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Business Details
16 Years
experience
Trusted Healthcare & Non-Profit Accounting Services in Longview, TX
Stephen Duck CPA PC was founded in 2010 to address the specialized accounting needs of healthcare providers and nonprofit organizations. Our firm combines deep industry expertise with personalized service, focusing on entities such as hospitals, nursing facilities, home health agencies, churches, and other tax-exempt organizations. We specialize in Medicare and Medicaid cost reporting, reimbursement consulting, and attestation services, ensuring compliance with complex regulatory requirements. Our team maintains dual CPA certifications in Texas and Louisiana, supported by decades of continuing education in healthcare accounting and nonprofit financial management. We prioritize one-on-one client relationships and round-the-clock availability to deliver tailored solutions.

Our professionals hold leadership roles in state and national accounting societies, reflecting our commitment to industry advancement. With over 30 years of focused experience, we provide strategic guidance to optimize financial performance while maintaining rigorous compliance standards. Our services extend to fraud audits, cost reporting, and specialized accounting for governmental and community care entities. We serve clients across Texas, Louisiana, and beyond through a combination of technical expertise and personalized support. Our mission is to empower healthcare and nonprofit organizations with reliable financial stewardship and actionable insights.
Services
Medicare Cost Reporting Medicaid Reimbursement Consulting Healthcare Attest Services Non-Profit Audits Fraud Audit Investigations Governmental Accounting Community Care Cost Reports Church Financial Consulting Specialized Accounting Education Regulatory Compliance Consulting
Details
  • Year established: 2010
Highlights and features
  • We offer 30+ years of specialized healthcare accounting experience
  • Our team maintains dual CPA certifications in Texas and Louisiana
  • We provide personalized service with round-the-clock availability
  • Our professionals lead industry task forces and conferences
  • We specialize in complex Medicare/Medicaid cost reporting compliance
Services
Medicare Cost Reporting
We prepare and audit Medicare cost reports for healthcare providers, ensuring compliance with federal regulations. Our team specializes in hospital, nursing facility, and home health agency reporting requirements. With decades of experience, we help clients maximize reimbursements while maintaining strict adherence to CMS guidelines through accurate data submission and documentation.
Non-Profit Audits
Our firm conducts financial audits for churches and nonprofit organizations, focusing on compliance with Generally Accepted Accounting Principles (GAAP). We provide attestation services that verify financial statements and ensure proper handling of tax-exempt funds. Our auditors understand the unique reporting requirements for 501(c)(3) organizations and governmental entities.
Medicaid Reimbursement Consulting
We assist healthcare providers with Medicaid reimbursement strategies, optimizing payment calculations for long-term care facilities and community care organizations. Our consultants analyze service documentation and billing practices to ensure accurate claims processing. We maintain current certifications for Texas Nursing Facility cost reporting requirements through ongoing professional education.
Healthcare Attest Services
Our attestation services cover financial statement audits, operational reviews, and compliance examinations for healthcare entities. We serve hospitals, hospice agencies, and CORFs with specialized knowledge of industry-specific accounting standards. Our team holds active memberships in professional healthcare accounting organizations to maintain cutting-edge expertise.
Fraud Audit Investigations
We conduct forensic accounting investigations to detect and prevent financial fraud in healthcare and nonprofit organizations. Our certified professionals analyze financial records, internal controls, and reporting practices to identify irregularities. We provide detailed findings and remediation recommendations while maintaining strict confidentiality throughout the investigation process.
People
Stephen Duck
President
Stephen Duck, dual CPA-certified in Texas and Louisiana, leads audit services with 30+ years in healthcare accounting. He specializes in Medicare/Medicaid cost reporting and serves on professional task forces. Graduated from East Texas Baptist University with a BBA in Accounting.
Jessica Stroud
Business Office Manager
Jessica Stroud, certified cost report preparer, manages office operations and Medicaid reporting since 2013. Holds Business Administration degree from Texas A&M University-Texarkana. Oversees administrative functions and staff training initiatives.
Questions
What healthcare entities do you specialize in?
We serve hospitals, nursing facilities, home health agencies, hospice agencies, CORFs, and other long-term care providers with specialized accounting needs.
Do you work with nonprofit organizations?
Yes, we provide accounting services for churches, church-related organizations, and various nonprofit/governmental entities with tailored financial solutions.
Are you certified CPAs?
Stephen Duck holds active CPA licenses in both Texas and Louisiana, with continuous professional education in healthcare accounting since 1990.
How do you handle cost reporting?
We specialize in Medicare/Medicaid cost reporting with certified expertise in Texas Nursing Facility and Community Care reporting requirements through ongoing professional development.
What audit services do you offer?
We provide financial audits, attestation services, and fraud investigations tailored to healthcare providers and nonprofit organizations' unique regulatory requirements.