Ledger & Oak
RESULTS

Representative engagements.

RURAL HOSPITAL - MISSISSIPPI

Transformation funding secured

We wrote the hospital's Rural Health Transformation Program application. The state funded it in full.

RURAL HOSPITAL - TEXAS

Decision Support in implementation

Hamilton General Hospital is our furthest-along Decision Support pilot, including a data warehouse built underneath its new EHR, GL and payroll systems.

PERFORMING ARTS VENUE - WEST TEXAS

FY27 budgets approved

Operating budgets for the venue and its third-party operator and a capital budget, all approved by the board in one cycle.

BEHAVIORAL HEALTH AUTHORITY - TEXAS

Chart of accounts for automation

A redesigned chart of accounts and department structure built for a new ERP and automated cost reporting.

MULTI-SITE HOSPITAL SYSTEM - TEXAS

Cost report and GL review

Medicare and uncompensated care cost report review paired with GL restructuring ahead of an ERP go-live.

CONTRACTOR - WEST TEXAS

Refinance in progress

Debt register, credit package and lender liaison for a consolidation refinance.

Start with a conversation, not a proposal.

Tell us what’s on your desk. If we are not the right fit, we will tell you.

Start a conversation → Or call 806.239.2188