Financial Integrity & Compliance

Financial Integrity & Compliance


Getting the facts right matters.


Whether you are expanding existing financial arrangements, seeking new capital, considering affiliation or embarking on other strategic initiatives, you need assurance regarding the integrity of the financial statements that support those decisions.

At HORNE, our opinion is more than simply providing compliance. Our integrated approach combines healthcare knowledge from our assurance, reimbursement, valuation and tax teams so that we can translate your data into knowledge and actionable insights that help identify emerging risks, as well as growth opportunities, within your organization.

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“We take large amounts of data that people can’t interpret and turn it into a story that people understand and trust.”

Access our range of services for insights and solutions for the best path forward.

External Audits
Whether to satisfy state regulations, long-term debt covenants or governance requirements, you need financial opinions that lend integrity and trust to your financial statements. Our credentialed healthcare team executes your audits to help you identify and mitigate risk and succeed in an ever-changing healthcare economy.

Our healthcare auditors also have wide-ranging experience performing audits for compliance requirements, such as:

  • Office of Management and Budget Uniform Guidance
  • United States Housing and Urban Development (HUD)
  • United States Department of Agriculture (USDA)
  • 340B Drug Pricing Program

Internal Audit and Risk Advisory Services
Outsourcing your internal audit and risk advisory projects or functions provides an objective, third-party overview of the state of your financial and operational controls and validates the accuracy of your internal reporting and control environment. This service is a positive, proactive way to identify and mitigate risks, safeguard integrity and verify compliance. The HORNE team brings robust experience and technology to full internal audit outsourcing and specific project-focused efforts.

Financial Forecasting, Modeling and Disclosures
How can you accurately forecast future performance and spot potential problems when payment models and reporting standards are continually changing? HORNE Healthcare can evaluate your financial and operational data in ways that help you anticipate the future in order to improve performance. By leveraging our understanding of hard trends, you have the insights you need to make decisions with greater confidence and meet reporting standard requirements.

Nonprofit Tax Compliance
Your nonprofit status is under continual scrutiny due to the growing number and increased enforcement of regulations. To protect your nonprofit status, we provide accurate, up-to-date tax reports that comply with the latest statutory criteria.

Our strategic and reporting services include:

  • Financial Assistance Policy Review for Adherence with 501(r) Regulations
  • Community Benefit Calculations for Form 990 Reporting
  • Community Hospital Needs Assessments
  • Executive Compensation Reporting Requirements

Transaction Advisory Services
Is there a merger or acquisition in your future? HORNE Healthcare can provide an objective third-party analysis of the financial and business impacts of your acquisition. Should complex financial and reporting matters arise during a transaction, we can help work through accounting, equity and debt issues. Once the transaction is complete, we can work with your team to integrate systems and processes in a manner that is seamless, efficient and compliant. Transaction Advisory Services can include:

  • Financial due diligence 
  • Quality of earning analysis
  • Transaction dispute resolution
  • Reimbursement compliance and risk assessment