GD&D offers expertise beyond accounting and tax services to assist health care organizations and businesses. We can help you keep your business profitable and in compliance with complex and ever-changing tax legislation. We can assist you in every phase of an engagement, from assessment to implementation, leveraging our industry experience to provide auditing, tax planning, financial planning and consulting services.
Our experience in the health care field includes a wide range of clients and engagements: independent physician group practices, community health centers, medical support service providers, laboratory services, x-ray and MRI facilities. Clients range from emerging practices to businesses with more than $50 million in annual revenues.
Specialty Services
- Medical Practice Management Services
GD&D can evaluate the business aspects of your medical practice and recommend practice performance and profitability improvements including fee schedules, billing and collection procedures, and internal control processes - Community Benefit / Charity Service
We can help you and identify the costs of outreach services and community benefit programs, and evaluate the financial value of a tax exempt status
Business Consulting
- Organization Structure and Entity Choice
- Evaluations of organization structure for maximum tax savings
- Identification of restructuring options to optimal tax results
- Joint Ventures
- Assistance with taxable and nontaxable program joint ventures, provider mergers, acquisitions, and physician practice acquisitions / divestitures
- Analysis of tax and business aspects of new tax-exempt entities and other structures in initial structuring of new tax-exempt entities
- Recommendations on minimizing operations and partner taxes
Strategic Tax Planning and Compliance Services
- Tax Compliance
- Filing of all relevant tax forms: partnership, corporate, and non-profit
- Ensuring compliance with IRS rules
- Evaluation and redesigning of tax reporting process
- Exemption advisory services
- Tax risk management
- Risk assessment through diagnostic "shadow audits"
- Assist with federal tax exemptions, charitable giving and payroll taxes, commercial insurance, and physician contracts
- Development of internal policies and procedures for necessary tax law compliance
- State and Local Taxes
- Minimization of gross receipt taxes, sales and property taxes
- Representation before state and other taxing jurisdictions
- Review of incentives and credits
- Cost Segregation Studies
Audit and Financial Services
- Audit, review and compilation services
- Rate setting and fee schedule projections
- Due diligence, financial projections and feasibility studies
- Internal control assessment
- Payer reimbursement audits
- Accounts receivable review
GD&D Healthcare Contact
Sam W. Gainer
