Hospitals & Health Systems

From the largest health systems to independent community hospitals to children’s hospitals, PYA provides a full range of services to support strategic growth, compliance, operational efficiencies, and objectives to support long-term sustainability. With decades of in-the-trenches experience, our experts understand the environmental challenges hospitals face. We bring practical answers tailored to our clients’ needs and circumstances rather than offering one-size-fits-most solutions.

Our Services for Hospital and Health Systems

Compliance

Coding, Documentation, and Medical Necessity Reviews
Compliance Risk Assessments
Regulatory Updates and Education
Provider Compensation Planning and Design

Transactions

Merger and Acquisition Advisory
Due Diligence
Integration Management Office

Strategy

Enterprise Strategic Planning
Market Analyses and Feasibility Studies
Service Line Strategy
Provider Needs Assessment
Financial Analysis and Projection

Managed Care and Reimbursement

Contract Negotiations and Rate Analysis
Revenue Cycle Assessment and Improvement
Medicare Cost Report Preparation
Alternative Payment Models

Performance Transformation

Clinical, Operational, and Financial Improvement Planning and Execution
Clinical Integration

Valuation

Provider Compensation
Commercial Reasonableness
Management and Professional Services Agreements
Brand Valuation
Business Valuation

Information Technology

Cybersecurity
Risk management and compliance
Artificial intelligence deployment

Real Estate

Portfolio Management
Identification and Execution of Space Consolidation and Optimization

Audit & Accounting

Audits, Reviews, and Compilations of Financial Statements
Forensic Accounting and Dispute Resolution
Accounting Policies and Procedures Implementation
Internal Controls Assessment
Fractional Accounting Support

Tax Planning and Preparation

Tax Planning for Non-Profit and For-Profit Entities
Federal, State, and Local Income Tax Returns
Representation During IRS, State, and Local Examinations
Community Health Benefit Assessments

Hospital Advisory Services for Financial & Operational Performance

Hospital and Health System Advisory Services

Strategy, Transactions, and Organizational Performance

Hospitals and health systems continue to navigate financial pressure, reimbursement changes, workforce challenges, and operational complexity. PYA provides advisory support related to strategic planning, affiliations and transactions, operational improvement, and performance transformation initiatives designed to support long-term organizational goals.

Managed Care, Compliance, and Reimbursement Strategy

Healthcare organizations must respond to evolving payment models, regulatory expectations, and payer dynamics. PYA assists hospitals and health systems with compliance, managed care and reimbursement strategy, value-based payment readiness, and financial performance analysis tied to changing healthcare delivery models.

Valuation, Technology, Audit, Tax, and Real Estate Advisory

Hospitals often require coordinated support across valuation, information technology, audit and accounting, tax planning, and real estate strategy. PYA’s multidisciplinary healthcare teams help organizations evaluate financial, operational, and reporting considerations across the healthcare enterprise.

The PYA Difference

Over our 40-year history, PYA has consistently delivered high-value advisory services to our national client base. Our team is deployed to develop custom plans using proven approaches and work plans.

Independence

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.

Relationships

We value long-term relationships and work hard to maintain them. Our commitment to client relationships and the communities we serve remains constant.