Health & Medical
Controller Services
For accurate, timely control critical to healthcare finance, TydeCo™ builds monthly reporting cadences and fixes the structural gaps that block decision-making.
what we do
Structure Meets Precision
TydeCo™ implements accurate reporting systems and reliable close processes that bring order to disorganized financial operations within healthcare practices.
Rebuild Financial Structure
We restructure charts of accounts and clean balance sheets while correcting accrual or deferred revenue errors across care sites.
Design Spend Approvals
We carefully design healthcare approval flows and vendor payment steps that will consistently meet with board, funder, or compliance expectations.
Define Revenue Policy
We codify revenue recognition for grants, billing, as well as value-based contracts more common in behavioral health and outpatient care.
Establish Close Cadence
We help create precise monthly close routines that healthcare leadership can truly depend on for auditing and financial forward planning.
Why Us
Built For Accuracy
Our focus is on real-world operational reporting, which doesn’t just include tidy books, but financial tools leadership can actually use.
Audit-Ready Outputs
Transactions and reports match audit and board expectations with precision.
Connected Approval Controls
Spend approvals and AP/AR processes are linked and documented across departments.
Insight For Action
Financials are utilized to impact decision-making, not just reflect history.
Configured For Care
TydeCo™ system setup intrinsically matches healthcare billing and care delivery processes.
Software
Systems With Purpose
Through Sage Intacct, TydeCo™ uniquely aligns software platform configurations to reflect healthcare-centric workflows, grant funding structures, and billing cycles.
4flow
4flow provides advanced logistics software that improves network planning, reduces operational costs, and helps businesses streamline global supply chain processes.
Sage Intacct
Provides your business accurate, compliant payroll processing with cloud-based access and includes smart features like automated leave management and built-in legislative updates.
Sage 300 People
Streamlines your HR and payroll operations with flexible configurations, tools for compliance, and full integration capabilities for those with complex organizational needs.
FloQast
Accelerates the financial close process by improving your overall data accuracy and centralizing your workflows to enable better collaboration across accounting teams.
Donor Perfect
Helps nonprofits manage their donor data, fundraising campaigns, and reporting with a centralized, cloud-based system intrinsically built for growth and engagement.
Ramp
Helps solve any spend control issues and visibility challenges through features like expense tracking, corporate cards, and automated accounting integration.
Quipli
Conveniently manages all rental inventory, bookings, and customer interactions for equipment and tool rental businesses to improve their operational efficiency.
Quickbooks
Simplifies all bookkeeping, invoicing, and reporting processes for small to mid-sized businesses, offering real-time financial visibility and helpful automation features.
Sage Premier HR & Payroll
Delivers reliable, desktop-based payroll processing with strong compliance tools and full backend access to enable custom reporting and hands-on data control.
Sage 300cloud
Addresses all your ERP needs with stronger accounting, inventory, and operations management - ideal for organizations requiring hybrid or on-premise deployment.
Call to Action
Let’s fix your close cadence together this quarter.
How We Work
Three Steps to a Better System
We take time to understand what’s not working, then build practical systems that fix it and keep it fixed.
Discovery
We dig into what’s slowing you down, pinpointing messy processes, gaps, and what’s getting missed or duplicated.
Scope & Proposal
We outline what needs fixing, what it’ll take, and what a better setup looks like.
Onboarding
We get your team aligned, systems configured, and workflows in place, without confusion, rework, or wasted time.
From Challenge to Change
View all Success Stories
Success Stories
We want the world to see how virtually anything is possible with the right tools, solutions, support, and, of course, expertise
Insights
Blog & News
Explore our latest thinking on financial systems, reporting strategy, and digital transformation, tailored to the industries and tools we support.
Our Clients
Trusted by the Best
We’re proud to support the teams behind these logos. Long-term partnerships built on trust, capability, and results that hold up.
Frequently Asked Questions
Controller Services FAQ
Healthcare controllers certainly face unique reporting challenges in their vertical. Here’s what clients often ask us when we first meet.
What types of healthcare organizations benefit the most from controller services?
Multi-site clinics, behavioral health providers, and outpatient groups often lack structured financial oversight, so these environments usually have inconsistent revenue coding, missing accruals, or inaccurate manual grant reports. Our controller services help these clients establish reliable routines and design transparent approval processes, while also making month-end closes more actionable for leadership and audit teams.
What’s the difference between controller and bookkeeping support in healthcare?
Bookkeeping is about transaction-level accuracy and daily task execution, whereas controller work focuses more on structure, particularly with regard to the policies, reporting frameworks, and oversight required for strategic and compliant operations. In the healthcare financial ecosystem, this means aligning monthly reports with grant rules and building connected spend approval processes. This also involves preparing balance sheets that are audit-ready and reflect real liabilities and revenue positions.
Can TydeCo™ help with revenue recognition for both grants and billing?
Yes, definitely. Healthcare providers often operate with multiple revenue types, such as program grants, capitated payments, or fee-for-service income, so we help clients set clear policies for each revenue stream. Our teams are able to configure systems that recognize revenue appropriately, whether that’s monthly grant allocation or deferred patient billing, so reports can reflect the true financial position of a healthcare entity.
What internal issues signal a need for controller services?
Some common signs might include board reports that are built manually in Excel, deferred revenue being tracked outside of accounting software, or financial statements that simply can’t be reconciled across locations. If your leadership can’t trust their monthly numbers, or audit prep constantly leads to a scramble, you’re likely in need of controller support. With experience and expertise, we embed structure to fix the root causes of those issues.
How fast can controller services show results in a healthcare setting?
It really depends on the client environment, but results often begin to show within the first month of our controller services being implemented. We normally start by prioritizing balance sheet cleanup and approval flow setup. For example, in one behavioral health group’s case, we successfully rebuilt their chart of accounts and were able to deliver clean financials by as early as the second reporting cycle. With that in mind, full transformation typically takes one to two quarters, depending on scale.
