Four sectors. One Decision Support discipline.
Ledger & Oak serves hospitals and healthcare organizations, private businesses, nonprofits and community institutions, and the banks, brokers and lenders whose clients need better numbers. The sectors differ. The questions underneath them do not.
CHOOSE YOUR SECTOR
Hospitals & Healthcare
Rural, critical access, community and privately run hospitals and clinics, as well as behavioral health providers, that need Decision Support without an in-house team.
Explore →Private Businesses
For owner-led and growing companies, we fill whatever gap your finance function has, from controller-level close and reporting to CFO-level strategy to rebuilding your financial infrastructure from the ground up.
Explore →Nonprofits & Community Institutions
Nonprofits, foundations and community venues whose boards need budgets, program costs and reviews they can defend.
Explore →Banks, Brokers & Lenders
We work alongside banks, brokers and lenders to help their clients present clear, lender-ready financials, so promising deals move to close with confidence.
Explore →THE DECISION SUPPORT DISCIPLINE
One discipline, applied to every sector.
Decision Support began in hospital finance, but its core methods are not specific to healthcare. Cost accounting, forecasting, net revenue modeling and benchmarking answer the same questions in a hospital, a manufacturer, a nonprofit or a borrower preparing for a loan: what things truly cost, where margin comes from and what happens next. We apply one disciplined toolkit across every sector we serve.
Cost accounting
The true cost of a service, product, job or program, built from direct and indirect costs.
Data analytics
Clean, reconciled data turned into answers leadership can act on.
Forecasting
Cash, revenue and volume projections that are updated as conditions change.
Net revenue modeling
Expected collections modeled from contracts, payer mix, pricing and volume.
Contract negotiations
The cost and margin analysis that supports a stronger position at the table.
Benchmarking
Performance compared with peers and with your own history to find efficiencies.
Budgeting
Operating, capital and flexible budgets with variance analysis that explains the why.
KPI dashboards
A small set of measures leadership reviews every month, delivered on time.
Not sure which description fits?
Tell us what is on your desk and we will tell you how we would approach it.