When selling your orthopedic or musculoskeletal practice, choosing an auditor with specialized healthcare M&A experience can mean the difference between a smooth transaction and one derailed by unforeseen financial issues. The right auditor not only validates your financials through Quality of Earnings analysis but also identifies potential compliance risks that could affect your deal value or even kill the transaction entirely.
The due diligence process is where many practice sales encounter unexpected challenges. View our Transaction Support Services →
Top Auditor Firms Specializing in Ortho & MSK
1. RSM
Headquarters: Chicago, IL
Service Area: National
Website: https://rsmus.com
2. BDO
Headquarters: Chicago, IL
Service Area: National
Website: https://www.bdo.com
3. CliftonLarsonAllen
Headquarters: Minneapolis, MN
Service Area: National
Website: https://www.claconnect.com
4. Moss Adams
Headquarters: Seattle, WA
Service Area: West Coast & National
Website: https://www.mossadams.com
How to Select the Right Auditor for Your Ortho & MSK Practice Transaction
Start by interviewing auditors who have completed multiple orthopedic practice transactions in your deal size range – typically $2.5 million to $35 million for mid-sized practices. Request case studies or references from similar transactions, paying particular attention to their experience with Quality of Earnings analysis specific to orthopedic practices. Your auditor should demonstrate expertise in both financial diligence and healthcare compliance, as orthopedic practices often have complex ancillary revenue streams from imaging, physical therapy, and ambulatory surgery centers that require specialized knowledge.
When evaluating proposals, expect audit and QofE costs between $75,000 and $250,000 depending on your practice’s complexity and number of locations. Schedule direct consultations with the actual team members who would handle your transaction – not just the partners – to confirm their capacity and approach matches your timeline. The best auditors for orthopedic practice sales combine technical expertise with practical deal experience, helping you navigate everything from revenue cycle analysis to physician compensation structures that will satisfy both private equity buyers and regulatory requirements.
Proper preparation before selling can significantly increase your final practice value. Explore our Services →
Frequently Asked Questions
Why is it important to choose an auditor with healthcare M&A experience for ortho & MSK practice transactions?
Choosing an auditor with specialized healthcare M&A experience is crucial because they can validate your financials through Quality of Earnings analysis and identify potential compliance risks that could affect the value of your deal or even cancel the transaction.
Which auditing firms are recognized as top specialists for ortho & MSK practice mergers and acquisitions?
The top auditing firms specializing in ortho & MSK practice transactions include RSM (Chicago, IL), BDO (Chicago, IL), CliftonLarsonAllen (Minneapolis, MN), and Moss Adams (Seattle, WA).
What is the typical deal size range where auditors with ortho & MSK practice experience are most useful?
Auditors who have completed multiple orthopedic practice transactions typically work with deal sizes ranging from $2.5 million to $35 million for mid-sized practices.
What factors should be taken into account when selecting the right auditor for an ortho & MSK practice sale?
When selecting an auditor, consider their experience with orthopedic practices, review their Quality of Earnings case studies, understand their expertise in financial diligence and healthcare compliance, assess audit costs (usually $75,000 to $250,000), and interview the actual audit team to ensure alignment with your timeline and needs.
How can proper preparation before selling an orthopedic practice impact the sale?
Proper preparation before selling can significantly increase the final practice value by ensuring financials are well documented, compliance risks are mitigated, and revenue streams and physician compensation structures satisfy both buyers and regulatory standards.
