Focus on what counts

Health Care

Focused on Your Well-Being

Moving with the Speed of Health Care - The challenge with the business of health care is the need to always be thinking ahead and protecting against downside, while continuing to generate growth in a continually evolving industry. With over 35 years of experience working with health care systems, post-acute care providers, and physician practices among others, we think inside the industry studying and analyzing where the future might be, so we can help you innovate and lead.

How Citrin Cooperman Can Help

Citrin Cooperman provides our clients with actionable advice and entrepreneurial solutions for navigating today’s transformative environment across the continuum of care. We build strong relationships with our clients, allowing us to provide insight and understanding to their unique needs. This enables us to identify and deliver services that help them achieve their strategic organizational objectives.

Serving over 300 health care organizations nationwide, our professionals strategically assist our clients to plan for the future, including guiding them through strategic transactions, developing strategic plans, providing extensive capital planning, developing innovative compensation methodologies, providing reimbursement enhancement services, and other strategic support, along with top-level assurance and tax services.

We serve a wide range of entities within the health care industry, including:

  • Physician practice
  • Academic medical centers
  • Acute care hospitals
  • Specialty hospitals
  • Skilled nursing facilities
  • Home health agencies
  • Health plans
  • Ambulatory surgery centers
  • Outpatient clinics
  • Pharmacies Cancer centers
  • Imaging centers
  • Dental practices
  • Assisted living facilities
  • Federally qualified health centers
  • Hospices
  • Long-term care facilities
  • Physical therapy centers
  • Rehabilitation centers
  • Urgent care centers
  • Management services organizations
  • Billing services companies
OurRelated Services

Health Care Assurance

In addition to our core audit and attest services, our professionals also provide a range of custom assurance services to our health care clients, including:

  • Regulatory/cost reporting
  • Uniform guidance audits
  • Bond issuance and compliance reports

Our assurance team members are also editors of the CCH Health Care Audit Guide.

Health Care Tax

In addition to our core federal, state and local, and international tax services, our professionals also provide a range of custom tax compliance and consulting services to our health care clients, including:

  • Assistance in obtaining and maintaining tax exemption
  • Section 501(r) compliance
  • Drafting community health needs assessment and implementation strategy
  • Tax-exempt bond compliance
  • Captive insurance hospital tax compliance
  • Unrelated business income tax planning and guidance
  • Physician issues, including joint ventures, recruitment agreements, income guarantees, acquisition/divestiture and tax status

Health Care Advisory 

Citrin Cooperman’s health care advisory services are focused upon provider collaboration and integration strategies, business development, financial analysis and support, financial and capital needs, and revenue cycle support.

Spurred on by health care reform, the development of efficient and collaborative relationships between providers, as well as between providers and payors, has become critical. Citrin Cooperman professionals have extensive experience in helping to craft provider integration and alignment strategies, including:

Guiding Four Phases of Health Care Transactions 
  • Planning - determining whether to pursue a transaction and with which partner(s).
  • Structuring/negotiating – helping to craft the financial, operational and governance model.
  • Execution – quality of earnings and financial due diligence.
  • Implementation - 120-day post-transaction integration plan. 
Physician Alignment and Integration Services
  • Acquisitions, groups without walls, joint ventures, professional services arrangements, co-management agreements and other contractual arrangements
  • Operational and financial physician practice assessments
  • Development of physician compensation methodologies
  • Integration of acquired physician practices into health systems and larger physician practices
Post-Acute Care Strategy Services
  • Bundled payments
  • Preferred provider arrangements and joint ventures with hospitals
  • Vertical and horizontal integration - innovative collaborations between post-acute care providers
Population Health Management Services
  • Developing financial sharing methodologies
  • Creation of operational, financial, and governance models
  • Business planning – service lines, new facilities, ancillary businesses

Furthermore, our consulting practice, focuses in the following areas:

Risk, Technology and Governance Services
  • Enterprise risk management
  • HIPPA compliance
  • Corporate governance
  • Internal controls
  • Technology
Financial Analysis and Support Services
  • Financial feasibility studies
  • Valuations of health care entities and arrangements between health care providers
  • Damages computations of litigation matters impacting health care providers
  • Business plans
  • Capital planning, including financial structuring of tax-exempt bond issuances

Finally, in today’s environment of stagnant or declining reimbursement for health care providers, the importance of an efficient and comprehensive revenue cycle cannot be overstated. We regularly work with health care providers to analyze and improve revenue cycle performance. Among the services we provide are:

  • Revenue enhancement and reimbursement consulting
  • Revenue cycle and cash acceleration
  • Review and improve efficiency of billing procedures