Nephrology practices face unique financial complexities with dialysis center operations, hospital joint ventures, and intricate Medicare reimbursement structures that demand specialized accounting expertise during M&A transactions. Having a CPA who understands both healthcare transactions and the specific challenges of renal care practices can mean the difference between maximizing your after-tax proceeds and leaving significant money on the table.
Every practice sale has unique considerations that require personalized guidance. Book a Confidential Strategy Session →
Top CPA Firms Specializing in Nephrology
1. Aprio
Headquarters: 1117 Perimeter Center West, Suite 500, Atlanta, GA 30338
Service Area: National
Website: https://www.aprio.com
2. NovaPoint CFO
Headquarters: 2901 W Busch Blvd, Suite 200, Tampa, FL 33618
Service Area: 30+ States
Website: https://www.novapointcfo.com
3. Shariff CPA Firm, P.C.
Headquarters: 1 Evertrust Plaza, Suite 1302, Jersey City, NJ 07302
Service Area: Tri-State Area and National
Website: https://www.shariffcpa.com
4. Healthcare CPAs & Consultants
Headquarters: 501 Corporate Centre Dr, Suite 200, Franklin, TN 37067
Service Area: Southeast and National
Website: https://www.healthcarecpas.com
5. BKD CPAs & Advisors (now Forvis)
Headquarters: 1201 Walnut St, Suite 1700, Kansas City, MO 64106
Service Area: National
Website: https://www.forvis.com
How to Select the Right CPA for Your Nephrology Practice Transaction
Finding a CPA with genuine nephrology transaction experience requires targeted vetting beyond generic healthcare credentials. Start by requesting anonymized case studies of multi-site medical practice acquisitions, specifically asking about experience with dialysis centers, vascular access centers, and hospital joint venture structures common in nephrology. During interviews, assess their understanding of nephrology-specific financial metrics like dialysis treatments per month, EPO utilization rates, and Medicare Advantage penetration rates that directly impact practice valuations.
Your ideal CPA should demonstrate expertise in both pre-transaction planning (which can save 15-30% in taxes) and post-merger integration support. Request references from physicians who have completed similar transactions, and expect to invest $5,000 to $50,000+ for comprehensive acquisition support depending on your practice’s complexity. The right CPA will more than pay for themselves through tax savings, accurate valuations, and smoother due diligence processes.
Every practice sale has unique considerations that require personalized guidance. Book a Confidential Strategy Session →
Frequently Asked Questions
Why is it important to select a CPA with specific nephrology practice experience for mergers and acquisitions?
Nephrology practices have unique financial complexities such as dialysis center operations, hospital joint ventures, and intricate Medicare reimbursement structures. A CPA knowledgeable in these areas can help maximize after-tax proceeds and prevent leaving significant money on the table during practice transactions.
What are some top CPA firms specializing in nephrology practice mergers and acquisitions?
Top CPA firms specializing in nephrology include Aprio (Atlanta, GA), NovaPoint CFO (Tampa, FL), Shariff CPA Firm, P.C. (Jersey City, NJ), Healthcare CPAs & Consultants (Franklin, TN), and BKD CPAs & Advisors now known as Forvis (Kansas City, MO). These firms offer national or regional services with expertise in healthcare transactions.
What specific nephrology transaction experience should you look for when vetting a CPA?
Look for a CPA who can provide anonymized case studies of multi-site medical practice acquisitions including dialysis centers, vascular access centers, and hospital joint ventures. They should understand nephrology-specific financial metrics like dialysis treatments per month, EPO utilization rates, and Medicare Advantage penetration, which all affect practice valuations.
How much can hiring the right CPA save you in transaction taxes and what is the typical cost range for their services?
Hiring the right CPA can save you 15-30% in taxes through effective pre-transaction planning. The cost for comprehensive acquisition support typically ranges from $5,000 to over $50,000 depending on the complexity of your nephrology practice transaction.
What are key qualities a CPA should have for supporting nephrology practice mergers and acquisitions?
A good CPA should demonstrate expertise in both pre-transaction tax planning and post-merger integration. They should provide references from physicians who completed similar transactions and be skilled in accurate practice valuations and thorough due diligence to ensure smooth and financially beneficial deals.
