About Us

TOP-LINE CFO was founded on the belief that organizations deserve more than accurate financial statements — they need experienced financial leadership from someone who understands how their organization actually operates.

After more than two decades working across public accounting, regulated healthcare, nonprofit organizations, and executive financial leadership, founder Twila Farris saw firsthand the challenges organizations face when financial support doesn’t reflect the realities of their industry.  Healthcare organizations navigate reimbursement cycles, payer dynamics, regulatory requirements, and complex operating models. Nonprofits balance accountability to boards, donors, and grant funders with fund restrictions and mission-driven priorities. These organizations need financial partners who understand those complexities and can turn financial information into meaningful insight.  That’s why TOP-LINE CFO provides financial support that extends beyond the numbers — combining reliable reporting, practical insight, and strategic guidance to help leaders make informed decisions with confidence.

From accurate, timely bookkeeping and accounting support to Controller and CFO-level leadership, we tailor our engagement to meet your organization where it is today — and provide the expertise and support it needs for what comes next.