Health Care Ensuring fiscal fitness is our best practice

The business of delivering health care has never been more challenging. There are regulatory changes, reimbursement difficulties, staff turnover realities, tax pressures, succession planning concerns and more. Rising to these challenges and positioning yourself to address the future needs of your patients, as well as your business, takes careful planning, timely advice and precise execution.

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For more than 40 years, ORBA has provided tax, accounting and consulting services to physicians, medical practices, surgery centers, nursing homes and other health care consultants and organizations throughout the Chicagoland area and the Midwest. Our comprehensive range of services inform and guide our clients at every stage of the business lifecycle – from start-up through dissolution or sale.

We stay on top of financial, compliance and accounting trends to help you stay ahead of the curve through active membership in professional organizations.

The best way forward is integrated care


  • Shareholder agreements/operating agreements
  • Partner buy-ins/buy-outs
  • Partner retirement
  • Equipment purchase and lease analysis
  • Retirement plans
  • Long-term strategic planning
  • Firm valuations


  • Tax planning and consulting
  • New physician tax assistance
  • Updates in tax laws and accounting rules that directly impact your practice
  • Experience preparing federal, state and multistate tax returns for health care businesses, their owners and executives


  • Financial statement audits, reviews and compilations
  • Agreed upon procedure engagements
  • Prepare comprehensive financial statements using various methods including accrual, cash or income tax basis
  • Employee benefit plan accountingand audits
  • Internal control and analysis
  • Fraud examinations


Health Care

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Firms News


ORBA Named “Top Firm to Watch’ in Accounting Today’s Annual Report
Ostrow Reisin Berk & Abrams, Ltd. (ORBA), one of Chicago’s largest public accounting firms, was named as one of the “Beyond the Top 100: Firms to Watch” for 2018 by Accounting Today in its 2018 annual report. ORBA is in the top 20 firms in this tier based on 2017 revenues and positive growth rates.

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Media Mentions


Various Media


ORBA will gladly provide you with hard copies of the useful guides listed below. Select which guides you would like to receive and submit the form below.

  • Tax Pocket Guide
  • Tax Planning Guide
  • Records Retention Schedule
  • Auto, Travel & Business Log

request guide

Forward Thinking
Forward Thinking