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Published February 28, 2019

PYA Presented at the FICPA Health Care Industry Conference

Ongoing change.  Ongoing learning.  That was the theme of this year’s Florida Institute of Certified Public Accountants (FICPA) Health Care Industry Conference.  The event took place April 25-26, 2019, in Orlando, Florida.

The conference brought together industry professionals to discuss the latest research, resources, and insights, with in-depth sessions focused on healthcare accounting, revenue cycles, fair market value (FMV), and more.  A host of PYA thought leaders were among those on the agenda to share industry insights.

PYA Tax Manager Emily Smithson highlighted provisions of tax reform that impact tax-exempt organizations in her presentation, “Taxing the Exempt?  The Impact of the Tax Cuts and Jobs Act on Tax-Exempt Organizations.”  She focused on:

  • Covered-employee compensation exceeding $1 million per individual and the excise tax provisions.
  • Unrelated business income activities and the use of net operating loss carryforwards.
  • Tax treatment of fringe benefits and the potential impact of changes to employer-provided parking.
  • Opportunities for planning under the new Act.

View the presentation below.


PYA Principal David McMillan addressed “Alternative Payment Models” in his presentation, which focused on:

  • Details of the rapidly accelerating transition from fee-for-service reimbursement to value-based payments.
  • New models, including pay-for-performance, episodic payments, shared savings arrangements, and global budgets.

View the presentation below.


PYA Principal Tynan Kugler and Jana Kolarik of Foley & Lardner also co-presented “Fair Market Value and Commercial Reasonableness—Stark Law and Regulatory Risks.”  Attendees:

  • Learned about Stark Law and the Anti-Kickback Statute with a focus on fair market value (FMV) and commercial reasonableness (CR) assessments and related risks.
  • Explored the enforcement agencies’ interest in physician compensation arrangements and strategies to avoid FMV and CR-related pitfalls.


Additionally, PYA Managing Principal of Audit & Assurance Services Mike Shamblin presented “Accounting for Software Implementation and Physician Guarantees.”  The presentation covered:

  • Unique accounting rules and industry best practices healthcare providers should know about accounting and financial reporting for software development.
  • Accounting treatment for physician guarantees.

View the presentation below.


If you would like assistance with any matter involving tax, audit, or accounting for healthcare; compliance; valuation; or strategy and integration, contact one of our PYA executives below at (800) 270-9629.

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