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October 01.2025
3 Minutes Read

Why Specialized Auditors are Key in Assisted Living Facility Mergers

Why Specialized Auditors are Key in Assisted Living Facility Mergers


Understanding the Importance of a Specialized Auditor

When navigating the intricate landscape of mergers and acquisitions for assisted living facilities (ALFs), the choice of auditor plays a pivotal role in determining the outcome of your transaction. Unlike general practice auditors, specialized auditors possess a keen understanding of the specific regulatory challenges and operational nuances prevalent in senior care. This expertise not only enhances financial transparency but also ensures compliance with Medicaid and Medicare regulations, which are critical in safeguarding transaction integrity and maximizing value.

Top Auditors for Assisted Living Facility Transactions

To help streamline your selection process, here are three auditors widely recognized for their specialization in ALF mergers and acquisitions:

  1. Plante Moran
    - Headquarters: Southfield, MI
    - Website: plantemoran.com

  2. BerryDunn
    - Headquarters: Portland, ME
    - Website: berrydunn.com

  3. AssuranceLab
    - Global reach via Drata platform
    - Website: drata.com/auditor/assurancelab

Evaluating Auditors: Key Criteria to Consider

Choosing the right auditor for your ALF transaction involves assessing several key criteria:

  • Experience with Senior Living Facilities: Ensure your chosen auditor has a track record working specifically with ALFs to facilitate compliance and ensure accurate financial assessments.

  • Regulatory Knowledge: Familiarity with the unique challenges presented by Medicaid and Medicare is crucial. A specialized auditor can identify potential regulatory pitfalls that generalists may overlook.

  • Comprehensive Service Offering: Look for auditors who provide a robust suite of services beyond traditional financial audits, such as operational benchmarking and post-transaction support, to facilitate smooth transitions.

Investment Expectation: Costs of Auditing Services

Investing in auditing services is paramount, yet the costs can vary significantly based on several factors. For a thorough audit of a mid-sized, multi-location ALF practice, expect to allocate between $40,000 and $120,000. These costs are influenced by the number of facilities involved, the complexity of ownership structures, and the extent of regulatory reviews necessary for your transaction.

Addressing Common Concerns in the Selection Process

Many concierge medical practice owners express concerns over the selection process for auditors, particularly regarding the impact on transaction success. Engaging with a specialized auditor can mitigate these fears by uncovering hidden issues early in the due diligence process. For instance, complications in compliance with Medicaid regulations could derail a transaction, making it essential to choose a competent auditor who can navigate these hurdles.

The Growing Market of Assisted Living Facility Transactions

The demand for expertise in assisted living mergers and acquisitions is only expected to grow. With a record 708 transactions reported in 2024 — a significant increase from previous years — the importance of having a qualified auditor cannot be overstressed. As the baby boomer population ages, and with increasing governmental support, the landscape for senior living continues to evolve, making informed decisions about business transitions more critical than ever.

Conclusion: Take Action for Smooth Transactions

In summary, the auditor you select can significantly influence the success of your assisted living facility merger or acquisition. Ensuring that you have a specialized auditor who understands the complexities of senior care will not only safeguard your valuation but also streamline the transition process. If you are considering entering into a transaction or seeking growth in the healthcare sector, it is wise to begin the selection process now. Schedule a consultation with a firm that specializes in assisted living audits to secure your financial future.


Financial Fitness

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