PVR

Practice Consulting & MSOs — Vendor review

PYA (Pershing Yoakley & Associates)

Healthcare-focused advisory with valuation and compliance depth.

Rank #5 in Consultingpyapc.com ↗

PYA (Pershing Yoakley & Associates)

Healthcare-focused advisory with valuation and compliance depth.

73/ 100 overall

By Jordan Alderman, MBA, CMPE · Reviewed by Rania Hassan, JD, CHC · Last reviewed · Methodology

Disclosure: Independent editorial. No pay-for-placement, no affiliate rankings. Full editorial standards.

Quick answer

PYA is a healthcare-focused advisory known for valuation, compliance, and revenue cycle work. It serves independent practices, hospitals, and health systems. Best when regulatory or valuation nuance matters — Stark, Anti-Kickback, and fair market value analyses are core strengths.

At a glance

Best for
Practices needing compliance, valuation, or regulatory advisory.
Not for
Small operational engagements with tight budgets.
Pricing model
Project or retainer.
Price band
$$$$
Founded
1983
HQ
Knoxville, TN
Ownership
Private

Score card

Independent editorial scoring (0–5 per criterion) — same rubric across every vendor.

Product depth
4.5
Independent fit
3.5
Transparency
3.0
Support
4.0
Interoperability
3.5
Value
3.5
73/ 100 overall

Strengths

  • Deep compliance and valuation expertise
  • Nationally recognized fair-market-value opinions
  • Multi-disciplinary team

Weaknesses

  • Enterprise-oriented pricing
  • Longer engagement cycles
  • Overkill for basic operational work

Key features

  • Fair market value opinions
  • Compliance and regulatory analysis
  • Revenue cycle assessments
  • Strategic advisory

Contract clauses to negotiate

  • Confirm named partner responsibility
  • Model total spend against likely deliverables
  • Get FMV/opinion scope in writing

See our full contract clause library for paste-ready redlines across every pillar.

Editorial verdict

PYA is a natural fit when the engagement has regulatory or FMV weight. Independent practices with straightforward operational needs will find it oversized. For hospital-affiliated groups or transactions with FMV requirements, it's a defensible top pick.

Alternatives to consider

Coker GroupIndependent healthcare advisory with strong physician-services depth.
75/ 100 overall
MGMA ConsultingPractice-management consulting from the industry's benchmark authority.
85/ 100 overall

Evidence & sources

Every recommendation on this page traces back to a primary reference — federal regulation, an industry benchmark, or peer-reviewed literature. Follow the links to verify claims independently.

  1. [1]MGMA Practice Management Resources

    Industry benchmark

    Medical Group Management Association

    Supports: Independent benchmarking data for consulting engagement scoping and typical practice-operations KPIs.

  2. [2]Stark Law and Anti-Kickback Statute Overview

    Regulatory

    HHS Office of Inspector General

    Supports: Regulatory basis for evaluating MSO and management-services structures that involve referral flows or compensation arrangements.

  3. [3]American Medical Association — Private Practice Playbook

    Professional association

    AMA

    Supports: Reference material on independent-practice sustainability, MSO evaluation, and consultant engagement structure.

Cite this review: The Practice Vendor Review — PYA (Pershing Yoakley & Associates), ranked #5 of 5 in Practice Consulting & MSOs. Overall score 73/100.