Header Image

Tackle the Challenges of the Hospice and Home Health Industries

Hospices and home health organizations must rely on a professional services firm with industry experience in order to achieve their performance goals and serve their patients well. Crowe Horwath LLP's hospice specialty team delivers audit, tax, reimbursement, and consulting services to hospice clients nationwide.

Crowe is an active member and regular contributor to the National Hospice and Palliative Care Organization (NHPCO) and various state associations. We are committed to supporting the members of national, state, and local healthcare organizations as they further advance patient care, and to provide thought leadership in the disciplines of financial reporting, revenue, operations, and risk management.

We take great care in listening to and learning about your specific financial, compliance, and performance challenges, so that we can help you develop your capacity to respond to industry challenges and opportunities. Our diverse, hospice-focused teams are prepared to help you succeed and include auditors, tax professionals, reimbursement specialists, and operational consultants.

What Crowe’s hospice clients say:


Crowe has extensive experience in the hospice sector. They’ve made it one of their priorities to understand how we’re managed and financed, which is very different from traditional healthcare. Most accounting firms do not have that expertise. Crowe’s depth of understanding of how we work makes the auditing process much more focused, more professional, more efficient, and eliminates any non value-added activity from the process. They’re professionals at all levels, from the partners to those who work with us during the actual audit. They have a very high level of customer sensitivity, with excellent communication.”

--Dorothy Deremo, President and CEO, Hospice of Michigan


“Spectrum Health, Inc. and its affiliate companies, including Hospice of Palm Beach County, Inc. have been Crowe Horwath clients for more than seven years. During this time they have provided us with unparalleled service and have been an important component of our growth and success. With the ever-changing regulatory landscape, Crowe management has been proactive in keeping our organization updated on relevant accounting and tax issues. Our recent implementation of a national triage call center required a SAS 70 audit, and Crowe came through on short notice with an experienced team and the guidance we needed to ensure that we met all the standards required by our customers. Their audit, tax, and consulting teams are always available to us throughout the year, and we truly value the independent perspective and depth of hospice industry knowledge that they provide.”

--Richard F. Calcote, Chief Financial Officer, Spectrum Health, Inc.
(Parent supporting organization for Hospice of Palm Beach Country and its affiliates)


“Suncoast Hospice and its Affiliates have worked with Crowe Horwath for the past 4 – 5 years in both audit and tax. Our needs vary from hospice to other not-for-profit, A-133 and specialized for-profit accounting and tax issues. Crowe has significant knowledge in the hospice industry and has brought the necessary expertise in these other specialized areas as well. The Crowe team has remained consistent throughout the years and because of the continuity of the staff assigned to our engagement and the knowledge that they have gained of our organization, they are a great resource for our complex accounting and tax needs. As the IRS rolled out the new 990 requirements in 2008, Crowe Horwath did an excellent job in educating the hospice community as to the many changes. They provided a concise summary to the board of directors, highlighting the important elements of the new reporting requirements in an easy-to-understand manner. Geography has not played a factor in Crowe’s ability to provide an efficient and timely audit nor to stay in touch during the course of the year. I look forward to our continued relationship with Crowe Horwath.”

--Anne Hoschsprung, Vice President of Finance, Suncoast Hospice


“Crowe Horwath LLP provides independent accounting assistance that goes far beyond traditional auditing. Their high-quality support is delivered in an efficient, professional, and cost-effective manner, giving the trustees a great deal of comfort. More significantly, Crowe’s collective experience with the hospice industry brings exceptional value and their knowledge helps us to understand and deal with the full range of accounting, financial, and political issues affecting our organization. Their expertise has helped management and the board manage risk and opportunity alike, while assisting us in the development of “best practices” that strengthen our organization’s position in an increasingly tough and competitive environment.

--Donald D. Snyder, Member of the Board of Trustees/ Finance Committee Chairman, Nathan Adelson Hospice


“We have been a Crowe client for 10 years. From day one, they have been a wonderful firm to work with on all levels. As an agency caring for the aged at the end of life, Hospice of the Bluegrass (HOB) is charged with being a good steward of Medicare funding. Crowe knows our business and they provide assurance to the board that our accounting practices encompass the requirements of Medicare as well as the not-for-profit guidelines applicable to HOB. We keep in touch with engagement personnel throughout the year and major items are addressed on a timely basis. Crowe has an excellent relationship with our board and has done a great job fulfilling board requests for information on changes in current regulations that affect our business. We value our continuing relationship with the Crowe team.”

--Carol Ruggles, Chief Financial Officer/VP Finance, Hospice of the Bluegrass


“Crowe is more than just an auditor. They’re a mentor and a wonderful resource for us. We rely on them for honest feedback, guidance, and direction. Because they understand the vision of the hospice industry and the issues we deal with every day, they’re able to provide us with real, quality based benchmarks so that we never compromise patient care. If a consultant doesn’t understand our operational issues, they can’t guide us in other areas. Crowe stays very current on best practices grounded in both a financial and operational understanding of our business. They’re true professionals.”

--Carole Fisher, President and Chief Executive Officer, Nathan Adelson Hospice


Contact Us

Jim Ridenour
574.236.8636