Selecting the Right CPA for Your Hospice Care Practice Transaction
When buying or selling a hospice care practice, having a CPA with specialized healthcare M&A experience is essential for navigating complex Medicare regulations, ensuring compliance, and maximizing your transaction value. The right CPA will understand the unique financial nuances of hospice care, from per diem reimbursements to quality reporting requirements, and can help you avoid costly Medicare clawback risks that could derail your transaction.
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Top CPA Firms Specializing in Hospice Care
1. BKD CPAs & Advisors
Headquarters: 1100 Walnut Street, Suite 1900, Kansas City, MO 64106
Service Area: National
Website: https://www.bkd.com
2. Plante Moran
Headquarters: 27400 Northwestern Highway, Southfield, MI 48037
Service Area: National with focus on Midwest and Southeast
Website: https://www.plantemoran.com
3. Dark Horse CPAs
Headquarters: 350 Sentry Parkway, Suite 640, Blue Bell, PA 19422
Service Area: National
Website: https://www.darkhorsecpa.com
4. Moss Adams LLP
Headquarters: 805 SW Broadway, Suite 1200, Portland, OR 97204
Service Area: Western United States
Website: https://www.mossadams.com
How to Select the Right CPA for Your Hospice Care Practice Transaction
Start by evaluating potential CPAs based on their specific hospice care transaction experience, not just general healthcare knowledge. Request references from similar-sized hospice practices they’ve guided through acquisitions or sales, and ask about their experience with quality of earnings analyses and EBITDA normalization in the hospice sector. Most importantly, ensure they understand the regulatory complexities unique to hospice care, including Medicare Cap calculations, live discharge rates, and the impact of continuous care mix on valuations.
Frequently Asked Questions
Why is it essential to have a CPA with specialized healthcare M&A experience for hospice care practice transactions?
A CPA with specialized healthcare M&A experience is crucial for hospice care practice transactions because they can navigate complex Medicare regulations, ensure compliance, and maximize transaction value. They understand unique financial nuances such as per diem reimbursements and quality reporting requirements, helping to avoid costly Medicare clawback risks.
Which CPA firms are recognized for specializing in hospice care practice mergers and acquisitions?
The top CPA firms specializing in hospice care practice mergers and acquisitions include BKD CPAs & Advisors, Plante Moran, Dark Horse CPAs, and Moss Adams LLP. These firms have national or regional service areas and focus on healthcare-related financial transactions.
What should be the primary criteria when selecting a CPA for a hospice care practice transaction?
When selecting a CPA for a hospice care practice transaction, prioritize their specific hospice care transaction experience rather than general healthcare knowledge. Check for references from similar-sized hospice practices, and verify their expertise in quality of earnings analyses and EBITDA normalization within the hospice sector.
What regulatory complexities must a CPA understand in hospice care practice mergers and acquisitions?
A CPA must understand regulatory complexities unique to hospice care, including Medicare Cap calculations, live discharge rates, and how continuous care mix impacts valuations. This knowledge is vital to accurately assess the financial health and compliance of the hospice practice during transactions.
How can a CPA assist in maximizing the value of a hospice care practice transaction?
A CPA can help maximize the value of a hospice care practice transaction by ensuring compliance with Medicare regulations, conducting thorough quality of earnings analyses, normalizing EBITDA, and identifying financial nuances that impact valuation, thus reducing risks and enhancing the attractiveness of the transaction to buyers or sellers.
