Main Menu


The transformation of the health care industry necessitates that those serving the industry bring innovative solutions. The Brown Smith Wallace Health Care Industry Group guides health care providers in the ever-changing environment of the industry. Our team has decades of experience managing and consulting with a variety of health care providers. We strategize with clients to create proactive solutions to stay competitive and profitable.

Our team's health care industry experience includes:

  • Acute Care Hospitals
  • Integrated Health Systems
  • Specialty Hospitals
  • Skilled Nursing Facilities
  • Long-term Care Facilities    
  • Home Health Agencies
  • Physician Practices
  • Medical Groups
  • Outpatient Facilities

Health Care Advisory Services

In addition to traditional accounting, external audit and tax services, our advisory services include:



  • Mark Renken and the Brown Smith Wallace team were true partners in the development of our physician strategic recruiting plan using the Community Need Assessment that they also prepared. Their work was truly instrumental in setting our future plans.

    Capital Region Medical Center

    Gaspare Calvaruso, CEO

  • The team of professionals at Brown Smith Wallace have exceeded my expectations from a service and delivery perspective. Through their work, they have been able to craft a meaningful short-term and long-term strategy for all aspects of our services including independent living, assisted living and skilled nursing services. Working in concert with our Board and Management, several key governance and operational redesign improvements have been identified and implemented which will have a positive impact both financially and strategically. Their knowledge of the industry and ability to help guide our team through the ever changing health care environment has been critical to our long-term success.

    Chateau Girardeau
    Lynne Spriggs, Former Administrator and CEO

  • Ron Present has been a valued Board Member and business advisor for several years. He has helped provide strategic direction for our campus in preparing for health care and senior housing services industry changes. I have worked with Ron and Brown Smith Wallace to help evaluate our competition, analyze our market area, provide strategic planning training and information to the Board and staff, and provide financial modeling for the development of complementary options to our skilled and assisted living services. I found Ron and his team to be timely, strategic in nature and a true partner in our relationship. I highly recommend Ron and Brown Smith Wallace for strategic planning, operational process improvements, and financial modeling services as a great resource in the health care industry.

    Crystal Oaks
    Jim Arnold, Administrator

  • Brown Smith Wallace has been helping my dermatology practice for over 10 years, and my father’s pediatric practice before that. I couldn’t imagine doing business without them.

    They maintain our personal and business records with ease and expertise. They are extremely knowledgeable in the complexities and nuances of physician practices which have helped me keep my medical practice thriving when others are struggling. I refer colleagues to them because I’m confident they will find no better firm. They are truly experts.

    First Capitol Dermatology L.L.C.
    Henry W. Clever III, M.D.

  • I’ve had a relationship with Brown Smith Wallace since 2003. They’ve been our independent auditors and tax advisors during that entire period. I can’t speak more highly of their independence and their competency. They provide excellent service and have been a great business partner.

    Healthcare Services Group
    Rich Anderson, Chief Financial Officer

  • The team from Brown Smith Wallace conducted a management audit for the Madison County Health Department. Their ability to bring the right blended expertise of Governmental and Health Care services to support our needs was fantastic. They helped us identify our processes, looked at our quality and operating metrics and then worked with us to create a practical implementation plan to enhance them. They focused on all areas of our operations including the intake process, financial systems and controls, staff and service assessments, governance, competitor analyses, grant development, service delivery and information systems. They worked as a true partner and did not make us feel like “just a client”. They truly cared about the outcome of our project. I would work with Brown Smith Wallace again in the future and highly recommend their services.

    Madison County Health Department
    Toni Corona, Public Health Administrator

  • In addition to finding significant savings on Mercy construction projects, the Brown Smith Wallace Construction Audit team understands our values and culture – treating vendors as Mercy would. The team members have broad skillsets and deep industry experience, bringing us a concentration of industry best practices.

    Mercy Hospital
    Geralyn Lynch, Director Facilities Finance

  • Brown Smith Wallace was knowledgeable, professional, and demonstrated a sincere commitment to a high level of client service. I look forward to the opportunity to work with Brown Smith Wallace on future business valuations.

    National Healthcare Services Provider
    Paul, Chief Financial Officer

  • I began working with Brown Smith Wallace seven years ago when I was organizing my corporation and opening my practice. Since then they have been instrumental in every aspect of my business growth. Their familiarity and expertise with medical practices has made them an invaluable asset. They are reliable, personable and professional, I strongly recommend them.

    Nayak Plastic Surgery P.C.
    Mike Nayak, M.D.

  • Our organization has seen tremendous growth over the last three years and decided we needed to review the entire practice to ensure we were prepared for the future in all aspects. We decided to bring in the team at Brown Smith Wallace. The collaboration with Brown Smith Wallace has been vital in our reengineering process. Several strategic initiatives were developed as part of our Practice Review they successfully completed. The Review really looked at all aspects of our practice including our culture, operations, governance, finance, operational leadership and all the components of our revenue cycle. They worked with our physicians and staff in developing strategies and an implementation schedule of prioritized objectives. They used a Lean Six Sigma approach throughout the entire project and have been able to identify tremendous opportunity to improve our quality, cost efficiencies, cash collections and the patient experience. Further they have helped me identify leadership roles and appropriate structures. I highly recommend Brown Smith Wallace as they not only have helped transform our practice, but have done so with a clear understanding of our culture and opportunities.

    Greg Thompson, Former President/CEO

  • The Health Care Services team was an asset to our management team. They conducted strategic planning sessions and helped us craft our strategy and branding for our services including hospice and therapy throughout the community. They also worked with us to create a new “brand” for the delivery of our therapy services throughout our campus and the community. Brown Smith Wallace truly understands the senior housing and post acute market and knows how to craft relevant and practical solutions.

    The Groves
    Gary White, Former CEO

  • Brown Smith Wallace is a partner. They are not a vendor…We look at this as a partnership. Brown Smith Wallace has given us a whole range of possibilities for the future, especially with the Affordable Care Act. We are being well positioned to face the future of health care, in a position of strength … and that’s just great for us.

    Visiting Nurse Association of Greater St. Louis
    Nesa Joseph, Ed. D., President and CEO

Thought Leadership




Schedule a Meeting

Back to Page