Senior Care & Living

Our Expertise
A full-service approach that’s beyond the expected

Change across the healthcare continuum, especially within the senior care and living sector, poses both opportunities and challenges for providers. The skilled nursing industry has continued to take steps toward rewarding value over volume, as seen in the Patient-Driven Payment Model (PDPM) for Medicare reimbursement. The need to understand and control costs remains a top priority, and decreased occupancy and the increased acuity of residents can burden even the most established senior care and living providers. We can help. 

We’ve served the senior care and living industry for decades, and we currently serve more than 1,200 senior care and living providers, including skilled nursing facilities (SNFs), continuing care retirement communities, independent and assisted living facilities, and home health and hospice agencies. Through this wide range of experience, our experts have achieved a deep understanding of the risks, trends, and growth strategies impacting senior care and living providers today.

Besides our expertise, what sets our team apart is our full-service approach. We’re the only firm in the country that can bring robust senior living development capabilities — through our Plante Moran Living Forward™ team — in conjunction with audit, tax, reimbursement, strategic planning, and operational consulting capabilities. We’re ready to be your go-to financial and strategic advisor.

Services across the continuum

Service listing description
Audit
Your facility’s success requires timely identification and interpretation of policy changes – and we’re here to help. Our trusted advisors help you identify and maintain compliance with government funding sources. In addition to our extensive Single Audit expertise, we specialize in understanding the accounting implications of the CARES Act and PPP Loan Program.
Data Analytics & Benchmarking

Data is driving the future of senior care. We’ll help you draw insight from your financial and operational performance data to transform your business. We analyze key operating, revenue, and expense indicators against competitor facilities and local, state, and national benchmarking averages.

Benchmarks are also available by ownership type, allowing proprietary, nonprofit, and governmental organizations to obtain meaningful comparison data to support operational efficiency and strategic planning initiatives.

HHS Provider Relief Fund Advisory & Reporting
Since the start of the COVID-19 pandemic, we’ve helped health systems apply for, stay compliant with, and keep up with reporting related to the Provider Relief Fund (PRF). The rules are complex and ever-changing, but our team continually provided updated guidance to our clients and ensured the receival of maximum benefits.
Information Technology & Cybersecurity
Is your technology evolving to meet resident needs and achieve operational excellence? We can help select and implement software systems and improve interoperability. Our IT strategy and cybersecurity experts will also help you optimize your current technologies and ensure the proper risk management standards are in place.
M&A Transaction Advisory Services
When M&A opportunities arise, an informed strategy relies on a thorough evaluation. Through our operational due diligence process, we'll take not only a closer look at the quality of earnings of the entity, but also market insights, operational enhancements, reimbursement, rate analysis, and facility assessments. Contact our transactions leader. 
Operations Consulting & Facilities Advisory 
As the senior care industry recovers from the COVID-19 pandemic, shifts in priorities are causing leaders to rethink operations and facilities strategies. Our approach to operational improvement is holistic and uses financial efficiency and industry benchmarking to improve margins, clinical quality, and resident satisfaction. We mine your current operations and practices to ensure compliance, identify risk areas, and find opportunities to increase revenue and contain costs.
Reimbursement & Payment Advisory
Our reimbursement experts will help you navigate the complex reimbursement landscape and develop proactive strategies for a sustainable and successful future. From managing and complying with PDPM guidelines to maximizing federal and state-specific Medicare programs, our specialists ensure your approach to reimbursement will optimize your margin improvement.
Senior Living Real Estate & Development Consulting
Every senior living organization faces unique challenges related to capital planning. Plante Moran Living Forward is a full-service development consultant providing unbiased advocacy and expertise to senior living operators and owners from a project’s concept to completion.
Strategic Planning & Growth Strategies 
The COVID-19 pandemic put tremendous strain on the senior care & living industry. With the challenges of providing quality care while maintain safety protocols and battling the staffing shortage, it’s no surprise that long-term goals were sacrificed to address immediate needs. Let us handle your strategic planning. We can develop your organizational or service line strategy, guide your campus master planning, and assist with transactions. Our team of experts will help you create a sustainable path forward.
Tax planning, structuring, & compliance
As you evaluate the effects of continual regulatory updates, you can turn to our team of experts to minimize tax burden and optimize tax benefits. Our senior care & living tax professionals provide proactive advice to make sure no dollars are left on the table. With both not-for-profit and for-profit tax expertise, we’ll provide the strategic insights needed for a stronger financial future.

COVID-19 healthcare resource center

Topics

Senior care worker walking with an elderly patient in a garden.

Reimagining the future of senior care

Image of a group of seniors talking

Senior living market trends

Grandfather with two grandsons

Solutions for middle-income senior living


Thrive amid uncertainty: How SNFs can emerge strong. Is your skilled nursing facility positioned to emerge strong from the pandemic?


Client Experience
Respected expertise wherever the future takes you

Our professionals have dedicated their careers to serving the senior care and living industry. As partners, we can help you solve complex issues, formulate innovative strategies, and prepare for change. We’ll bring a strategic lens to support your long-term goals.

Our industry involvement also expands beyond the clients we serve. As nationally recognized healthcare thought leaders, we share insights with the country’s most respected providers and industry groups, present at the conferences you never miss, and contribute to the publications you trust, such as McKnight’s, Skilled Nursing News, and Senior Housing News. We’re also one of only 14 firms represented on the American Institute of Certified Public Accountants (AICPA) Health Care Expert Panel.

While each of our client relationships with senior care providers is unique, they all have a valuable quality in common: a strong focus on the future. According to our senior care and living practice leader, Betsy Rust, “It’s difficult to have foresight for the future when you’re busy coping with today’s concerns. On the other hand, there are reputational and financial risks to falling behind. We’re not here just to solve today’s issues; we’re here to help you position your organization for success in the future healthcare landscape.”

Our clients say

Our expectations for first year financial audit and cost reports were more than exceeded. The team was exceptionally prepared with detailed schedules and great communication. Their healthcare experience was invaluable, and because they were so efficient and knowledgeable, we finished one week ahead of schedule. We chose Plante Moran because of their entrenchment in the Chicago area and we were looking for a strategic partner that could provide us additional services and expertise to help us reach our future goals. I feel confident in our future with Plante Moran as our partners.

Lori Altman
CFO, Central Baptist Village

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