Healthcare is one of the most vital industries in our country today and also one of the most challenging. Constantly changing regulations not only impact the industry’s revenue, but also eliminate certain forms of ownership or business arrangements previously allowed. Elliott Davis Decosimo’s healthcare specialists offer you the expertise needed to navigate the recent and future changes in the complex healthcare industry.

Our Healthcare Practice serves virtually every segment of the healthcare industry including hospitals and health systems, physician practices, long-term care entities, healthcare attorneys, healthcare-focused private equity groups and a variety of other ancillary niche providers.

Healthcare Solutions

Physicians and Physician Practices

  • Accounting resources and tax services
  • Support in compensation models and design
  • Practice Management
  • Practice Development and Consulting

Transaction Advisory Services

  • Financial due diligence of Quality of Earnings
  • Focus on the challenges associated with Healthcare Revenue and changing payment models
  • Managing acquisition, divestiture or merger transactions for individual components or entire entities
  • Structuring or restructuring joint ventures
  • Physician acquisitions or sale by a physician


  • HIPAA compliance and risk assessment services
  • Develop physician compensation formulas
  • Compliance
  • Analysis of income of loss by product line, operating unit or bundled services
  • Managed care analysis – Black Box, modeling
  • Certified HITRUST CSF Assessor

Healthcare Valuation Services

  •  Business valuation for acquisitions, joint venture formations and divestitures
  •  Fair market value determinations of physician compensation arrangements

Assurance Services

  • Financial statement audit, review or compilation services
  • Support with continuing disclosure requirements
  • Sarbanes-Oxley 404 engagements
  • Employee benefit plan audits
  • Preparation of forecasts and projections

Tax Services

  • Full range of federal, state and local tax services
    Form 990 compliance services and assistance with issues Schedule H, and unrelated business income

Captive Insurance Services

  • Audit and tax compliance
  • Assist with establishment of domestic or offshore captives
  • Advise on redomiciling captives to states with favorable environments

Read more about our Healthcare Practice.