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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 clients in the healthcare industry:
Audit-related 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
- Valuation for acquisitions and divestitures or under buyout provisions
- 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
- Fair market value determinations with regard to compensation
- 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
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
- Financial advisory services in the issuance of tax-exempt bonds
- Financial advisory services in the placement of debt and equity
- Affiliated with Tenth Street Capital, a fund providing subordinated debt to growing entities
Captive insurance services
- Auditing and tax preparation
- Establishment of domestic or offshore captives
- Redomiciling captives to states with favorable environments
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