Healthcare Practice Overview

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Citrin Cooperman’s

Healthcare Practice At Citrin Cooperman, we offer a wide range of professional services to meet the business and personal needs of our clients​.

citrincooperman.com

Citrin Cooperman is among the largest, professional services firms in the United States. We provide a comprehensive,

integrated

business

approach

to

traditional services, which includes proactive insights throughout the lifecycle of our clients.

info@citrincooperman.com


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Inside the Healthcare Practice 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.

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.

Citrin Cooperman’s healthcare practice is well-positioned to help healthcare organizations navigate the current

Our dedicated healthcare team supports efforts throughout the full continuum of care while servicing providers, payors, and investors.

Services

Advisory

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.

- Strategy -​ Clinical Integration and Population Health​-​ -​M&A and Strategic Partnerships​-​ -​ Finance and Operations​- Business Planning and Financial Feasibility -​

Tax and Business Services

Assurance*

- Tax Planning Services - Healthcare Transaction Related Services - Business Structuring and Operations - Profitability and Analysis​-

- Assurance Services - Risk Management - Cost Reporting and Reimbursement *Audit and assurance services are provided by Citrin Cooperman & Company, LLP.


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Industry Experience 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 ​

Assisted Living Facilities

Physician Practices

Home Health ​

Ambulatory Surgery Centers ​

Hospice ​

Outpatient Centers

Payors and Health Plans

Physical Therapy and Rehabilitation ​

Managed Care Organizations​

Behavioral Health

Technology and Startups

Long-Term Care

Medical Foundations ​


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Advisory Services Our Focus

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Helping healthcare organizations to drive successful and financially-driven strategies

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Developing practical solutions to help solve our clients’ most complex issues

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Positioning our clients for both shortterm profitability and future growth

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Building strong and trusted relationships to support our clients in a timely and cost-effective manner

SERVICES

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


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Tax and Business Services Our Focus

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Using industry and tax experience to find solutions to tax and business issues

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Helping our clients find tax-efficient strategies for their healthcare entity

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Understanding and translating tax regulations and applying them to our clients’ businesses

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Working with clients to increase their long-term financial stability

SERVICES

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


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Assurance Services* *Audit and assurance services are provided by Citrin Cooperman & Company, LLP.

Our Focus

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Helping to identify timely, costeffective financial solutions

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Identifying processes and controls to strengthen your organization

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Translating insights and experience into value for clients

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Identifying risks and implementing solutions

SERVICES

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 • Revenue recognition


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Healthcare Practice Leader Bios CONTACT 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.

CONTACT 401.421.4800 mcriscione@citrincooperman.com

MICHAEL E. CRISCIONE Partner, Healthcare Practice Co-Leader

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.


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About Citrin Cooperman Whether 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.

TAILORED SERVICES

FOCUSED SOLUTIONS

DRIVING VALUE

Our services are based on leading practices and are tailored for your business.​

We offer a focused set of solutions designed for companies of your size.​

We understand how businesses create value and help you drive it.

Quick Facts EMPLOYEES

More than 1,500 partners and staff

About Citrin Cooperman Among the nation’s top 25 More than 17 locations, RANKING

LOCATIONS

professional services firm

nationally and internationally


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Industries We Serve • Automotive Dealerships

- Private Equity

- Architecture and Engineering

• Cannabis Advisory Services

• Franchising

• Construction

• Governmental

• Cryptocurrency

• Government Contracting

• Real Estate

• Entertainment, Music, and Sports

• Healthcare

• Restaurants and Hospitality

• Financial Services

• Manufacturing and Distribution

• Technology

- Broker-Dealers

• Not-for-Profit

- Hedge Funds

• Professional Services

- Law Firms - Staffing

Firm Offerings ASSURANCE AUDIT AND ATTEST

• Reviews and Compilations​

ACCOUNTING ADVISORY SERVICES

• Agreed-Upon Procedures​

• Royalty Audit, Compliance, a ​ nd

• Business Combinations​

• Employee Benefit Plan Audit​ • Financial Statement Audit​ • Public Company Audit Services​

Consulting​* *Audit and assurance services are provided by Citrin Cooperman & Company, LLP.

• Going Public Readiness​ • Lease Accounting​ • Revenue Recognition

TAX COMMERCIAL TAX SERVICES

• Tax Compliance​

• High Net Worth Individuals​

• Federal Tax Policy​

• Tax Research and Planning​

• Offshore Voluntary Disclosure ​

• IRS Representation and Tax Controversies​

• Initiative​ INTERNATIONAL TAXATION SERVICES​

• Mergers and Acquisitions Tax​

• Tax Compliance​ • Trust and Estate Services

• Not-for-Profit Tax​

​STATE AND LOCAL TAX (SALT)​

• Tax Accounting and Provisions​

​PRIVATE CLIENT SERVICES​

ADVISORY BUSINESS CONSULTING • Business Management and Family Office​ • Healthcare Advisory​ • IT Business Advisory Services​

TECHNOLOGY, RISK ADVISORY, AND

TRANSACTION SPECIALTY SOLUTIONS​

CYBERSECURITY (TRAC)​

• Bankruptcy and Restructuring Services

• IT Risk, Cybersecurity and Privacy

• Forensic and Litigation Advisory

Services​ • Risk Advisory Services​

Services​ • Transaction Advisory Services​

• Strategy and Business Transformation​

• Valuation Advisory Services​

BUSINESS PROCESS OUTSOURCING​

WEALTH MANAGEMENT AND

• Finance and Operations​

INVESTMENT ADVISORY SERVICES​

• Outsourced IT and Managed 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).

CONNECT WITH US :

CITRINCOOPERMAN.COM INFO@CITRINCOOPERMAN.COM