Healthcare Controller Services

We bring structure and policy to healthcare finance. That means identifying and resolving the gaps that delay closes, disrupt audits, or weaken fund tracking.

Free Accounting Needs Analysis

Designed for Operational Complexity

We resolve disconnects between billing systems, payroll data, and financial processes. Our methods reflect actual care delivery workflows.

Reliable Monthly Close

We implement close routines that meet audit standards and board deadlines without last-minute rework.

Policies That Fit the Work

We align internal controls to how your organization runs day to day. That includes care models with split shifts or decentralized funding across multiple locations.

Real Financial Oversight for Healthcare Organizations

In healthcare, finance teams often work around disorganized accounts, manual reports, and unclear rules. TydeCo™ helps you fix the root causes. We build structures that match clinical operations, so reports become tools that support leadership decisions.

Balance Sheets That Reflect Reality
We restructure your chart of accounts and apply proper treatment for accruals and intercompany charges. That includes deferred revenue aligned to program timing.
Program-Based Reporting That Works
For organizations managing grants or fee-for-service revenue, we set up systems that allocate income by restriction and match expenses to service delivery.
Spend Control With Context
We define approval responsibilities based on department or funder roles. This creates visibility while allowing operations to continue without disruption.
Built for Dynamic Care Models
Our policies support flexible delivery models, including mobile care teams, rotating shifts, and variable claim schedules.

Why Healthcare Clients Choose TydeCo™

Controller work in healthcare isn’t about perfection. It’s about establishing clarity and accountability in complex, regulated environments.

Consistency Without Centralization
We create repeatable processes across departments and locations without forcing a one-size-fits-all approach.
Controls That Prevent Rework
We embed real safeguards that reduce audit risk and eliminate the need to rebuild reports every month.
Financial Tracking Built Around Funders
Whether you’re managing program grants or mixed billing, we help you track fund usage in a way your stakeholders will recognize.
Translating Process Into Confidence
We support both finance teams and operational leaders by building systems they can depend on, understand, and confidently use.

What We Deliver as Controller Support

We install the infrastructure your finance function needs to maintain control and communicate clearly with funders, auditors, and boards.

Financial Reporting Services
We redesign general ledgers to support accurate, program-level financial reporting. That includes mapping accounts to service locations and aligning revenue and expense categories with how care is delivered and reimbursed.

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Financial Planning & Analysis
We build planning models that tie forecasts to care delivery and funder constraints. That includes modeling reimbursement lags and projecting operational shifts based on expected staffing or patient volume changes.

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Key Performance Indicators
We build close routines that directly support KPI visibility by maintaining consistency during volume shifts or funding delays, so performance signals stay clear even when operations are in flux.

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Get Your Free Needs Analysis

What would it mean to you to have a clear roadmap to overcoming your accounting challenges, with expert guidance and honest advice on getting the best from your financial systems, all within 2 weeks, at no cost, no obligation?

WITHIN 2 DAYS

Discovery Meeting

We’ll identify financial roadblocks and quickly spot inefficiencies in your operations.

WITHIN 10 DAYS

Accounting Evaluation

We’ll perform an in-depth analysis of your processes and uncover system weaknesses.

WITHIN 12 DAYS

Accounting Review Meeting

Key findings will be clearly presented, highlighting any major
problem areas.

WITHIN 14 DAYS

Your Financial Roadmap

We’ll break down your investment needs and create a clear, actionable plan.

Free Accounting Needs Analysis

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What’s the difference between controller and CFO support?

Controller support focuses on establishing clear processes and financial accuracy that leadership and meet the needs of external oversight. That includes structuring systems to improve documentation and reinforcing internal reliability through repeatable workflows. That means clearly defined account structures, month-end processes, and spend approvals that hold up under funder and audit scrutiny. CFO support, by contrast, addresses forward-looking responsibilities. That includes projecting future performance, shaping funding plans, and helping leadership make strategic financial decisions.

In practice, many healthcare organizations benefit from both. However, most begin with controller-level work to stabilize their systems before moving toward strategic planning. Once accurate data and consistent processes are in place, forecasting and financial planning become more useful and reliable. We often come in first as controller support and then extend into CFO work as the organization grows or prepares for new funding.

Can you help us manage restricted funds and program reporting?

Yes. We frequently work with behavioral health, community clinics, and nonprofit providers that receive state or federal grants. We support program-level tagging and set up monthly allocation processes that follow funding rules. Our work ensures that spending reports meet funder expectations by clearly documenting how funds are used and when they are applied. We design reports that support required allocation timing and reflect program-specific rules. These reports also include audit-supporting details so funders can easily trace the connection between services delivered and funds drawn down.

Our systems let you manage restricted and unrestricted funds using program tagging and allocation rules. Instead of relying on spreadsheets, you can match spending to real service activity while meeting funder documentation standards.

This approach ensures transparency in how funds are used and supports time-based recognition and service-level reporting where required. By aligning financial tracking with actual care delivery, we reduce manual work and give both internal teams and external stakeholders greater confidence in your reports. This includes setting up rules for time-based recognition or service-level expense mapping. The goal is to give your leadership team and funders confidence that your spending reflects both program intent and accounting requirements.

What if our chart of accounts is messy or unclear?

A disorganized GL can create downstream issues across reporting, audit prep, and even grant renewal. We start by understanding how your care model and funding streams work, then rebuild the chart to reflect operational and financial reality. That often includes dimensional structures for sites, funders, or programs. We also clean up unused or duplicative accounts, ensuring your team has a usable foundation.

A clean chart of accounts improves accuracy while also reducing delays during monthly close and improving transparency in fund tracking. It creates a stronger foundation for communication with your board or auditors by making financial performance easier to interpret and explain.

Will you work inside our existing systems?

Yes. Our team adapts to your environment by working within the systems you already rely on, such as Sage Intacct, Excel-based workflows, EMR-connected billing platforms, or your current approval tools. We don’t require a system overhaul. Instead, we focus on strengthening processes within the tools you already rely on. That includes configuring reporting dimensions, setting up close task lists, and embedding controls into existing approval flows. For many clients, the software itself isn’t the issue.

The real challenges are misconfigured workflows and unclear ownership that cause breakdowns in accountability. We help you use what you have, but use it well.