Engine Room

Engine Room provides outsourced finance, accounting and strategic CFO advisory services for venture-backed life science businesses. Founded in 2012, the firm supports biotechnology, therapeutics, medical device, diagnostics, MedTech and HealthTech companies, alongside early-stage and growth-stage technology startups. Its work combines the execution of everyday accounting with financial guidance for companies progressing through fundraising, growth and major transactions.

The company operates as a scalable external finance and accounting department. Its engagement model brings transaction processing, monthly reporting and strategic planning together, helping clients maintain financial records and controls as their businesses become more complex. Support extends from seed financing and subsequent investment rounds through acquisitions and initial public offerings.

Accounting and financial leadership

Day-to-day services cover general ledger management, accounts payable, purchasing, expense management, credit card reconciliations, customer billing and accounts receivable. These activities sit alongside monthly close processes and GAAP-compliant reporting.

At the CFO advisory level, Engine Room provides cash planning, burn rate management, financial modeling, budgeting and forecasting. It also supports debt and equity financing, equity administration, capitalization table management and preparation of financial presentations for boards.

Specialist support for life sciences

Life science engagements include clinical trial expense accruals and grant accounting, reflecting the financial requirements of research and development businesses. The firm also helps clients prepare for audits, coordinate audit processes, implement internal controls and document financial procedures. These services support the reporting demands that accompany institutional investment and business expansion.

Engine Room implements, migrates and optimizes cloud accounting and financial systems, including NetSuite, QuickBooks Online, Bill.com and Expensify. This systems work connects financial operations with the reporting and planning needs of growing teams.

The firm serves clients across the United States from a California operating base. In May 2026, Red Iron Group made a strategic growth investment intended to support organizational scaling, geographic expansion and broader capabilities.