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Healthcare

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

  • 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, divesture 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