Skilled Nursing & Long-Term Care
Specialized accounting, tax, and advisory for skilled nursing, assisted living, and long-term care providers — from cost reports to the boardroom.
Overview
Long-term care runs on thin margins, complex reimbursement, and constant regulatory change. We’ve spent decades in this industry, so we understand the economics behind your beds, your payor mix, and your cost reports.
From Medicare and Medicaid cost reports to audits, tax, and transaction support, we help operators protect reimbursement, stay compliant, and make confident decisions as they grow or transition their portfolios.

How We Help
- Medicare & Medicaid Cost Reports
- Financial Statement Audits
- Tax Planning & Compliance
- Reimbursement & Rate Consulting
- Transaction Advisory
- Outsourced Accounting & CFO Support
Healthcare & Long-Term Care Team

Kuno S. Bell, CPA, J.D.
Managing Partner

Dean Benedetto, CPA, MBA
Manager

Sherri Blackwelder, CPA
Partner

Aaron Cherr, CPA
Manager

Grady McMichen, J.D.
Tax Associate

Ron Misconish, CPA
Partner

Mark E. Noble, CPA
Partner

Ryan C. Praschan, CPA
Partner

Beth Reimer, CPA, MBA
Partner

Kevin Schule, CPA, MBA
Director

Yisroel Segal, CPA
Partner

Christopher J. Szuch, CPA
Partner

Joel M. Ungar, CPA
Director
Featured Insights
Contact Us
Tell us about your organization and a member of our long-term care team will be in touch.

