Healthcare

Who We Serve

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

• Hospitals and Health Systems
• Physician Practices
• Long-Term Care Entities
• Healthcare Attorneys
• Healthcare-Focused Private Equity Groups
• Other Healthcare Companies, including: 
  • Imaging Centers
  • Biotech Companies
  • Healthcare Staffing Agencies

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:

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:

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

• 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: