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Rural Hospitals

Overcome Rural Health Challenges with Guidance from BKD's Trusted Advisors

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 for rural health care providers to be flexible in championing policies associated with the changing health care environment, improving patient outcomes and reducing 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 advocacy efforts aimed at helping develop and improve rural America.

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

Rural Resources Toolkit

Complete the form below to download the toolkit.



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 Resources 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 2,000 Medicare and Medicaid cost reports each year.

We can help you with:

  • Cost report reviews & preparation
  • 340B drug pricing program operational services
  • Medicare bad debt recovery reporting
  • Medicare disproportionate share hospital (DSH) payments
  • Compliance program reviews

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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.

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Audit & Assurance

BKD audits approximately 600 hospitals annually—including small rural hospitals—and audit and assurance services compose 47 percent of our health service mix.

Our solutions include:

  • Financial statement audit
  • 340B drug pricing program audit
  • Internal audit

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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.

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How can we help you?



We have 38 offices in 17 states, with trusted advisors who offer solutions for clients across the country.

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