At Citrin Cooperman, we offer a wide range of professional services to meet the business and personal needs of our clients.
Healthcare organizations continue to confront and adapt to significant challenges associated with new payment models and stagnant reimbursement, rapid consolidation, new market entrants, changing technologies, growth of telehealth, enhanced patient expectations, and more.
Citrin Cooperman’s healthcare practice is well-positioned to help healthcare organizations navigate the current
environment. With a suite of services specifically designed to add value, we help organizations position themselves for short-term profitability, long-term sustainability, and strategic growth.
Our dedicated healthcare team supports efforts throughout the full continuum of care while servicing providers, payors, and investors.
We proactively arm our clients with the tools they need to be forward-thinking and draw from our deep collective expertise to deliver services that keep their organizations competitive and financially profitable.
Advisory
- Strategy -
- Clinical Integration and Population Health -
- M&A and Strategic Partnerships -
- Finance and Operations -
- Business Planning and Financial Feasibility -
Tax and Business Services
- Tax Planning Services -
- Healthcare Transaction Related Services -
- Business Structuring and Operations -
- Profitability and Analysis -
Assurance*
- Assurance Services -
- Risk Management -
- Cost Reporting and Reimbursement -
*Audit and assurance services are provided by Citrin Cooperman & Company, LLP.
We work with owners, operators, and investors in the healthcare space and we are well-versed in the complexities of the different industry segments.
We frequently work with a variety of participants who touch the healthcare businesses listed below:
Hospitals and Health Systems
Physician Practices
Ambulatory Surgery Centers
Outpatient Centers
Physical Therapy and Rehabilitation
Behavioral Health
Long-Term Care
Assisted Living Facilities
Home Health Hospice
Payors and Health Plans
Managed Care Organizations
Technology and Startups
Medical Foundations
Helping healthcare organizations to drive successful and financially-driven strategies
Positioning our clients for both shortterm profitability and future growth
Developing practical solutions to help solve our clients’ most complex issues
Building strong and trusted relationships to support our clients in a timely and cost-effective manner
STRATEGY
Enterprise-wide strategic plans, ambulatory growth plans, post-acute care network development, telehealth and virtual care strategy, project management and change management
CLINICAL INTEGRATION AND POPULATION HEALTH
Network development, CIN/ACO optimization, physician alignment strategy and execution, population health strategy, strategic contracting modeling, physician compensation methodology
M&A AND STRATEGIC PARTNERSHIPS
Opportunity analysis and planning, quality of earnings analysis, financial due diligence, deal structuring and development of business terms, post-transaction integration
FINANCE AND OPERATIONS
Cost accounting and contribution margin analysis, financial projections and scenario analysis, payor rate comparisons/black box analysis, valuation consulting, risk consulting and cybersecurity, revenue cycle management analysis
BUSINESS PLANNING AND FINANCIAL FEASIBILITY
Business plan development and execution, market share assessment, demand analysis, business assessment, financial feasibility analysis
TAX PLANNING SERVICES
• Tax return preparation
• Tax planning and strategy
• State and local tax-related issues
• Federal and state audit representation
HEALTHCARE TRANSACTION RELATED SERVICES
• Transaction-related tax structuring
• Organizing and enhancing general ledger chart of accounts for more robust financial reporting
• Assistance with conversion of books and records to GAAP basis of accounting
• Business agreements and financial governance
BUSINESS STRUCTURING AND OPERATIONS
• MSO formation and operations
• Compensation design and model development
• Finance department infrastructure development
• Operating agreements/shareholder agreement review
• Business entity selection
PROFITABILITY AND ANALYSIS
• Benchmarking
• Profitability analysis
• Revenue cycle enhancement and analysis
*Audit
Our Focus 4 3
SERVICES
Helping to identify timely, costeffective financial solutions
2 1
Translating insights and experience into value for clients
Identifying processes and controls to strengthen your organization
Identifying risks and implementing solutions
ASSURANCE SERVICES
• Audit, review and compilation of financial statements
• Develop, monitor, and audit compliance programs – federal and state
• Impact, assessment, and implementation of accounting pronouncements and transactions
• Agreed upon procedures
• Employee benefit plans
RISK MANAGEMENT
• Internal control assessments – effectiveness and review
• Corporate governance structure
• Regulatory
• Cost accounting and analysis
• Business combinations
COST REPORTS AND REIMBURSEMENT
• Rate analysis
• Cost report preparation
914.949.2990
jbryan@citrincooperman.com
JOHN BRYAN Partner, Healthcare Practice Co-Leader
John is a co-leader of Citrin Cooperman’s Healthcare Practice and specializes in providing consulting, tax, and accounting services to physician practices and outpatient facilities in the healthcare industry. A significant portion of John’s practice is devoted to the healthcare industry, with an emphasis on physician groups including single and multi-specialty practices. His areas of expertise in this field include structuring compensation, improving efficiencies, billing procedures, and mergers. He is a sought-after speaker and writer on business issues affecting the healthcare industry.
401.421.4800
mcriscione@citrincooperman.com
Michael is a co-leader of Citrin Cooperman’s Healthcare Practice and specializes in audit and business advisory solutions for healthcare entities such as home health agencies, hospices, long-term care and assisted living facilities, community health centers, and health and human service providers. He has over 30 years of Medicare/Medicaid experience, including assistance with the preparation of third-party cost reports, benchmarking reports, and financial analysis. He works extensively with owners, operators, and boards of directors regarding the financial aspects of their businesses, including thirdparty reimbursement, appeals for rate adjustments, compliance-related matters, operating budgets, development of reimbursement strategies and systems, and negotiations/discussions with federal and state agencies.
CONTACT
404.849.7787
hspillman@citrincooperman.com
Heather is a co-leader of Citrin Cooperman’s Healthcare Practice and has over 15 years of dedicated healthcare experience working with clients across the healthcare ecosystem, including large health systems, health plans, physician practices, urgent care facilities, and post-acute care facilities. She specializes in helping clients develop and drive organizational transformation by focusing on healthcare strategy, change management, and project management. Heather’s experience includes strategic planning, growth planning, population health strategy, transaction support, service line development/optimization, physician alignment, digital health strategy, and patient journey optimization.
HEATHER SPILLMAN Partner, Healthcare Practice Co-LeaderWhether you are an entrepreneur, a middle-market company, or a global publiclytraded conglomerate, we provide access to top-tier professionals who strive to understand a company’s differentiators and goals. We specialize in going beyond the core compliance functions to provide valuable insight.
UNDERSTANDING OUR CLIENT’S BUSINESS IS JUST THE BEGINNING.
Citrin Cooperman is one of the nation’s largest professional services firms. Citrin Cooperman & Company, LLP, a licensed independent CPA firm that provides attest services and Citrin Cooperman Advisors LLC, which provides business advisory and non-attest services, operate as an alternative practice structure in accordance with the AICPA’s Code of Professional Conduct and applicable law, regulations and professional standards. Clients are in all business sectors and leverage a complete menu of service offerings. The entities include more than 200 partners and over 1500 employees across the U.S. For more information, please visit citrincooperman.com, and be sure to follow us on LinkedIn, Twitter, Facebook, Instagram, and YouTube.
Our services are based on leading practices and are tailored for your business.
Quick Facts
EMPLOYEES
More than 1,500 partners and staff
We offer a focused set of solutions designed for companies of your size.
We understand how businesses create value and help you drive it.
RANKING
Among the nation’s top 25 professional services firm
LOCATIONS
More than 17 locations, nationally and internationally
Industries We Serve
• Automotive Dealerships
• Cannabis Advisory Services
• Construction
• Cryptocurrency
• Entertainment, Music, and Sports
• Financial Services
- Broker-Dealers
- Hedge Funds
ASSURANCE
AUDIT AND ATTEST
• Agreed-Upon Procedures
• Employee Benefit Plan Audit
• Financial Statement Audit
• Public Company Audit Services
TAX
COMMERCIAL TAX SERVICES
• Federal Tax Policy
• IRS Representation and Tax Controversies
• Mergers and Acquisitions Tax
• Not-for-Profit Tax
• Tax Accounting and Provisions
ADVISORY
BUSINESS CONSULTING
• Business Management and Family Office
• Healthcare Advisory
• IT Business Advisory Services
• Strategy and Business Transformation
BUSINESS PROCESS OUTSOURCING
• Finance and Operations
• Outsourced IT and Managed Services
- Private Equity
• Franchising
• Governmental
• Government Contracting
• Healthcare
• Manufacturing and Distribution
• Not-for-Profit
• Professional Services
- Architecture and Engineering
- Law Firms
- Staffing
• Real Estate
• Restaurants and Hospitality
• Technology
• Reviews and Compilations
• Royalty Audit, Compliance, and Consulting*
*Audit and assurance services are provided by Citrin Cooperman & Company, LLP.
• Tax Compliance
• Tax Research and Planning
INTERNATIONAL TAXATION SERVICES
STATE AND LOCAL TAX (SALT) PRIVATE CLIENT SERVICES
ACCOUNTING ADVISORY SERVICES
• Business Combinations
• Going Public Readiness
• Lease Accounting
• Revenue Recognition
• High Net Worth Individuals
• Offshore Voluntary Disclosure
• Initiative
• Tax Compliance
• Trust and Estate Services
TECHNOLOGY, RISK ADVISORY, AND CYBERSECURITY (TRAC)
• IT Risk, Cybersecurity and Privacy Services
• Risk Advisory Services
TRANSACTION SPECIALTY SOLUTIONS
• Bankruptcy and Restructuring Services
• Forensic and Litigation Advisory Services
• Transaction Advisory Services
• Valuation Advisory Services
WEALTH MANAGEMENT AND INVESTMENT ADVISORY SERVICES
“Citrin Cooperman” is the brand under which Citrin Cooperman & Company, LLP, a licensed independent CPA firm, and Citrin Cooperman Advisors LLC serve clients’ business needs. The two firms operate as separate legal entities in an alternative practice structure. Citrin Cooperman is an independent member of Moore North America, which is itself a regional member of Moore Global Network Limited (MGNL).
