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Hospitals and Health Systems

Serving Hospitals and Health Systems

Decosimo serves a wide array of healthcare clients including nonprofit and for-profit hospitals and health systems. While many clients engage us for annual audits and tax compliance services, the majority of our hospital clients trust us for our highly-specialized advisory services for transactions, special projects, purchase price allocations for fair value determinations and especially during litigation. Our healthcare team specializes in services to financially distressed hospitals and routinely acts as advisors in finding turnaround solutions or negotiating mergers and acquisitions. 

Assurance Services

Tax Services

  • Federal, state and local tax planning and compliance
  • 990 filings and assistance with issues involving unrelated business income and excess benefit transactions for tax-exempt entities
  • Schedule H and Community Benefit
  • Provisions for income tax accounting

Advisory Services

  • Managing acquisition, divesture or merger transactions
  • Due diligence consulting
  • Hospital-physician deal structuring
  • Certificate of Need financial analysis and testimony
  • Working capital settlements
  • Purchase price allocation fair value determinations
  • Merger integration
  • Expert witness testimony
  • Healthcare valuation services 
    • Valuation for litigation support
    • Valuation of intangible assets
    • Valuation of proposed acquisitions (fair market value determination)
  • Financial advisory services in the placement of debt and equity
  • Special projects and CFO support
  • Expert witness testimony
  • HIPAA Security Rule compliance and risk assessments

We Can Help

When you need unparalleled professional 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. Our healthcare services team consists of more than 20 full-time dedicated professionals representing multiple disciplines to serve our healthcare clients. Comprising former hospital CFOs and controllers, accountants, healthcare consultants and accredited business appraisers, Decosimo has provided audit, tax, valuation, transaction advisory and litigation support services to the healthcare industry for 40 years.   

Our professionals maintain diverse credentials and some have obtained Master Degrees in Healthcare Administration. Advanced certifications and licenses held by members of the Decosimo staff 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)


Decosimo is an independently owned and operated member firm of both the Moore Stephens North America (MSNA) association of member firms and the Moore Stephens International Limited (MSIL) network of member firms.  Neither MSNA nor MSIL provide services to clients.  Decosimo is a separate and distinct legal entity, subject to the laws and professional regulations of the jurisdictions in which it operates, and is not authorized to obligate or bind MSNA, MSIL, or any other member firm of MSNA or MSIL.  Decosimo is liable only for its own acts or omissions and not those of any other person or entity including MSNA, MSIL and other member firms of MSNA and MSIL.