Offering the extensive resources of a national consulting and advisory practice, while providing genuine and personalized client service, PYA distinguishes itself with a thoughtful, forward-looking approach. Our tax professionals are client-focused, helping organizations and individuals create tax strategies that can strengthen their financial positions.

A leading accounting firm in Knoxville, TN, PYA is consistently ranked among the Top 20 healthcare consulting firms in the U.S., is ranked third-highest female ownership among Top 100 Accounting Firms by Inside Public Accounting, and is a Top 15 auditor of the nation’s largest health systems. It has been recognized nationally as a trusted resource whose team of industry experts, thought leaders, “big problem” solvers, and strategic thinkers and doers is touted for its extensive breadth and depth of experience.


Possessing a tremendous breadth of technical experience, our tax team brings an equal amount of industry depth in manufacturing, construction, wholesale distribution, and real estate management. We serve a wide range of healthcare organizations, financial institutions, commercial taxpayers, and entrepreneurial entities.

Our multi-pronged, comprehensive take on tax planning is a large part of what makes the PYA approach so effective. From buy- and sell-side due diligence consultation to transaction modeling and facilitation, PYA offers a comprehensive portfolio of services to ensure compliance and mitigate financial impact.

PYA, in Knoxville, Tennessee, ranked as one of America's Best Accounting Firms by Forbes 2023


Radically Responsive:

Your PYA Tax Concierge

Radical Responsiveness is a PYA core value. We are committed to being there when you need us. If your PYA executive contact is unavailable, your Tax Concierge is your direct phone or email contact for quick help. They can walk you through non-technical questions, put you in touch with your executive contact, or schedule a meeting when needed.

Your Tax Concierge can –

  • Be your first point of contact for any issues or questions.
  • Provide assistance with SafeSend and other programs.
  • Guide you on how to complete your engagement letter, organizer, and tax return signatures.
  • Guide you on how to submit documents to PYA.
  • Provide the status of your return.
  • Schedule an appointment with your PYA executive contact for tax advisory services or any other tax questions or issues.

Connect with your Tax Concierge:

(865) 684-2800