Long-Term Care

Serving the Long-Term Care Industry

In today’s environment, financial success in the long-term care industry is not guaranteed. The challenge is to identify, capitalize and maximize appropriate clinical and business opportunities while minimizing risks. Decosimo’s healthcare professionals help you to meet this challenge by remaining current on pending government legislation and industry trends to identify issues and innovations that can impact the success of your long-term care business.

Decosimo serves a wide array of healthcare clients including both small and large long-term care companies operating over 265 nursing homes and assisted living facilities in 30 states, as well as HUD-financed facilities.

Beyond the annual audit and tax return filings, our long-term care clients look to us for trusted guidance on complying with regulatory changes, evaluating tax planning opportunities, improving operational efficiencies, managing reimbursements and building market share.

Our comprehensive service offerings include:

• Acquisition and Divestiture assistance
• Assurance and Attest Services
• Business Valuations
• HUD Audits
• Captive Insurance Evaluation
• Certificate of Need Preparation, Defense and Challenge
• Consolidation of Variable Interest Entities
• Corporate Responsibility and Integrity Program Assessments
• Debt Covenant Compliance
• Due Diligence
• Fair Market Value Transaction Analysis
• Feasibility Studies, Forecasts and Projections
• Financial and Operations Benchmarking
• Fraud Risk Assessments
• HIPAA Security Rule Compliance and Risk Assessments
• Litigation Support
• Medicare/Medicaid Reimbursement
• Payment and Settlement Analysis
• Sarbanes-Oxley Compliance
• Tax Research, Planning and Compliance


We Can Help

When you need unparalleled accounting and advisory services tailored to your needs, contact Decosimo's healthcare team and ask us how we can help.

As a leading regional accounting and business advisory firm with a significant commitment to the healthcare industry, Decosimo offers a depth of resources comparable the largest national firms with a high level of responsiveness to your organization. We will take time to understand your business beyond the books and records. Our healthcare team will look at what makes sense for your business and follow through with a comprehensive range of professional services delivered by seasoned professionals who understand the issues and concerns unique to your industry.

Our Healthcare Team

Decosimo offers a healthcare services team of more than 20 full-time dedicated professionals representing multiple disciplines to serve our healthcare clients. Our professionals maintain diverse credentials and some have obtained Master Degrees in Healthcare Administration.

Our team’s advanced credentials include: 

Accredited in Business Valuation (ABV) • Accredited Senior Appraiser (ASA) • Certified Public Accountant (CPA) • Certified Coding Specialist, Physician-based (CCS-P) • Certified Fraud Examiner (CFE) • Certified in HIPAA/HITECH (HITRUST)  • Certified Information Systems Security Professional (CISSP) • Certified Medical Assistant (CMA) • Certified Medical Practice Executive (CPME) • Certified Professional Coder (CPC) • Certified Valuation Analyst (CVA) • Chartered Financial Analyst (CFA) • Fellow of the Healthcare Financial Management Association (FHFMA) • Registered Nurse (RN) • Retirement Plan Associate (RPA)