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Business Details
43 Years
experience
Expert Accounting & Healthcare Consulting Services
Founded in 1983, PYA has built a reputation as a leading accounting, tax, and healthcare consulting firm dedicated to delivering exceptional client service. Our private ownership structure ensures we remain fully accountable to our clients, allowing us to prioritize thoroughness and thoughtful solutions in all our work. With over four decades of experience, we have consistently ranked among the nations top healthcare consulting firms by Modern Healthcare and INSIDE Public Accounting. Our culture of HELPHelping through Exceptional service, Long-term relationships, and Prompt responsivenessguides every interaction, ensuring clients receive timely, impactful support. We maintain a steadfast commitment to community service, providing paid time off for employee volunteerism and contributing thousands of service hours annually. Our team of experts specializes in audits, compliance, valuation, and technology advisory services, serving health systems, academic medical centers, and physician practices nationwide.

By combining deep industry expertise with a client-first philosophy, we empower organizations to navigate complex challenges and achieve sustainable success. Our responsiveness policy guarantees client inquiries are addressed within 24 hours, reinforcing our dedication to accessibility and partnership. Recognized as a Top 15 auditor of the nations largest health systems, we leverage decades of experience to deliver tailored strategies that align with evolving regulatory and operational demands. Through continuous innovation and adherence to core values of integrity and accountability, PYA remains a trusted advisor in the healthcare and accounting sectors.
Services
Healthcare Audit Tax Advisory Compliance Support Asset Valuation Cybersecurity Services
Details
  • Year established: 1983
Highlights and features
  • We offer over 40 years of specialized expertise in healthcare accounting and consulting.
  • Our private ownership ensures full accountability to clients, not third-party investors.
  • We guarantee client inquiries are addressed within 24 hours through our responsiveness policy.
  • Our team includes nationally recognized experts in healthcare compliance and valuation.
  • We maintain a proven track record of being ranked among the top 20 healthcare consulting firms.
What people say
Exceptional insight Timely responsiveness Proven track record Client-first approach Industry leaders
Services
Healthcare Audit
Our Healthcare Audit and Assurance Services provide comprehensive financial statement audits, SOC examinations, and compliance monitoring for health systems and academic medical centers. We ensure adherence to regulatory standards while delivering actionable insights to improve operational efficiency. With decades of experience, our team offers tailored solutions for employee benefit plans, debt issuance, and forensic investigations.
Tax Advisory
PYAs Tax Advisory Services specialize in transaction structuring, tax-exempt organization compliance, and executive compensation analysis. We assist clients with federal and state tax filings, international tax planning, and IRS representation. Our expertise in healthcare-specific tax regulations ensures organizations maintain compliance while optimizing financial strategies.
Compliance Support
Our Compliance and Litigation Support Services address revenue integrity, coding audits, and government investigation responses. We help clients navigate Stark Law violations, Medicare self-disclosures, and corporate integrity agreements. By combining regulatory expertise with forensic accounting, we mitigate risks and enhance compliance frameworks for healthcare providers.
Asset Valuation
PYAs Healthcare Business and Asset Valuation Services offer transaction planning, goodwill impairment testing, and intellectual property valuation. We serve health systems, managed care entities, and technology providers, delivering precise valuations for mergers, acquisitions, and regulatory compliance. Our team ensures defensible, transparent valuations aligned with industry standards.
Cybersecurity Services
Our Technology & Cybersecurity Services include HIPAA compliance assessments, AI governance, and ransomware risk mitigation. We provide IT strategic planning, data governance programs, and executive-level mentoring to healthcare organizations. By integrating cybersecurity best practices, we protect sensitive data and enhance operational resilience.
People
Marty Brown
President and Chief Executive Officer
Marty Brown leads PYA as President and CEO, bringing decades of healthcare consulting experience. Recognized as Tennessee CPA of the Year, he oversees strategic growth and client service excellence. His leadership emphasizes innovation, community impact, and maintaining PYAs culture of responsiveness and integrity.
Debbie Ernsberger
Principal
Debbie Ernsberger specializes in tax advisory services at PYA, focusing on healthcare organizations. With expertise in transaction structuring and tax-exempt compliance, she provides strategic guidance to clients nationwide. Her work ensures regulatory adherence while optimizing financial outcomes for complex healthcare entities.
Lori Foley
Managing Principal of Revenue & Compliance Advisory
Lori Foley leads PYAs revenue and compliance advisory team, offering expertise in regulatory updates and coding audits. She specializes in mitigating compliance risks for healthcare providers, ensuring adherence to evolving federal and state requirements while supporting long-term organizational success.
Barry Mathis
Managing Principal of IT Advisory Consulting
Barry Mathis directs PYAs IT advisory services, focusing on cybersecurity and HIPAA compliance. He provides strategic IT risk management solutions, helping healthcare organizations protect sensitive data and navigate emerging technology challenges with expert guidance and proactive safeguards.
Annapoorani Bhat
Principal and Office Managing Principal, Charlotte
Annapoorani Bhat leads PYAs Charlotte office and specializes in healthcare business valuation. Her expertise in transaction planning and regulatory compliance supports clients in achieving accurate, defensible valuations for mergers, acquisitions, and financial reporting purposes across the healthcare sector.
Questions
What services does PYA specialize in?
PYA specializes in healthcare accounting, tax advisory, compliance, asset valuation, and cybersecurity services for health systems, academic medical centers, and physician practices.
How long has PYA been in business?
PYA has provided accounting and healthcare consulting services since 1983, with over 40 years of industry experience.
What sets PYA apart from other firms?
PYA’s private ownership ensures client-focused solutions, while our responsiveness policy guarantees inquiries are addressed within 24 hours, emphasizing long-term relationships and industry expertise.
Does PYA offer compliance support for healthcare providers?
Yes, PYA provides comprehensive compliance services including revenue integrity audits, Stark Law guidance, and government investigation responses tailored to healthcare organizations.
What geographic areas does PYA serve?
PYA serves clients nationwide with offices in Knoxville, Charlotte, Atlanta, and Nashville, supporting healthcare organizations across the United States.