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        Academic Health Systems and Medical Schools
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    - - For the 10th Year, PYA Named an INSIDE Public Accounting Top 100 Firm
        
        PYA Named One of USA TODAY's Most Recommended Tax Firms in America
  - Real Estate & Construction
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        Audit & Assurance
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    - - For the 10th Year, PYA Named an INSIDE Public Accounting Top 100 Firm
        
        PYA Named One of USA TODAY's Most Recommended Tax Firms in America
  - Other Industries
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        Commercial Products
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    - - For the 10th Year, PYA Named an INSIDE Public Accounting Top 100 Firm
        
        PYA Named One of USA TODAY's Most Recommended Tax Firms in America
  - Individuals
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        Tax Planning & Compliance
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    - - For the 10th Year, PYA Named an INSIDE Public Accounting Top 100 Firm
        
        PYA Named One of USA TODAY's Most Recommended Tax Firms in America
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- - Our Learning Curve Never Stops.
    PYA’s experts are recognized across the nation as industry thought leaders. We believe in sharing what we learn because it’s the right thing to do. It helps all of us.
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      - No Tax on Overtime: What the 2025-2028 Federal Deduction Really Means
        
        Webinar: Let’s Get Rural: Key Policy, Payment, & Program Changes Shaping Rural Care in 2026
About Us
- - Trusted Advisors.
    PYA is recognized as one of the nation’s Top 100 CPA firms, and as a Top 20 healthcare consulting firm. We got here by earning our clients’ trust. They expect us to be there, helping develop strategies for running successful businesses amid growing regulation and risk.
  - Independent.
    Private ownership means we answer only to our clients, not to third-party investors, giving us the freedom to be thorough and thoughtful in our work. We judge our success by our clients’ success — not an income statement.
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Matthew Kosier

Manager

Related Service Lines

Audit & Assurance
Healthcare Audit & Assurance
Accounting Advisory Services

Credentials

Certified Public Accountant (CPA)

Related Thought Leadership

View All Insights

A Step-by-Step Guide: Accounting for Energy Service Agreements in the Healthcare Industry

Breaking dam representing unchecked audit and compliance findings escalating into serious institutional risk

How Financial Institutions Can Remediate Audit and Compliance Findings Before They Escalate

business team solving accounting shortage with outsourced accounting services

The Accounting Shortage Explained: How Outsourcing Can Provide the Solution

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News from Our Affiliates

Strategic Capital Planning in M&A: Leveraging Real Estate to Unlock Value

Realty Trust Group | October 25, 2025

Accessing Capital Through Healthcare Real Estate

Realty Trust Group | October 14, 2025

Building a Stronger Tomorrow: Why Health Systems Need Strategic Capital Planning Now

Realty Trust Group | September 25, 2025

Northside Hospital, Realty Trust Group, and Partners Break Ground on Forsyth Medical Office Building

Realty Trust Group | August 28, 2025

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