives them a calendar and a reviewer. Where there is nobody, the function is run outright.
How long does it take to catch up if we are behind?
It depends how far behind and how clean the underlying records are. The first month is scoped as clean-up to allow time to make that assessment.
Do you handle payroll?
Payroll and accounts payable oversight, yes, including the approval structure around them. Payroll system implementation is also in scope where the infrastructure is not there yet.
Will this make our audit easier?
Essentially, that is much of the point. Workpapers and schedules built through the year keep the audit short. Elevate does not perform the audit itself.
Can we utilize this without engaging a CFO?
Yes. Plenty of organizations need the accounting layer fixed before a CFO conversation could be effective.
Evidence
$7M
Net receivables discrepancy traced and resolved at a $100M ambulatory physician network after a prior flawed migration project.
$1M+
Operational EBITDA gained at that network through premium labor reduction, clinic volume growth, and physician compensation renegotiation.

A failed system migration had left the network’s receivables unreconciled and its reporting unusable. Elevate rebuilt the reconciliation and denial management, then maintained the budget. Nothing strategic was possible until the underlying numbers agreed.

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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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