Fractional Controller Services For US Businesses

Your business is growing—but your financial oversight hasn’t kept up. That’s where our Fractional Controller Services come in.

We give you seasoned financial leadership without the full-time cost. From monthly closes and budget management to audit readiness and cash flow control—we bring discipline, accuracy, and structure to your numbers.

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Fractional Controller Services That Offer

Fractional Controller Services
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What makes Ledger Labs the best fractional controller service?

What are the typical fractional controller service-related problems that we have solved?

At Ledger Labs, we’ve walked into more financial chaos than most teams ever admit. We’ve been called in after late audits, failed board meetings, and surprise tax notices. We’ve rebuilt general ledgers that hadn’t been touched properly in months.

We’ve corrected budgets based on fantasy, not facts. We’ve helped founders who were operating without a single reliable report. We’ve replaced generic monthly closes with structured, consistent financial operations. We’ve flagged cash flow issues that would’ve caused payroll to bounce.

We’ve cleaned up multi-entity books where nothing lined up. We’ve dealt with disconnected systems, outdated spreadsheets, and processes no one could explain. And we’ve restored confidence—for investors, boards, and leadership teams who’d stopped trusting their own numbers. Our role isn’t to point fingers. It’s to step in, take control, and fix what others left behind. If your finance function feels disjointed, uncertain, or overly reactive—you’re exactly who we help.

Common Problems We’ve Solved:
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The benefit of hiring outsourced fractional controller services like Ledger Labs

At Ledger Labs, we plug into your operations and bring control, clarity, and financial consistency. You get clean monthly closes, actionable reports, and smart budgeting—all handled by professionals who know how to spot red flags before they become problems. We make sure your numbers actually help you run the business, not just fill up a spreadsheet.

Unlike generic firms, we don’t drop templates on your desk—we tailor everything to your systems, your team, and your goals. It’s high-level financial leadership, minus the office politics or payroll strain. You stay nimble. We keep the numbers tight.

Our fractional controllers give you expert oversight and strategic insight—without the full-time headcount. You pay for the impact, not the office hours. It’s lean, efficient, and built for teams that need high-level thinking without a bloated finance team.

We don’t hand you confusing reports. We build financials that speak your language—whether you’re prepping for investors, running payroll, or managing burn. Clean, timely, and decision-ready every single month.

We’re designed for growing teams. Our processes adapt to your systems and pace—QuickBooks or NetSuite, two employees or twenty. We move fast, fix what’s broken, and keep your momentum intact.

When should a business outsource its medical device inventory management?

If your healthcare facility is facing even occasional inventory delays, unlogged sterilization cycles, or confusion over expired or recalled equipment, it’s time to take a hard look at whether your internal system is truly working.

You should consider outsourcing when inventory begins interfering with care delivery. When nurses, techs, or surgeons waste time searching for tools or rescheduling procedures because devices are missing or unaccounted for, patient care is directly affected.

An outsourced provider like Ledger Labs sets up real-time visibility and strict traceability across departments, ensuring that every device is where it should be—when it’s needed most. Another signal is increased regulatory scrutiny. If your facility is preparing for an audit, struggling with compliance documentation, or falling short in internal quality reviews, outsourcing can bring immediate structure.

Multi-site operations are another trigger point. If your organization spans hospitals, labs, and outpatient centers, inventory management quickly becomes too fragmented to manage in-house. Outsourcing creates centralized control with local accountability, reducing redundancy, ensuring cross-location coordination, and giving leadership a single source of truth.

Rapid growth or change also puts pressure on inventory systems. Whether you’re expanding departments, introducing new device lines, or merging with another healthcare group, internal teams often can’t keep up with the scale and complexity of transitions. Outsourcing during these moments ensures systems scale in real time, with professional onboarding and reconciliation that minimizes risk.

Outsourcing should also be considered when vendor relationships start falling through the cracks. Lost loaners, delayed returns, or miscommunication with reps about consigned inventory create financial and operational headaches. Ledger Labs brings in systems to monitor vendor-supplied stock and formalize every check-in, usage, and return—preventing misalignment between procurement and clinical use.

Finally, outsource when your clinical and administrative teams are overextended. If your staff is manually reconciling records, chasing maintenance logs, or updating spreadsheets between procedures, you’re risking burnout and errors. Ledger Labs replaces reactive processes with automated, role-specific systems that improve accuracy and save valuable time.

What makes Ledger Labs the best medical device inventory management service in the US?

  • We track each device by serial and lot number for precise, end-to-end traceability.
  • Compliance with FDA and Joint Commission standards is built into every process.
  • Departments access only their relevant inventory for focused, clutter-free management.
  • Sterilization and reprocessing cycles are fully logged and usage thresholds enforced.
  • Real-time dashboards provide centralized visibility across all locations and facilities.
  • Vendor loaners and consignment kits are tracked with usage logs and return alerts.
  • Maintenance and calibration schedules are automated with service history recorded.
  • Recall events are instantly flagged, isolated, and documented for corrective action.
  • Seamless integration with EHR, CMMS, and ERP systems keeps all data in sync.
  • Monthly physical-to-digital reconciliations flag and resolve inventory discrepancies.
FeatureLedger Labs' Fractional Controller ServicesOther Services
Consistent Monthly CloseBooks closed cleanly, on time, every month—no rollovers, no guesswork, just clarity.Late, inconsistent closes that delay decision-making and reporting.
Custom Budgeting & ForecastingWe build budgets around real levers, future plans, and current runway—not spreadsheets from last year.Static templates that ignore business dynamics and growth variables.
Clean, Decision-Ready ReportingFinancials tailored to leadership—not just accountants. Clear, relevant, and actionable.Generic reports overloaded with detail and light on insight.
Cash Flow ControlReal-time visibility into cash burn, runway, and liabilities—before it becomes urgent.Reactive tracking that shows cash issues after it’s too late.
Internal Controls That WorkWe implement simple, practical systems to prevent errors and detect red flags early.Loose or overcomplicated processes that no one actually follows.
Audit & Tax Prep SupportWe prep the files, check the docs, and liaise with your auditors or CPA directly.Scramble-mode prep with missing backup and vague documentation.
Multi-Entity ConsolidationWe handle intercompany entries, eliminations, and clean consolidated reporting.Disjointed records that don’t reconcile or roll up cleanly.
Team IntegrationWe work inside your workflow—Slack, Zoom, email—collaborating with ops, finance, and founders directly.Detached advisory that dumps reports and disappears.

Our Testimonials

What Our Customers Say

Find out what our customers are saying about our products.

My main problem always has been to know my accurate profits & this is precisely what Ledger Labs helped me with. They went through my entire supply chain costs, my monthly operational expenses, and COGS and got me the correct costing of my goods and the cost of running the business. Now I know how much I need to sell & at what price I should sell it to be profitable.

Ariel Robinson CEO & Founder

Since working with Ledger labs, our bookkeeping and Controller processes have been streamlined. The routine accounting tasks are managed on a predictable schedule, and checklists are used to ensure that all required documents are processed within the proper deadlines. We have improved the accuracy and timeliness of our financial statements and other crucial

Patrik Nichols CFO

We have a unique business, and almost all the accounting firms we have engaged so far have been unable to get a hold of our business. But Ledger Labs really took the bull by its horn. They understood our business better than us & created a very customized process & systems to streamline our accounting department. We now have detailed step-by-step process documentation, checklists & schedule of reports.

Amanda Fludd CEO

Ledger Labs found $18K in missed deductions that our old accountant completely missed—same books, same receipts, totally different results. That’s when I knew we were finally working with pros. Since then, they’ve helped us restructure expenses and make tax planning part of the daily flow, not just something we scramble on last minute.

Michael Smith CFO

Gary—yes, the founder—took the time to really understand our business and where we were struggling. Within a few weeks, our books were clean, our cash flow was clear, and we were spending way less time managing it all. You can tell he genuinely cares, and that energy runs through the whole team

Nicole Allen Founder & CEO
News & Blogs

Our Thought Leadership

Our multidimensional experience and wide exposure have been channelized beautifully in these articles!

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