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Services

RubinBrown specializes in providing a comprehensive range of services to meet business and personal needs. Whether you require expert tax, strategic business consulting, audit services or more, RubinBrown's team of experienced professionals are here to support you.

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Assurance Services
Benefit Plan Audit Services Public Company Services SOC Examinations, IT Audit, & Third-Party Risk
Consulting Services
Business Process Improvement Services Business Restructuring & Bankruptcy Services Cyber Security Services Environmental, Social and Governance Services ERP & Enterprise Software Advisory Fraud & Forensics SOC Examinations, IT Audit, & Third-Party Risk Information Technology Services Litigation Services Mergers & Acquisitions Services Risk & Internal Audit Services Valuation Services
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Tax Services
Federal Tax Services Private Client Services Credits & Incentives Services State & Local Tax Services
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Industries

At RubinBrown, we bring experience across a range of industries. Our experience enables our professionals to offer tailored solutions catering to the intricacies of each sector. Our professionals have years of focused engagement and skills, allowing them to navigate industry-specific challenges to benefit our clients.

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Colleges & Universities Construction Gaming Healthcare Law Firms Life Sciences & Technology Manufacturing & Distribution Not-For-Profit Private Equity Public Sector Real Estate Transportation & Dealerships

Insights & Events

At RubinBrown, we provide valuable insights detailing emerging trends and industry-specific information. Our events, hosted virtually and in-person, keep you informed and connected to the topics and industries that matter most to you and your organization.

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Jun 11

RubinBrown’s Leveraging Technology for Business Success

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Jun 17

RubinBrown’s Rural Health Webinar Series

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Tax Bill Watch 2025: Budget Resolution Compromise

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RubinBrown Sports Betting Index: February 2025 Analysis

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Careers & Culture

At RubinBrown, we are inspired team members, working as one firm, living our core values, and Being Our Best for Others while delivering totally satisfied clients. We invite you to learn more about the Firm's culture, the Be Your Best for Others mentality, and explore the available opportunities at RubinBrown.

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Back to Healthcare

Rural Health Services

Rural Health Services

RubinBrown’s rural health consulting team, led by former rural hospital CFOs, combines a deep understanding of legislative, billing, and regulatory guidelines to help rural hospitals overcome financial, reimbursement, payment, and operational challenges. With firsthand experience navigating the complexities unique to rural health, our team provides strategic insight to optimize reimbursement, strengthen revenue flow, and build financial stability. We offer guidance tailored to the structure of your facility, clinics, and the broader health system where you play an essential role.

Our consultants are dedicated to creating effective, long-lasting solutions that allow hospitals to continue serving as vital healthcare resources in their communities. Through in-depth analysis of data trends and performance metrics, we identify opportunities for revenue growth, cost optimization, and improved operational efficiency. Partnering with RubinBrown means gaining a team committed to ensuring your facility’s financial health and sustaining essential healthcare services where they are needed most.

Regardless of whether your system is a Rural Hospital, a Sole-Community Hospital, a Medicare Dependent Hospital, a Critical Access Hospital, a Rural Emergency Hospital, a Rural Health Clinic, or a Federally Qualified Health Center, our consultants work with rural health entities to address reimbursement and payment issues through frequent communication and timely service. To better improve your financial performance, we can guide you through reviewing and assessing your cost structure and cost allocations to ensure you are capitalizing on the appropriate reimbursement opportunities and receiving the maximum reimbursements your facility is due.
 

  • Cost report strategies
  • Medicaid optimization
  • Reimbursement and payment optimization
  • Financial management and reimbursement support
  • Rural health clinic (RHC) strategies
  • Provider-based status determinations
  • Payor negotiations and contract optimization
  • Revenue cycle optimization
  • Critical access hospital strategies
  • Assist health systems in optimizing rural hospitals
  • CAH/REH/RCHD feasibility study
  • Financial projections and proformas
  • Volume decrease adjustment
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Talk to Our Experts

Caren Puvalowski Manager caren.puvalowski@rubinbrown.com 810-853-6185
Clair Kelley, CPC, CPMA, COBGC, RH-CBS Manager clair.kelley@rubinbrown.com 810-885-3593
Thomas B. Zetlmeisl, CPA, CFE, CFF, CGMA Nashville Managing Partner thomas.zetlmeisl@rubinbrown.com 314-290-3395
Jesse Parker, CPA Partner jesse.parker@rubinbrown.com 989.387.1766
Steve Sprague, CHFP, CPA Partner steve.sprague@rubinbrown.com 248.756.6522

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Be Your Best for Others at RubinBrown

At RubinBrown, our firm fosters a culture built upon five vision points, and are guided by our philosophy of Being Our Best for Others. Discover how you can be your best at RubinBrown today by visiting our Careers & Culture Overview for available opportunities and more.

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