Health Care Industry Brochure

Rural Health

The financial stress on rural health care providers, like critical access hospitals (CAH), is daunting and ultimately affects the financial health of the communities they serve. With numerous closures and one in three hospitals facing financial risk throughout the country, it’s essential rural health care providers are flexible in championing policies associated with the changing health care environment, improve patient outcomes and reduce the need for hospital admissions and readmissions.

BKD National Health Care Group works with numerous CAHs and other rural health care providers across the country, offering expertise that helps providers remain compliant and receive appropriate reimbursement.

In addition, through our involvement in the National Rural Health Association (NRHA) and similar organizations, we provide technical support to the advocacy efforts that help develop and improve rural America.

Payment Reform

BKD’s experienced payment reform team routinely helps rural health care providers navigate matters associated with bundled payments, MACRA, MIPS and more. We’ll keep you up to date and informed on changes in legislation that could affect your organization.

Not sure where to start? Visit our Health Care Payment Reform Resource Center or download our Beginning Bundles Guide.

Regulatory Compliance & Reimbursement

Annual Medicare and Medicaid cost report preparation is the foundation of BKD’s reimbursement services. We’re one of the largest providers of cost report preparation services in the country, preparing approximately 3,000 Medicare and Medicaid cost reports each year.

We can help you with:

Physician Services

Looking for a CPA firm with the perspective and skills to provide answers about your organization’s performance? BKD’s physician services team works with hundreds of independent physicians and physician groups on a variety of strategic, financial, operational and regulatory compliance matters.

Audit & Assurance

BKD audits approximately 400 hospitals annually—including small rural hospitals—and audit and assurance services compose 47 percent of our health service mix.

Our solutions include:


BKD has years of experience supporting those in rural health with their tax needs. Whether you need assistance with tax preparation, compliance assistance or consulting solutions, our tax team can help.

Enterprise Risk

Does your organization have processes in place to proactively identify and manage existing and emerging risks? BKD’s consultants can apply their knowledge, insight and sound judgment to help you stay ahead of the curve.

We can assist you with:

Transaction Services

Is your organization currently experiencing a merger or acquisition? Are you considering one in the future? In recent years, BKD has completed more than 60 due diligence engagements, with a combined purchase price of more than $1 billion. We can help your organization understand a target company’s strengths, weaknesses, potential risk areas and improvement opportunities.

Click here to see how our transaction services team can help.

Contact us today to see if one of our trusted advisors can help with your unique circumstances.

Eddie Marmouget

National Industry Partner

Holton Community Hospital

“We’ve worked with BKD for years. It’s critical for us to have advisors who truly understand the intricacies of rural health and who can bring in additional specialized advisors when needed. That’s why we continue to retain BKD.”

— Carrie Saia, Chief Executive Officer
Holton Community Hospital
Holton, Kansas

Penn Highlands Elk

“BKD provides expertise and knowledge we can count on and trust when questions need answered. They employ exceptional people who seem eager and sincere to help when called upon. They are a firm that holds true to the fact the only dumb question is the one that is not asked. We have been working with BKD for more than 10 years, and service to their clients has never deteriorated. I would recommend this firm to anyone seeking quality audit and consulting services. Their knowledge of health care and their understanding of small rural hospitals is unsurpassed.”

— Laurie MacDonald, Chief Financial Officer
Penn Highlands Elk
St. Marys, Pennsylvania

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