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