Healthcare Financial Services
CPA-Led • TPRM Certified • Veteran-Owned • Healthcare Specialists
Healthcare Finance Is Complicated. Your CPA Firm Shouldn't Be.
Healthcare organizations face a financial and compliance environment unlike any other sector. Payer complexity, federal grant requirements, HIPAA vendor obligations, cost reporting, IRC § 501(r) compliance, and the pressure of delivering care — all at once. You need a CPA firm that knows healthcare from the inside, not one learning your industry at your expense.
R&C Global's healthcare practice is led by Certified Public Accountants and TPRM-certified professionals who bring deep, dedicated expertise to healthcare organizations — both for-profit and tax-exempt — across the full spectrum of services.
CPA
Licensed and Independent
TPRM
Certified Porfessionals
3
Countries - Global Network
Healthcare Organizations We Serve
Our healthcare practice is structured around the specific needs of each type of organization we serve — because a physician practice and a federally qualified health center have very different financial and compliance environments.
For-Profit Healthcare
• Physician Practices — solo, group, and multi-specialty
• Dental and Specialty Practices
• Urgent Care and Ambulatory Surgery Centers
• Behavioral Health and Substance Use Disorder Providers
• Veterinary Practices
• Healthcare Private Equity Portfolio Companies
• Home Health and Hospice Agencies
• Durable Medical Equipment (DME) Providers
Tax-Exempt Healthcare
• Federally Qualified Health Centers (FQHCs) and Look-Alikes
•Hospitals and Health Systems — critical access and community
• Healthcare Non-Profits receiving HHS, HRSA, and federal awards
• Senior Living and Long-Term Care Facilities
• Rural Health Clinics
• Community Mental Health Centers
• Free Clinics and Safety-Net Providers
• Healthcare Foundations and Research Organizations
What We Do For Healthcare Organizations
Financial Statement Audits
• GAAS and Yellow Book (Government Auditing Standards) audits
• Healthcare-specific accounting — FASB ASC 954 and ASC 958
• Provider Relief Fund (PRF) reporting and compliance
• Cost report audit support and reconciliation
• PCAOB-registered for public and regulated entities
• Board-ready audit reports and management letters
Single Audits & Federal Grant Compliance
• Single Audits under OMB Uniform Guidance (2 CFR 200)
• HRSA, HHS, FEMA, and HUD program compliance testing
• Schedule of Expenditures of Federal Awards (SEFA)
• Major program risk assessment and determination
• Findings resolution and corrective action plan support
• FQHC look-alike grant compliance and reporting
TPRM - HIPAA & Vendor Risk Management
• Business Associate Agreement (BAA) risk assessment
• Vendor and BA control testing (Agreed-Upon Procedures)
• HIPAA Security Rule compliance documentation
• OCR-ready third-party risk management documentation
• Joint Commission and NCQA accreditation TPRM support
• Subrecipient monitoring for pass-through grant recipients
Healthcare Tax Services
• Form 990 and community benefit reporting (tax-exempt)
• IRC § 501(r) compliance — financial assistance and billing policies
• Physician compensation planning and intermediate sanctions review
• For-profit practice entity structuring and tax planning
• UBIT analysis for tax-exempt healthcare organizations
• State and local tax compliance
Practice Financial Management
• Revenue cycle analysis and benchmarking
• Overhead analysis and cost reduction advisory
• Debt analysis, financing support, and covenant compliance
• Practice acquisition, merger, and partnership advisory
• Group physician compensation formula design and reconciliation
• Cash flow analysis and trend reporting
Outsourced CFO & CAAS
• Interim and ongoing CFO services for healthcare organizations
• Grant financial management and fund tracking
• Month-end close and financial reporting for boards
• Healthcare accounting software implementation
• Audit preparation and year-end readiness support
• Consolidated reporting for multi-site practices
FQHCs & Federal Grant Recipients — A Special Focus
Is your organization receiving HRSA, HHS, or other federal awards? We specialize in exactly this.
Federally Qualified Health Centers and other healthcare organizations receiving federal funding operate under an especially demanding compliance framework — managing Single Audit requirements, federal program compliance testing, HRSA reporting, and subrecipient monitoring simultaneously.
R&C Global's team has direct experience with the compliance requirements of federally funded healthcare organizations. We don't just perform the audit — we help you build the infrastructure to pass it every year.
Single Audit Services We Provide
Risk-based major program determination
Federal program compliance testing (HRSA, HHS, Medicaid cluster)
Internal control over compliance evaluation
SEFA preparation and review
Provider Relief Fund (PRF) reporting compliance
Federal Audit Clearinghouse (FAC) submission support
Prior year finding resolution and corrective action advisory
How We Help You Stay Compliant Year-Round
Pre-audit readiness assessments — gaps identified before the auditor arrives
Grant compliance policies and procedures review
Internal control documentation and gap analysis
Subrecipient risk assessments and monitoring program design
Staff training on grant compliance requirements
Year-round advisory as regulations and program requirements change
TPRM program design for HIPAA and grant vendor management
Healthcare TPRM — HIPAA Compliance Meets Vendor Risk
HIPAA requires covered entities and business associates to identify, assess, and manage the risks posed by their vendors and business partners. The OCR has made clear that a HIPAA compliance program without a robust Business Associate risk management component is incomplete — and OCR enforcement actions increasingly target organizations that cannot document their vendor risk programs.
R&C Global's TPRM-certified professionals help healthcare organizations build, document, and operate BA risk programs that satisfy regulatory expectations — and provide the independent attestation that boards, compliance officers, and accreditation bodies require.
TPRM Services for Healthcare
Business Associate inventory and risk tiering
BA control assessments and due diligence reviews
Agreed-Upon Procedures on specific vendor environments
BAA adequacy review and gap analysis
Vendor monitoring program design and documentation
OCR-ready TPRM program documentation packages
Accreditation & Regulatory Alignment
Joint Commission IM (Information Management) standard support
NCQA credentialing and vendor management requirements
URAC accreditation vendor oversight standards
CMS Conditions of Participation compliance support
State health department regulatory advisory
HITRUST alignment advisory for healthcare organizations
Why Healthcare Organizations Choose R&C Global
✦ CPA-Led Engagements — Every audit and tax return is led by a licensed CPA with direct accountability to your board and regulators
✦ TPRM Certified — Dedicated HIPAA and vendor risk expertise integrated into every healthcare engagement
✦ Veteran-Owned — The discipline and mission-driven values of military service inform how we serve every client
✦ For-Profit & Tax-Exempt Expertise — We serve the full healthcare spectrum, not just one sector
✦ FQHC & Federal Grant Specialists — Direct experience with the Single Audit and federal program compliance requirements unique to healthcare
✦ Senior Access Always — You speak directly to the CPA leading your engagement, not a junior associate
✦ Low Turnover, High Continuity — You will not re-explain your organization to a new team every year
✦ Free Initial Consultation — We invest time to understand your situation before you commit to anything
Schedule Your Free Healthcare Consultation
Whether you are preparing for your first Single Audit, building a HIPAA vendor risk program, or looking for a CPA firm that truly understands healthcare — we are ready to help. Contact us today for a no-pressure, no-commitment consultation.
📞 (972) 360-6822 ✉ info@randcglobal.us 📍 11011 Richmond Ave STE 722, Houston TX 77042