Critical Access Hospitals

Helping you succeed...not just survive

As a health care leader, you know the challenges of managing in today’s rural and community hospital environment. Success isn’t easy to come by. Achieving success requires the knowledge and resources to manage the operational, financial, strategic, and governance dimensions of your organization. Success often hinges on finding answers to these key questions:

  • How can we optimize our reimbursement?
  • How do we manage resources effectively?
  • How can we attract and retain quality professional and medical staff?
  • How can we remain competitive with other health care facilities?
  • How can we improve our physician/staff relations?
  • Is our information technology up to date, efficient, and effective?
  • What will the future look like?
  • Where are we going, and how are we going to get there?

With experts in finance, technology, people, and process, we can help you achieve success.
This expertise enables us to provide you with a wide range of services—and added
value. Our team can assist you with:

  • Reimbursement/Medicare and Medicaid cost reporting
  • Strategic planning and implementation
  • Facility planning and feasibility studies
  • Community Health Needs Assessment
  • Strategic partnerships, alliances, and networks
  • Information technology assessment and vendor selection
  • Senior services planning and market analysis
  • Leadership training, board education,governance consultation, organizational development, and culture transformation
  • Audit
  • Balanced scorecard, lean process improvement, and activity-based costing

Browse all health care solutions

Featured Expertise

Jeff Johnson, CPA

Jeff Johnson has more than 20 years of in-depth experience in the health care industry, including working with hospitals, medical practices, managed-care organizations, and other health care organizations. He provides expert consulting, strategic, and financial solutions to hospitals and medical practices based on his extensive experience in the field. Through highly accurate analysis, Jeff is able to identify critical practice issues, formulate client-specific plans, and evaluate the outcomes of his unique interventions.


Holly Pokrandt, CPA

Holly Pokrandt has more than 20 years of experience in audit and accounting, focusing exclusively on the health care industry. She serves a wide range of health care entities, including Critical Access Hospitals, Prospective Payment Systems, and provider-based clinics.


Steve Thompson, CPA

Steve Thompson, the partner in charge of Wipfli LLP’s health care practice, has more than 30 years of experience in serving rural health clinics and critical access hospitals. He specializes in providing his clients with solutions around audit and accounting and Medicare reimbursement optimization.



Wipfli LLP ranked #17 by Bob Scott’s Insights Top 100 VARs for 2016
General Business - 06/21/16

Wipfli LLP/Elko & Associates opens new Downtown Philadelphia office
General Business - 03/19/15

Final Internal Revenue Service Regulations for Charitable Hospitals—Section 501(r)
General Business - 02/03/15

Wipfli LLP admits nine associates to the partnership
General Business - 07/24/14

Daryl Duenkel elected president of Health Information Management Systems Society’s Wisconsin Chapter
General Business - 07/07/14

Top Ten Documentation Assessment Findings
General Business - 06/02/14

Wipfli director Michael Edwin awarded 2014 Distinguished Service Award by CHAASE
General Business - 05/08/14

Top 10 Revenue Cycle Payor Issues
General Business - 05/02/14

Revenue Cycle Top 10 Process Improvement Efforts
General Business - 04/10/14

What Tax-Exempt Organizations Need to Know About the Impact of the Tax Reform Act of 2014
General Business - 03/19/14

Boyer & Associates, LLC joins Wipfli LLP
General Business - 02/17/14

EHR Meaningful Use Incentive Payment Regulations
General Business - 02/05/14

Illinois-based The Condon Group, Ltd. joins Wipfli
General Business - 01/02/14

Wipfli retired partner Michael Bell honored for outstanding contributions to rural health care industry
General Business - 11/05/13

Wipfli client’s director Mary Peterson honored for achievements in rural health care industry
General Business - 11/05/13

Wipfli’s Community Day helps 67 organizations
General Business - 10/17/13

Don’t Risk Losing Your Charitable Status: November 1 Filing/Renewal Requirements
General Business - 09/25/13

Wipfli Managing Partner Rick Dreher named one of Inside Public Accounting’s Most Admired Peers
General Business - 09/18/13

Wipfli Health Care Practice Announces Fall Speaking Engagements
General Business - 09/05/13

Wipfli LLP ranks among top 23 on Inside Public Accounting’s 100 Largest Accounting Firms list
General Business - 08/28/13

Wipfli LLP named a Best Place to Work for third time by the Minneapolis/St. Paul Business Journal
General Business - 08/15/13

Wipfli LLP names Steve Thompson partner in charge of national health care practice
General Business - 04/25/13

Disclosure Requirements for Charitable Contributions
General Business - 01/09/13

Reminder: First Community Health Needs Assessments Due in Fiscal Year 2013
General Business - 01/03/13

2012 Information Reporting Guide for Tax-Exempt Organizations
General Business - 01/03/13

Wipfli Alerts & Updates: Congress Reaches “Fiscal Cliff” Deal! Yet Most Taxpayers Will Still Likely Pay Higher Taxes.
General Business - 01/02/13

Minnesota-based Eikill & Schilling joins Wipfli LLP
General Business - 12/01/12

Own a Building? Don’t Miss Out on These Tax Opportunities!
General Business - 11/29/12

Washington State Nonprofit Hospitals Subject to New Reporting Requirements in 2013
General Business - 11/13/12

Wipfli LLP’s Health Care Consulting expands its revenue cycle service offering
General Business - 11/08/12

Health care industry expert with Wipfli LLP transfers to the firm’s Chicago market
General Business - 10/03/12

John Bartell joins Wipfli as partner and co-leader of revenue cycle consulting practice
General Business - 09/12/12

Wipfli appoints Jeff Johnson as managing partner of its Spokane office
General Business - 09/09/12

Wipfli LLP admits six associates to the partnership
General Business - 08/01/12

Proposed Internal Revenue Service Regulations for Charitable Hospitals - Section 501(r)
General Business - 07/24/12

Deadlines and Guidance for Community Health Needs Assessment Completion
General Business - 07/24/12

New Electronic Medical Records Tax Credit!
General Business - 06/13/12

Wipfli LLP announces inaugural Wipfli-RWHC Cost Champion Award winner
General Business - 04/18/12

Kelly Arduino appointed co-chair of National Rural Health Association committee
General Business - 03/06/12

Health Care Provisions in the Extension of Payroll Tax Legislation
General Business - 02/22/12

IRS New "Exempt Organizations Select Check"
General Business - 01/27/12

Helping Health Care Organizations With USDA Financing
General Business - 01/24/12

Wipfli and Eide Bailly announce plans to merge
General Business - 01/06/12

Two-Month Suspension of IRS e-File Operations for All 990 Filers; Hospitals Advised About 2011 Schedule H Requirements
General Business - 12/22/11

Wipfli named one of the Top Five Fastest-Growing Firms in the nation
General Business - 10/07/11

There are currently no events listed.

Recorded Webinar: Impact of the FLSA Overtime Rule Changes–Are You Ready?
General Business - 10/13/16

Top 10 Processes for a Compliant Chargemaster
General Business - 04/08/16

Top Three Strategies for Rural Health Care Success
General Business - 02/11/16

How to Get Value from Your Audit Relationship
General Business - 01/27/16

The Nuts and Bolts of Medicare Orthopedic Bundled Payment Initiatives
General Business - 01/26/16

Six Key Points About the Orthopedic Bundled Payments Initiative
General Business - 01/26/16

Managing Cash Flow Through Tough Economic Times
General Business - 12/14/15

Effective Alignment of Regional Hospitals With Health Systems
General Business - 02/03/15

Top Ten Service Pricing Tips
General Business - 02/03/15

Useful Data for Health Care: It’s a Journey
General Business - 02/02/15

2015 Medicare Payment Systems Changes: Understanding the Impact - Recorded Webinar
General Business - 01/14/15

Top 10 Tips From Charge Capture Review Audits
General Business - 01/08/15

Quarterly Health Care M&A Update
General Business - 01/08/15

Health Care Trends and Issues For 2015
General Business - 01/08/15

The Retail Health Care Frontier: Five Critical Success Factors in Selecting Optimal Retail Health Care Facility Locations
General Business - 01/07/15

Disruptive Physician Behaviors? Don’t Just Address Them, Change Them for Good
General Business - 12/10/14

Managing Fraud Risk in Your Organization: Be Prepared - Recorded Webinar
General Business - 11/20/14

USDA Financing: 2015 Update on Community Facilities Loan Programs
General Business - 10/22/14

Top Ten Tips for Coder/Physician Collaboration
General Business - 10/03/14

Don’t Be the Next Cyber Attack Victim (Or Class-Action Lawsuit)
General Business - 10/03/14

Top Ten Disproportionate Share Documentation Issues
General Business - 09/08/14

Results-Driven Dialogue
General Business - 09/05/14

Top Five Revenue Cycle Coding Self-Assessment Tips
General Business - 08/11/14

Top Eleven Medicare Bad Debts
General Business - 08/11/14

Beyond the Agreement: The Critical Importance of Managing Business Associate Risk
General Business - 08/05/14

The Top 10 Pitfalls of Participating in the 340B Drug Pricing Program
General Business - 07/03/14

The Top 10 Truths About Information Security Risk Management
General Business - 06/02/14

Mental Health Services: Revenue Cycle Improvement Strategies – Recorded Webinar
General Business - 05/13/14

Top 10 Myths Surrounding Security Risk Management
General Business - 05/01/14

Rural Health Clinic Update – Recorded Webinar
General Business - 04/09/14

Health Care Professionals Should Consider Personal Financial Goals
General Business - 04/04/14

Quantifying the Impact of Health Care Reform – Recorded Webinar
General Business - 04/01/14

Health Care Mergers and Acquisitions: How Transactions Involving Not-for-Profits Are Different
General Business - 03/06/14

CAH Designation at Risk? Explore Viable Reimbursement Models – Recorded Webinar
General Business - 02/18/14

Telemedicine Services: Understanding Billing, Documentation, and Compliance – Recorded Webinar
General Business - 02/04/14

The Top 13 HIPAA Deficiencies Discovered in 2013 OCR Audits
General Business - 01/30/14

Understanding the Impact of the 2014 Medicare Payment Changes – Recorded Webinar
General Business - 01/29/14

Insurance Options for Managing Fraud Risk
General Business - 01/15/14

Health Care Trends and Issues for 2014
General Business - 12/31/13

Positioning Your Organization to be a Vendor/Partner
General Business - 12/05/13

Transitioning to ICD-10: Are You Ready? – Recorded Webinar
General Business - 12/03/13

HITRUST Assessment: Exploring the Benefits - Recorded Webinar
General Business - 11/14/13

Revenue Cycle Opportunities for Critical Access Hospitals - Recorded Webinar
General Business - 11/12/13

Creating High-Functioning Leadership Teams, Part 2
General Business - 10/30/13

Provider-Based Reimbursement on Thin Ice
General Business - 10/03/13

Injection and Infusion Coding and Charge Capture – Recorded Webinar
General Business - 09/04/13

Succession: Planning for a Hospital Leadership Transition
General Business - 08/01/13

Personal Devices in the Workplace: Managing Information Security Risks
General Business - 07/02/13

Health Care Affiliations and Acquisitions: Understanding Market and Value Drivers and Legal Diligence Requirements – Recorded Webinar
General Business - 06/05/13

Security Asset Management: An Ounce of Prevention
General Business - 06/04/13

Hospital-Physician Affiliations and Transactions: How Fair Market Value and Commercially Reasonable Standards Apply
General Business - 05/02/13

Employer Provisions of Health Care Reform: Are You Prepared? – Recorded Webinar
General Business - 04/15/13

Concierge Medicine in the Age of Health Care Reform
General Business - 04/04/13

Tips for Revising Your Physician Compensation Plan - Recorded Webinar
General Business - 03/20/13

Physician Compensation: Crossing the Chasm from Volume to Value
General Business - 03/01/13

Information Security: Fundamentals for Successful Security Program Management
General Business - 02/01/13

Understanding the Impact of the 2013 Changes in the Medicare Payment System - Recorded Webinar
General Business - 01/24/13

Health Care Trends and Issues for 2013
General Business - 01/09/13

Evolving Health Care Delivery: The Cultural Imperative
General Business - 12/07/12

Creating a Competitive and Defensible Pricing Strategy
General Business - 11/02/12

Capital for Rural Hospitals: Is the USDA Financing the Only Option Available Today?
General Business - 10/04/12

Assessing the Impact: New DOL Fee Disclosure Rules for Retirement Plan Sponsors
General Business - 09/14/12

ICD-10-CM “101” – Starting With the Basics - Recorded Webinar
General Business - 09/12/12

The 3Rs of Effective Boards: Relationships, Roles and Responsibilities - Recorded Webinar
General Business - 09/06/12

Not-For-Profit Hospitals: Valuation Approaches and Issues
General Business - 08/08/12

Effective Governance Design: Clarifying Board, Leadership, and Management Roles and Responsibilities – Recorded Webinar
General Business - 06/06/12

Patient-Centered Medical Home: What to Expect on Your Path to Becoming One
General Business - 06/06/12

Understanding the Economics and Compliance Requirements of Hiring Specialty Physicians – Recorded Webinar
General Business - 05/31/12

Putting the Patient First: The Role of Clinical Integration - Recorded Webinar
General Business - 04/25/12

Nine Steps You Can Take to Achieve Guaranteed Revenue Cycle Improvements
General Business - 04/20/12

Patient-centricity: A Transformational Journey for Administrators, Physicians and Trustees - Part 2
General Business - 04/04/12

Patient-centricity: A Transformational Journey for Administrators, Physicians and Trustees - Part 1
General Business - 03/05/12

Putting the Patient First: The Role of Clinical Integration
General Business - 02/03/12

The Governance Factor: Is Your Board Onboard? (Part One)
General Business - 01/12/12

Governance Members’ Roles and Responsibilities (Part Two)
General Business - 01/12/12

Health Care Trends and Issues For 2012
General Business - 01/04/12

How Benchmarking Can Provide Guidance in Prioritizing Areas of Focus for Operational Performance Improvement
General Business - 12/13/11

Community Health Needs Assessment: When to Seek Outside Help
General Business - 08/04/11

Looking Ahead: The Role of Governance in Quality Improvement
General Business - 07/07/11

Featured Success Story

Navitus Health Solutions, LLC

A review of internal business processes to ensure 100% transparency.

Westfields Hospital
Mary Beth Fitzgerald, RN and Performance Improvement Manager

Westfields Hospital’s goal was to make strategy a part of everyone’s daily job and to measure that progress was being made toward achieving the strategic objectives of the organization. Though it seemed a lofty goal in the beginning, Wipfli guided us down this path.

Featuring our Rural Health Clinic Expertise in the Western U.S...
McKenzie Hospital
JoAnn Hall, Project Coordinator

“We are coming up to month-end for the ED project and saw significant revenue increases at the 15-day mark.  We have done a lot of education for staff, especially in the area of infusions/IV injections and their appropriate selection. So far, it is going well and staff is very receptive to the change.”