Senior Services

Unprecedented opportunity exists for senior living and senior service providers as our nation braces for exponential senior population growth through 2030 and beyond. Baker Tilly’s senior services team comprises healthcare and real estate specialists who are working every day alongside our clients to create the future of senior services.

    Strategic advisory services       

    Strategic planning

    Start a strategic conversation today with leadership, the board and stakeholders focused on opportunity yet centered on the organization’s mission and vision.

    Operational assessment

    Identify cost savings, revenue enhancement, marketing opportunities and gaps in systems and processes.

    Clinical advisory

    Get assistance with the long-term care survey process, Patient Driven Payment Model (PDPM) implementation and compliance, Five Star quality rating system, nurse management and direct care staffing analysis, medical record documentation and internal education.

    Financial planning and feasibility studies

    Determine the financial feasibility of new construction, acquisitions or rehabilitation/repositioning projects.

    Project financing

    Source and secure development financing from various programs including Low-Income Housing Tax Credits and debt sources such as Fannie Mae, Freddie Mac and the U.S. Department of Housing and Urban Development (HUD).

    Compliance services

    • Cost reporting
    • Financial statement audit
    • Regulatory filings
    • Tax services

    Transaction due diligence

    Receive comprehensive analyses along with thoughtful and timely insights to validate merger, acquisition and corporate finance questions.

    Care navigation

    Assess and design navigation programs which meet clinical, financial and staffing goals while maintaining patient care, access and satisfaction.

    Development advisory

    Coordination and insight for your renovation or expansion project from concept to opening of services to ensure project is timely and on budget.

    Digital transformation

    Create a digital transformation pathway that’s right for your organization leveraging Robotic Process Automation (RPA), Artificial Intelligence (AI) and data analytics.

    Market research and analysis

    Gathering and interpretation of economic, demographic and competitive data resulting in demand analyses to evaluate the feasibility of existing and planned services.

    Real estate advisory

    Comprehensive risk management strategies for construction-related activities, valuation services, and accounting and tax issues related to your real estate assets.

    Baker Tilly has played a huge role in our growth from one building to three buildings and two independent living campuses over the past 20+ years. They have conducted multiple feasibility studies for us, and have been a trusted partner for us every step of the way. More than anything else, Baker Tilly really cares. They are constantly looking out for us by identifying opportunities and sharing information about new industry regulations. Baker Tilly treats our staff with respect, which means a lot to us as we are on the phone with them year-round. Baker Tilly is who we turn to for advice.
    Richard Urick, Controller, Maria Joseph Manor

    Our solutions

    Senior services providers are faced with several challenges ranging from healthcare reform, positioning for value-based purchasing, occupancy pressures, declining reimbursement, labor pressure (wages and staff shortages) and the potential dramatic shifts in the healthcare ecosystem resulting from mergers and acquisitions. 

    Strategies related to the development of new products and services, technology advancements and service delivery and care models must evolve in order to attract future consumers and compete.

    Building or repositioning and maintaining senior living communities also plays a critical role in serving this rapidly growing population segment.

    Understanding market demand, financing options, the regulatory environment and how to navigate the real estate development process can be difficult. From concept to completion, we deliver a proactive approach to strategically position your business to remain viable.

    Baker Tilly’s senior services clients include for-profit and not-for-profit continuing-care retirement communities, skilled nursing and assisted living facilities, home and community-based service clients (i.e., home health, hospice), as well as affordable housing communities for the elderly and people with disabilities.

    We offer a collaborative team of senior services, healthcare and real estate specialists who are working everyday alongside our clients to create the future of senior services.

    When we started working with Baker Tilly, we automatically felt like a valued client. This was something that was missing from our previous auditor. Baker Tilly’s healthcare team is very professional and extremely knowledgeable. They have added tremendous value to our audit and present insightful information to our Audit Committee. We have been very pleased with their audit services and the consulting services they provide for our skilled nursing facility. 
    Darren Roy, CFO, North Hill Communities

    By the numbers

    2 of 10

    We work with two of the 10 largest not-for-profit multisite senior living providers in the nation.

    Low-Income Housing Tax Credit year 15 exit: How it works

    I would recommend Baker Tilly to anybody that is looking for expertise in HUD, LIHTC and the general tax credit industry.
    Paul Gunther, Vice President of Finance, Impact Seven, Inc.