Healthcare

Healthcare Assurance

In addition to our core audit and attest services, our professionals also provide a range of custom assurance services to our healthcare 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.

Healthcare 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 healthcare 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

Healthcare Advisory 

Citrin Cooperman’s healthcare 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 healthcare 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 Healthcare 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
• HIPAA compliance
• Corporate governance
• Internal controls
• Technology

Financial Analysis and Support Services

• Financial feasibility studies
• Valuations of healthcare entities and arrangements between healthcare providers
• Damages computations of litigation matters impacting healthcare providers
• Business plans
• Capital planning, including financial structuring of tax-exempt bond issuances

Finally, in today’s environment of stagnant or declining reimbursement for healthcare providers, the importance of an efficient and comprehensive revenue cycle cannot be overstated. We regularly work with healthcare 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

Technology and Risk Advisory Consulting (TRAC)
Transaction Advisory Services
Valuation Advisory Services