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Who We Serve

Decosimo's healthcare practice serves virtually every segment of the healthcare industry including: 

Healthcare Industry Focus and Qualifications

Healthcare is one of the most vital industries in our country today, and also one of the most challenging. Constantly changing healthcare regulations often impact reimbursements and revenue. These new regulations not only impact the industry’s revenue, but eliminate certain previously allowed forms of ownership or business arrangements. Count on us to offer you the expertise you need to navigate the complex and challenging financial aspects of the healthcare industry.  

Decosimo's experienced assurance professionals, healthcare consulting professionals and accredited business valuation professionals, which include former hospital CFOs and controllers, have been providing audit, tax, valuation, transaction advisory and litigation support services to the healthcare industry for 40 years. Our healthcare team serves hospitals and health systems, physicians and physician practice groups, long-term care facilities and a variety of other niche providers.

Our services are offered to a wide array of healthcare clients. Our clients vary by healthcare sector, size and complexity, including clients with multi-state locations, ranging up to 260-plus facilities and 115 clinics in over 30 states. To serve these clients, our professionals specialize in the full-range of services required by healthcare clients including:

  • Assurance services
  • Tax research, planning and compliance
  • Litigation support, forensic accounting
    and settlement analysis
  • Transaction advisory
  • Business valuations 
  • Due diligence 
  • Distressed financial situations turnaround consulting
  • Forecasts
  • Contract analysis
  • Employee benefits plan compliance services 

Our healthcare industry professionals understand the economic, regulatory and business environment in which healthcare organizations operate. In planning and completing complex engagements for healthcare clients and their attorneys, we recognize continuing industry pressures, including:

  • Healthcare reform
  • Continuing threats to reimbursement
  • Industry consolidation
  • Pressures on cost related to expanding services and new technology
  • New paradigms in physician-hospital relationships

Our healthcare professionals strive to maintain their understanding of the trends, challenges and legislation affecting the healthcare industry and actively participate in key organizations, including the American Society of Appraisers (ASA), the National Association of Certified Valuators and Analysts (NACVA), the Institute of Business Appraisers (IBA), the American Society of Certified Public Accountants (AICPA) and others. 

Members of our healthcare team hold the following advanced certifications and licenses: Certified Public Accountant (CPA); Accredited Senior Appraiser (ASA); Certified Business Appraiser (CBA); Business Valuator Accredited for Litigation (BVAL); Accredited in Business Valuation (ABV); Certified Internal Auditor (CIA); Certified Fraud Examiner (CFE); Certified in Financial Forensics (CFF); Certified Global Management Accountant (CGMA); and Fellow of the Healthcare Financial Management Association.

Services Overview

Decosimo combines the talent and resources of one of the region's leading CPA firms with the industry expertise of healthcare finance professionals to provide a unique set of services to our healthcare clients.

  • Assurance Services
    • Annual financial statement audits
    • Experience in healthcare-related issues such as accounts receivable allowances, professional liability reserves, joint venture treatments and various forms of debt and equity
    • Provide support with continuing disclosure requirements
    • Regularly perform due diligence in acquisitions and the issuance of debt or equity
    • Registered with the Public Company Accounting Oversight Board
    • Sarbanes-Oxley 404 engagements
    • Retirement Plan audits
  • Healthcare Valuation Services
    • Business valuation for acquisitions and divestitures or under buyout provisions
    • Fair market value determinations with regard to compensation
    • Expert testimony as to the value of physician practices and other healthcare entities during healthcare litigation
  • Consulting Services
    • Capital planning, including financing and formation options
    • Strategic review of a hospital’s ownership of satellite facilities, post-acute services and medical office buildings
    • Assistance with financial and compliance structures of  joint ventures, including ‘under arrangements’ contracts
    • Preparation of forecasts and projections for new services, joint ventures, debt issuance and other issues
    • Analysis of income or loss by product line or operating unit
    • Corporate governance and Sarbanes-Oxley compliance for not-for-profits
    • HIPAA Security Rule compliance and risk assessment services
  • Tax Services
    • Full range of federal, state and local tax services for the for-profit industry
    • 990 filings and issues involving unrelated business income and potential excess benefit transactions for tax-exempt entities
  • Transaction Advisory Services
    • Managing acquisition, divestiture or merger transactions for individual components or entire entities
    • Due diligence
    • Structuring or restructuring joint ventures
    • Financial advisory services in the placement of debt and equity
  • Captive Insurance Services
    • Auditing and tax preparation
    • Establishment of domestic or offshore captives
    • Redomiciling captives to states with favorable environments 

Association Support

Decosimo supports the healthcare industry through strategic sponsorships, association memberships and thought leadership contributions. The following represent a sample of the healthcare associations with which we collaborate:

Bronze Sponsor

Bronze Sponsor


Bronze Sponsor

Healthcare Transactions
Program Sponsor

 Corporate Member

Member Decosimo Nashville Health Care Council



Decosimo is an independent member firm of Moore Stephens North America, which is itself a regional member of Moore Stephens International Limited (MSIL). All the firms in MSIL are independent entities, owned and managed in each location. Their membership in, or association with, Moore Stephens International Limited should not be construed as constituting or implying any partnership between them.