CHW

What CHW does

CHW, LLP is a privately held professional services CPA firm headquartered in Fresno, California. Founded by Bobby Church and operating since the late 1970s, the firm is structured as a California limited liability partnership and serves two principal vertical markets: healthcare organizations — with particular specialization in federally qualified health centers (FQHCs) — and not-for-profit organizations. Its service portfolio spans assurance engagements (attest, review, and compilation of financial statements) and a broad set of advisory services, with Medicare/Medicaid reimbursement optimization (including PPS rate optimization, Medi-Cal cost report appeals, and grant compliance) described as a primary area of focus.

The firm delivers services through direct client engagement under a sales-led, relationship-based go-to-market model targeting enterprise and institutional clients. Specific advisory practices extend into FQHC development and acquisition support, physician productivity and compensation programs, forensic and fraud audit, and IRS Form 990 preparation for nonprofit clients. Marketing and lead generation are conducted primarily through the firm website (chwllp.org) and direct contact forms, supported by an apparent referral network within California's healthcare and nonprofit ecosystems; the firm also deploys a secure 'MyCHW' client portal integrated with Egnyte for document exchange.

There is no evidence of proprietary technology, software products, or AI capabilities in the source data — CHW operates as a labor-based professional services practice rather than a technology or platform business. Pricing is not publicly disclosed and is quote-based on engagement scope. Headcount is reported in the 11–50 employee range, and the firm operates on a regional (Central California) footprint with no disclosed multi-state or international presence. No external funding, M&A activity, or parent company relationships are present in the available data.

Name

CHW

Legal name

CHW, LLP

Website

https://chwllp.org

Company type

Private

Founded year

1970

Operating status

Operating

Headcount range

11–50 employees

Short description

CHW, LLP is a Fresno, California-based CPA firm that provides assurance, advisory, and Medicare/Medicaid reimbursement services to healthcare organizations — particularly federally qualified health centers (FQHCs) — and not-for-profit clients in California's Central Valley region.

Ownership category

akta.pro rank

Headquarters

HQ city

Fresno

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales

Revenue model

1. Assurance Services: Audit, review, and compilation services for financial statements. These are likely project-based or annual engagement fees.
2. Advisory Services: Medicare/Medicaid reimbursement services, change in scope of service requests, PPS rate optimization, Medi-Cal cost report appeals, grant compliance, new FQHC development/acquisition, feasibility analysis, physician productivity programs, patient billing issues, IRS Form 990 preparation, and forensic/fraud audit services. These are consulting engagements with various fee structures.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

CHW, LLP is a professional services (CPA) firm providing assurance (audit, review, compilation) and advisory services to healthcare and nonprofit organizations, with a primary focus on Medicare/Medicaid reimbursement and federally qualified health centers (FQHCs).

Product overview

CHW is a professional services firm (CPA firm) offering a unified suite of professional services rather than a software product platform. The core offerings include Assurance Services (attest, review, compilation), Advisory Services (Medicare/Medicaid reimbursement optimization, PPS rate optimization, cost report appeals, grant compliance), and industry-specific services for Healthcare (FQHCs) and Not-for-Profit organizations. The advisory services extend to FQHC development/acquisition, physician productivity programs, forensic audits, and IRS Form 990 preparation. These services work together as an integrated professional services engagement model rather than modular software products.

Differentiator

Problem solved

Functional benefit

Products and services

• Assurance Services Financial statement auditing services including attest, review, and compilation, providing objective reporting and insight for healthcare and nonprofit clients beyond annual reporting requirements.
• Advisory Services Comprehensive advisory services for healthcare organizations focused on Medicare/Medicaid reimbursement optimization and compliance, including PPS rate optimization, cost report appeals, and grant compliance.
• Healthcare Industry Services Specialized professional services for healthcare organizations including federally qualified health centers (FQHCs), addressing reimbursement, regulatory compliance, and accounting challenges.
• Not-for-Profit Services Advisory and assurance services for nonprofit organizations, providing expertise in nonprofit sector operations, compliance, IRS Form 990 preparation, and organizational efficiency.
• Medicare/Medicaid Reimbursement Services Reimbursement optimization strategies and compliance assurance for healthcare providers amid changing Medicare/Medicaid regulations; a primary focus area of the firm.
• FQHC Development/Acquisition Consulting services for the development and acquisition of new federally qualified health centers for healthcare organizations.
• Physician Productivity & Compensation Enhancement Programs Programs designed to optimize physician productivity and compensation structures within healthcare organizations.
• Forensic and Fraud Audit Investigative audit services to detect and address fraud and financial irregularities.

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators1 record

Recent moves4 records

Expansion highlights3 records

Direct peers

• Eide Bailly: Regional accounting firm with strong healthcare and not-for-profit practices serving FQHCs, hospitals, and community-based organizations. Comparable to CHW in client vertical mix and mid-size firm positioning.
• Moss Adams: West Coast-based CPA firm with a substantial healthcare practice serving hospitals, medical groups, and FQHCs. Comparable to CHW in California geographic overlap and healthcare specialization.
• Warren Averett: Southeastern US CPA firm with a dedicated healthcare group serving medical practices, hospitals, and nonprofit organizations. Comparable to CHW in mid-size regional firm model and healthcare/nonprofit dual focus.
• PYA (Pershing Yoakley & Associates): Healthcare-focused CPA and advisory firm providing audit, tax, and consulting services to hospitals, health systems, and FQHCs. Directly comparable to CHW in its healthcare-specialized accounting model and FQHC expertise.
• Forvis: Major accounting firm formed from the BKD + Dixon Hughes Goodman merger, with one of the largest US healthcare and FQHC practices. Comparable to CHW in client focus and service mix, with significantly broader geographic reach.
• Wipfli: Top-20 US accounting and advisory firm with a dedicated healthcare practice serving FQHCs, hospitals, and provider groups. Comparable to CHW in healthcare audit/advisory focus and FQHC client base, though operating at much larger scale.
• Blue & Co. Regional CPA firm specializing in healthcare and not-for-profit audit, tax, and advisory services. Comparable to CHW in client vertical mix (healthcare + nonprofit) and mid-size professional services delivery model.
• Plante Moran: Large US accounting and advisory firm with one of the country's largest healthcare consulting practices. Comparable to CHW in healthcare audit/advisory service mix and FQHC client focus.
• CLA (CliftonLarsonAllen): Top-10 US accounting firm with a dedicated healthcare group serving hospitals, health systems, FQHCs, and senior living providers. Comparable to CHW in healthcare vertical focus and advisory depth.

Broad incumbents

• BDO USA: Top-5 global accounting network with a US healthcare practice serving providers, payers, and FQHCs. Comparable to CHW in healthcare advisory work, though BDO operates at significantly greater scale and broader portfolio.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights5 records

Customer concentration

• LinkedInlinkedin.com/company/chw-llp

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about CHW