II · Fractional CFO & CTO
The finance and technology team you haven’t hired yet.
Elphinstone gives small businesses senior CFO and CTO leadership on a fractional basis — with a particular focus on healthcare companies, where reimbursement, compliance and thin margins leave little room for guesswork.
Built for
- Independent practices & clinics
- Behavioral & home health providers
- Healthcare services companies
- Founder-led small businesses
What we take on
Two seats at the leadership table.
The CFO seat
Clean books, reliable reporting and a forward view of cash — so decisions get made on numbers, not instinct.
- Monthly close and management reporting
- Budgets, forecasts and 13-week cash flow
- Revenue-cycle and payer-mix visibility
- Financial models for new sites, hires and expansion
- Lender, investor and board reporting
- Audit and diligence readiness
The CTO seat
The systems behind the numbers — chosen well, connected properly and secured.
- Systems selection: accounting, payroll, billing and practice management
- Integrations so data moves without re-keying
- Dashboards your team will actually open
- Infrastructure, access and security reviews
- Vendor management and technology roadmaps
The Elphinstone dashboard
Your numbers, in one place.
We’re building a client dashboard that brings billing, payroll and accounting data together, so owners can see cash, collections and costs without waiting for month-end.
How engagements work
Diagnose, build, then run.
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Diagnose
A focused review of your books, systems and cash position. You leave with a clear, ranked list of what to fix first.
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Build
We clean up the close, set up reporting and connect the systems that should be talking to each other.
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Run
An ongoing monthly engagement: reporting, forecasting and a standing seat in the decisions that matter.
Start with an introductory call.
Tell us about your business and where the numbers feel shaky. We’ll tell you honestly whether we can help.