DOUGLAS, SHEETS, AND STREMCHA, CPAS, LLC

DOUGLAS, SHEETS, AND STREMCHA, CPAS, LLC specializes in Medicare cost reporting services, delivering precise financial analysis and compliance support for federal healthcare programs. Their core capabilities center on the preparation, review, and validation of Medicare cost reports under CMS guidelines, ensuring adherence to Title 42 CFR and Medicare Provider Reimbursement Manual requirements. The firm provides technical expertise in cost allocation methodologies, indirect expense distribution, patient day calculations, and outlier payment determinations, with a focus on audit readiness and regulatory accuracy. Their differentiation lies in deep familiarity with the intricate reporting frameworks of the Indian Health Service and Medicare Part A cost reporting cycles, enabling timely and defensible submissions under tight federal deadlines. The contractor maintains a consistent relationship with the Department of Health and Human Services, particularly through the Indian Health Service’s Office of Resource and Accountability Programs. Their work supports critical financial oversight functions, ensuring accurate reimbursement calculations and fiscal accountability for provider facilities serving Native American populations. Engagement patterns suggest a recurring, mission-critical role in sustaining ongoing cost reporting operations, often through option period extensions and funding modifications that require continuity of service and institutional knowledge. The primary NAICS code 541219 reflects specialized accounting services beyond standard bookkeeping, focusing on regulatory compliance and program-specific financial reporting within federal health systems. The firm’s market positioning is niche, serving the unique demands of Medicare cost reporting—a high-stakes, highly regulated domain requiring subject-matter expertise in healthcare finance and federal audit standards. As a small business structured under the 2K classification, DOUGLAS, SHEETS, AND STREMCHA, CPAS, LLC operates from Phoenix, Arizona, with no federal certifications on record. Their government market presence is defined by technical precision in a narrow but vital segment of healthcare financial management, serving as a trusted advisor to agencies reliant on accurate cost data for program integrity.