PYA Accountants & Advisors

What PYA Accountants & Advisors does

PYA Accountants & Advisors (legal entity PYA, P.C.) is an independently owned, private professional services firm founded in 1983 and headquartered in Knoxville, Tennessee, with additional offices in Nashville and Tampa. The firm delivers accounting, tax, consulting, and advisory services organized primarily around four verticals: healthcare providers (the dominant segment), financial institutions, real estate and construction, and high-net-worth individuals. Healthcare is the strategic core, spanning audit and assurance, business and asset valuation, compliance and litigation support (including OIG Corporate Integrity Agreement work as an Independent Review Organization), technology and cybersecurity, managed care and reimbursement, performance transformation, physician compensation and fair market value (FMV) services, strategy, tax, and transaction advisory.

The firm has 251-500 employees and is recognized as a Top 100 CPA firm by INSIDE Public Accounting for 10 consecutive years and as a Top 20 healthcare consulting firm by Modern Healthcare. Service delivery is project- and engagement-based with quote-based pricing rather than publicly disclosed rates. Go-to-market is sales-led and relationship-driven, reinforced by a thought leadership apparatus that includes the bi-weekly 'Let's Talk Compliance' podcast (in partnership with Foley & Lardner since 2020), the quarterly 'The Bottom Line' CPE webinar series, an annual conference, white papers, and an innovation award. The firm also operates an affiliate ecosystem covering wealth advisory (PYA Waltman Capital), healthcare real estate (Realty Trust Group), and innovation media (Teknovation.biz).

Name

PYA Accountants & Advisors

Legal name

PYA, P.C.

Website

https://pyapc.com

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

251–500 employees

Short description

PYA Accountants & Advisors is an independently owned, private professional services firm founded in 1983 and headquartered in Knoxville, Tennessee, delivering accounting, tax, consulting, and advisory services with deep specialization in healthcare regulatory compliance, physician compensation, and transaction advisory to providers, financial institutions, real estate firms, and high-net-worth individuals.

Ownership category

akta.pro rank

Product category

Professional Services (Accounting, Tax, Consulting, and Advisory)

NAICS

Offices of Certified Public Accountants (541211), Trust, Fiduciary, and Custody Activities (523991)

SIC

Finance Services (6199)

akta.pro primary industry

Financial Reporting & Technical Accounting Advisory (GAAP/IFRS) (BPAHABAF)

akta.pro secondary industries

Purchase Price Allocation (PPA) & Intangible Asset Valuation (FSAEAHAF), Estate Planning & Trust Structuring Advisory (FSAEAKAC)

Keywords

• Healthcare consulting
• Audit assurance
• Tax advisory
• Regulatory compliance
• Valuation services

Headquarters

HQ city

Knoxville

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Healthcare Consulting and Advisory Services: PYA generates revenue through professional consulting engagements including healthcare compliance, regulatory advisory, physician compensation valuation, strategy, and transaction advisory. Revenue is generated through billable consulting hours and project-based engagements with healthcare systems, hospitals, physician practices, and other healthcare organizations.
2. Audit and Assurance Services: Traditional CPA firm services including audit and assurance for healthcare providers, financial institutions, and other industries, providing independent financial statement audits and compliance audits.
3. Tax Planning and Compliance Services: Tax advisory, planning, and compliance services for healthcare organizations, individuals, and high-net-worth clients, including tax return preparation and strategic tax planning.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

PYA Accountants & Advisors is a professional services firm that provides accounting, tax, consulting, and advisory services to healthcare providers, financial institutions, real estate and construction firms, and high-net-worth individuals. Its core offerings include audit and assurance, business and asset valuation, regulatory compliance and litigation support, physician compensation and fair market value analysis, managed care and reimbursement, performance transformation, strategy, tax planning, and M&A transaction advisory. The firm is particularly recognized for deep healthcare regulatory expertise spanning OIG oversight, Stark Law, RADV audits, and emerging AI governance requirements.

Product overview

PYA Accountants & Advisors is a professional services firm offering a comprehensive portfolio of advisory, consulting, and compliance services. The firm is organized around multiple industry verticals including Healthcare, Financial Institutions, Real Estate & Construction, and High Net Worth Individuals. Within healthcare, the core service offerings include Audit & Assurance, Business & Asset Valuation, Compliance & Litigation Support, Technology & Cybersecurity, Managed Care & Reimbursement, Performance Transformation, Provider Compensation & FMV Services, Strategy, Tax Planning & Compliance, and Transactions & Advisory Support. The firm also provides industry-specific services for financial institutions, real estate/construction companies, and individuals. PYA complements its consulting services with thought leadership initiatives including the Let's Talk Compliance podcast series (produced in partnership with Foley & Lardner), The Bottom Line CPE webinar series, and the annual PYA Ballard Innovation Award. The firm operates affiliated companies including PYA Waltman Capital, Realty Trust Group, and Teknovation.biz.

Differentiator

Problem solved

Functional benefit

Products and services

• Healthcare Audit & Assurance
• Healthcare Business & Asset Valuation Business and asset valuation services for healthcare entities, supporting transactions, regulatory compliance, and strategic planning.
• Healthcare Compliance & Litigation Support Compliance program development, effectiveness assessments, OIG Corporate Integrity Agreement support, litigation support, and regulatory guidance for healthcare organizations.
• Healthcare Technology & Cybersecurity Information technology security, compliance, and risk management services for healthcare organizations.
• Healthcare Managed Care & Reimbursement Managed care contract analysis, reimbursement optimization, and payer strategy services for healthcare providers.
• Healthcare Performance Transformation Operational improvement, cost optimization, and performance enhancement services for healthcare organizations.
• Healthcare Provider Compensation & FMV Services Physician compensation design, fair market value (FMV) assessments, and Stark Law compliance services for healthcare organizations.
• Healthcare Strategy Strategic planning, market analysis, and growth advisory services for healthcare organizations.
• Healthcare Tax Services Tax planning, compliance, and advisory services specific to healthcare industry requirements and regulations.
• Healthcare Transactions & Advisory Support M&A advisory, due diligence, and transaction support services for healthcare mergers and acquisitions.
• Financial Institutions Audit & Assurance Audit and assurance services for banks, credit unions, and other financial institutions.
• Financial Institutions IT Security & Compliance Technology security, compliance, and risk management services for financial institutions.
• Financial Institutions Litigation Support Forensic accounting and litigation consulting for financial institution disputes and legal proceedings.
• Financial Institutions Mergers & Acquisitions M&A advisory, valuation, and transaction support services for financial institutions.
• Financial Institutions Regulatory Compliance Regulatory compliance advisory and support for banking and financial services regulations.
• Financial Institutions Tax Services Tax planning and compliance services tailored for financial institutions.
• Real Estate & Construction Audit & Assurance Audit and assurance services for real estate and construction industry clients.
• Real Estate & Construction Business Advisory & M&A Business advisory and M&A services for real estate and construction companies.
• Real Estate & Construction Fractional Accounting Support Outsourced accounting and CFO-level support services for real estate and construction firms.
• Real Estate & Construction Tax Services Tax planning and compliance services for real estate and construction businesses.
• Individual Tax Planning & Compliance Tax planning and compliance services for individual taxpayers.
• High Net Worth Tax & Advisory Comprehensive tax and wealth advisory services for high net worth individuals.
• Individual Estate Planning Estate planning, trust services, and wealth transfer planning for individuals.
• SOC 2 Audit and Compliance Services SOC 2 audit services for technology companies and service organizations.

Quantifiable outcome

• 70% of hospital-employed physicians paid at least in part based on wRVUs, making wRVU integrity critical for healthcare compensation compliance
• +2 more outcomes

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• Foley & Lardner LLPflagshipStrategic or Co-development Partner · 24 January 2020PYA and Foley & Lardner have maintained a strategic partnership since January 2020 through the 'Let's Talk Compliance' podcast series and annual conference. The partnership brings together healthcare legal expertise from Foley & Lardner attorneys and healthcare consulting expertise from PYA principals to discuss trending compliance topics including wRVUs, FMV, Stark Law, AI governance, supply chain compliance, and regulatory enforcement. The collaboration has produced the 8th Annual 'Let's Talk Compliance' conference in January 2026 and ongoing bi-weekly podcast episodes.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Wipfli LLP: Top 25 US accounting and advisory firm with a large healthcare practice serving hospitals, health systems, and physician groups. Highly comparable to PYA in mid-size positioning, healthcare vertical focus, and audit + consulting model.
• FORVIS (formerly BKD): Top 10 US accounting firm resulting from BKD and Dixon Hughes Goodman merger, with a significant healthcare consulting practice. Direct competitor for healthcare audit, reimbursement, and FMV engagements similar to PYA.
• Plante Moran: Top 15 US accounting and advisory firm serving healthcare, financial institutions, and real estate clients. Comparable mid-large firm model with strong healthcare industry specialization overlapping PYA's core verticals.
• Moss Adams: Top 15 US accounting firm with a dedicated healthcare practice providing audit, tax, and consulting services. Directly comparable in size, healthcare vertical focus, and integrated service model.
• Crowe LLP: Top 10 US public accounting and consulting firm with strong healthcare and financial institutions practices. Overlaps with PYA in healthcare audit, regulatory consulting, and valuation services.
• CliftonLarsonAllen (CLA): Top 10 US accounting firm serving healthcare, financial institutions, and real estate clients. Comparable mid-large firm with multi-vertical structure and strong healthcare compliance capabilities.
• Eide Bailly LLP: Top 25 US accounting and advisory firm with a dedicated healthcare practice serving hospitals, physician practices, and senior living providers. Comparable regional firm with national healthcare reach and similar service mix to PYA.

Broad incumbents

• BDO USA: Top 10 global accounting network with a significant US healthcare practice serving large health systems. Represents the larger-firm incumbent competing with PYA for healthcare consulting and advisory work at the enterprise level.
• RSM US: Top 5 US accounting and consulting firm with healthcare industry focus and national footprint. Represents a larger-firm peer that competes with PYA in middle-market healthcare audit and consulting engagements.
• KPMG Healthcare: Big 4 firm with a global healthcare practice serving large hospital systems, payers, and life sciences companies. Represents the largest end of healthcare consulting competition that PYA faces for major health system engagements.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/pyahealthcare
• YouTubeyoutube.com/playlist?list=PLazmy6mL-UMo8fu-dHWO9J6U4R62mfLbK
• Facebookfacebook.com/pyapc
• LinkedInlinkedin.com/company/pyapc

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments1 record

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about PYA Accountants & Advisors