Where Wisdom Meets the Ledger.
Grounded financial support for service-based businesses that want to thrive — not just survive.
Rooted in Experience. Driven by Purpose.
Sage & Ledger was founded by Gina Toigo, a seasoned accounting professional with over 20 years of experience supporting businesses in the healthcare industry.
At Sage & Ledger, we help service-based businesses strengthen their financial health so they can focus on what matters most – providing exceptional care. With clear insight and compassionate support, we turn financial complexity into confidence.
“Clarity in the numbers. Confidence in the future.”
How We Can Support Your Business
Bookkeeping & Accounting
Your financial foundation.
We provide accurate, ongoing bookkeeping and accounting tailored to your workflow — so you always know where your business stands.
Revenue Cycle Support
Optimize your income stream.
Especially for healthcare providers, we help manage claims, payments, and patient billing with precision and transparency.
Consulting & Advisory
Strategic financial guidance.
From cash flow optimization to compliance support, we offer expert advice to help you grow with confidence.
Financial Systems & Workflow Setup
Streamline your back-end for long-term success.
We help small businesses set up efficient financial systems so your operations are as organized as your books.
What you can count on
Dependability
You’ll never feel like “just another client.” We show up, follow through, and keep you informed.
Integrity
We provide transparent service rooted in ethical financial practices.
Purpose
We align with your mission to build sustainable, value-led businesses.
20+
Years of Financial Service
Why Choose Sage & Ledger
When you partner with Sage & Ledger, you get more than financial services — you get support, structure, and peace of mind tailored to your business. Here’s what our clients value most:
Greater peace of mind around your numbers
Financial systems built to fit your workflow
Support from a real person who knows your name
Clarity that helps you make smarter decisions