Hospitals, health systems and nursing homes must manage complex financial, operational and regulatory demands while keeping their focus on patient and resident care.
For more than 35 years, PKF O’Connor Davies has served hospitals, health systems, skilled nursing facilities and providers across the care continuum. Our health care specialists combine audit, tax, reimbursement and advisory capabilities with practical guidance that helps organizations navigate change, strengthen financial operations and support their missions.
Meet Our Professionals
Keith Solomon
Dorothea A. Russo
Health Care Insight That Supports Stronger Organizations
We work with management, boards and audit committees throughout the year to assess risk, strengthen controls, interpret emerging developments and make well-informed decisions. Our coordinated specialists in assurance, tax, reimbursement, technology and advisory services are accessible whenever complex issues arise.
Financial strength. Regulatory readiness. Mission-focused care.
Deep Experience Across Hospitals and Long-Term Care
Hospital and health system experience includes community and safety-net providers with complex reimbursement, reporting and governance demands. We address net patient service revenue, receivables, third-party payor balances, workers’ compensation, professional liability, pension obligations, capital projects and government-funded programs.
Experience with nursing homes and long-term care includes Medicare and Medicaid billing, rate sheets, cost reporting, managed care arrangements, specialty units, senior living and continuing care retirement communities. We help strengthen reporting and regulatory readiness so organizations can focus on delivering care.
Medicare and Medicaid Reimbursement Expertise That Connects Operations and Financial Results
Led by Dorothea Russo, our Health Care Reimbursement team offers deep experience in Medicare, Medicaid and New York State reimbursement matters. We assist with cost report preparation and review, rate analyses, rate projections, appeals, cost certifications, reimbursement data analysis and related compliance matters. By connecting reimbursement insight with audit, tax and operational considerations, we help organizations understand the financial effect of evolving rules and rate methodologies.
Data Analytics, Technology and Cybersecurity for Health Care Organizations
Keith Solomon’s leadership in artificial intelligence, data analytics and computer-assisted audit techniques helps clients and engagement teams use information more effectively. We use data-driven approaches to identify anomalies, analyze large populations and focus attention on areas of greatest risk. Our technology and cybersecurity specialists also help organizations assess controls over financial systems, access security, privacy, business continuity, disaster recovery and other technology risks affecting health care operations.
Audit, Tax, Reimbursement and Advisory Services for Hospitals and Nursing Homes
Our services include:
- Audit, assurance and financial reporting – financial statement audits, consolidated reporting, internal control assessments and accounting advisory.
- Not-for-profit tax, Uniform Guidance and grant-related services – tax compliance and planning, exempt-organization matters and audit and compliance support for federal awards.
- Medicare and Medicaid reimbursement – cost report preparation and review, rate analyses, projections, appeals, cost certifications and third-party payor matters.
- Data analytics and process improvement – risk-focused, computer-assisted analyses that strengthen controls, improve efficiency and support better decisions.
- Technology risk and cybersecurity – IT controls, HIPAA-related privacy considerations, access management, business continuity and disaster recovery.
- Budgeting, forecasting and benchmarking – financial planning and operational analysis to help leaders assess performance and plan ahead.
- Strategic, capital and specialized health care advisory – affiliations, acquisitions, consolidations, valuations, Certificate of Need support, project cost certification and managed care contract review.
Our hospital and nursing home professionals are part of the firm’s broader Health Care practice, which also serves medical practices and dental practices across the care continuum.
Discuss Your Hospital or Nursing Home’s Priorities
Discover how our hospital and nursing home professionals can support your organization’s financial strength, regulatory readiness and strategic objectives. Contact our Health Care team to discuss how we can help.
FAQs
Does PKF O’Connor Davies prepare Medicare and Medicaid cost reports for hospitals and nursing homes?
Yes. The Health Care Reimbursement team prepares and reviews Medicare and Medicaid cost reports, rate sheets, rate analyses and projections, appeals and cost certifications, with deep experience in New York State reimbursement matters.
What audit and assurance services does the firm provide to hospitals and health systems?
Services include financial statement audits, consolidated reporting, internal control assessments, accounting advisory and Uniform Guidance audit and compliance support for federal awards, including for community and safety-net providers with complex reimbursement, reporting and governance demands.
Does the firm work with skilled nursing facilities, senior living and continuing care retirement communities?
Yes. Experience with nursing homes and long-term care includes Medicare and Medicaid billing, rate sheets, cost reporting, managed care arrangements, specialty units, senior living and continuing care retirement communities.
How does PKF O’Connor Davies use data analytics and technology in health care engagements?
The team uses artificial intelligence, data analytics and computer-assisted audit techniques to identify anomalies, analyze large populations and focus on areas of greatest risk. Technology and cybersecurity specialists also assess IT controls, HIPAA-related privacy considerations, access management, business continuity and disaster recovery.