Question 1

What is a Medicare or Medicaid cost report, and why does accuracy matter so much?

Accepted Answer

A cost report is the annual filing that reconciles a facility's costs to the care it delivered and, in many states, helps set future reimbursement rates. Because rates and audit adjustments flow from these filings, small errors in cost allocation, related-party disclosure, or statistical data can affect reimbursement for years. We prepare and review cost reports with that downstream impact in mind.

Question 2

Do you work with multi-facility operators and management companies?

Accepted Answer

Yes. Much of our work is with operators, management companies, and ownership groups that run multiple facilities across several states. We're comfortable with the related-party structures, inter-company transactions, and consolidated reporting these organizations require.

Question 3

Can you handle both the audit and the tax work?

Accepted Answer

We can. Cost reporting, audit and assurance, tax, HUD, and transaction advisory all sit within one firm, which keeps your financial data consistent across filings and gives you a single team that understands the whole picture. Where independence rules apply to an audit engagement, we structure the relationship accordingly.

Question 4

We have a HUD Section 232 mortgage. Can you help with the reporting?

Accepted Answer

Yes. We work extensively with HUD-financed operators on audited financial statements, surplus-cash calculations, and the ongoing reporting HUD requires. See our HUD services for more.

Question 5

Do you only serve skilled nursing, or also assisted living and senior housing?

Accepted Answer

We serve the full long-term care and senior living spectrum — skilled nursing, assisted living, memory care, CCRCs, and related senior housing — as well as the real estate and management entities that support them.

Question 6

Are you able to serve facilities outside Ohio?

Accepted Answer

Yes. Pease Bell is a Cleveland-based, Top 200 U.S. firm serving clients in all 50 states. We regularly handle multi-state reimbursement and compliance for operators well beyond Ohio.

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Industries: Skilled Nursing & Long-Term Care