Selecting the Right CPA for Your Skilled Nursing Facility Practice Transaction
When buying or selling a skilled nursing facility, having a CPA with deep healthcare expertise can mean the difference between a smooth transaction and costly complications. The right CPA brings specialized knowledge of healthcare regulations, reimbursement structures, and the unique financial considerations that impact SNF valuations and deal structures.
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Top CPA Firms Specializing in Skilled Nursing Facilities
1. CliftonLarsonAllen (CLA)
Headquarters: Minneapolis, MN
Service Area: National
Website: https://www.claconnect.com
2. Baker Tilly
Headquarters: Chicago, IL
Service Area: National
Website: https://www.bakertilly.com
3. BDO USA
Headquarters: Chicago, IL
Service Area: National
Website: https://www.bdo.com
4. LBMC Healthcare
Headquarters: Nashville, TN
Service Area: Southeast and National
Website: https://www.lbmc.com
5. Plante Moran
Headquarters: Southfield, MI
Service Area: Midwest and National
Website: https://www.plantemoran.com
How to Select the Right CPA for Your Skilled Nursing Facility Practice Transaction
Finding the right CPA for your SNF transaction requires careful evaluation of their specific healthcare experience and track record with multi-facility portfolios. Start by requesting case studies of recent SNF acquisitions they’ve supported, particularly those involving 10 or more facilities if your portfolio is similarly sized. Verify their expertise through references from other SNF operators and check if they’ve been featured in industry publications like Skilled Nursing News.
When evaluating proposals, expect initial due diligence costs between $25,000-$75,000, with full transaction support ranging from $100,000-$300,000+ for complex multi-location deals. The best firms offer comprehensive services including financial due diligence, tax structuring, compliance assessment, and post-merger integration planning. Look for CPAs who understand the nuances of Medicare and Medicaid reimbursement, can analyze your payor mix effectively, and have experience with both private equity and strategic buyers in the SNF space.
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Frequently Asked Questions
Why is it important to have a CPA with healthcare expertise when buying or selling a skilled nursing facility?
Having a CPA with deep healthcare expertise can mean the difference between a smooth transaction and costly complications because they bring specialized knowledge of healthcare regulations, reimbursement structures, and unique financial considerations impacting SNF valuations and deal structures.
Which CPA firms are recognized for specializing in skilled nursing facilities mergers and acquisitions?
The top CPA firms specializing in skilled nursing facilities include CliftonLarsonAllen (CLA), Baker Tilly, BDO USA, LBMC Healthcare, and Plante Moran.
What factors should be considered when selecting the right CPA for a skilled nursing facility transaction?
You should evaluate a CPA’s specific healthcare experience, track record with multi-facility portfolios, request case studies of recent SNF acquisitions, verify expertise through references and industry publications, and consider their understanding of Medicare and Medicaid reimbursement as well as experience with private equity and strategic buyers.
What are typical costs associated with CPA services for skilled nursing facility transactions?
Initial due diligence costs typically range between $25,000-$75,000, with full transaction support ranging from $100,000-$300,000+ for complex multi-location deals.
What comprehensive services should the best CPA firms offer for skilled nursing facility mergers and acquisitions?
The best CPA firms offer services including financial due diligence, tax structuring, compliance assessment, and post-merger integration planning, as well as the ability to analyze payor mix effectively and navigate Medicare and Medicaid reimbursement nuances.
