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Get a real-time quoteLeading Tax & Accounting Firm in Knoxville, TN
PYA is a national professional services firm providing deep functional expertise in tax, audit & assurance, and management consulting. PYA helps clients in 50 states derive value amid complex challenges related to federal and state filings, regulatory matters, compliance and risk assessment, business valuations, attestations, litigation support, IT advisory, mergers & acquisitions, and overall financial and business strategy.
With long-established roots as a CPA firm, PYA is consistently ranked in the Top 100 largest accounting firms by INSIDE Public Accounting and ranked third in percentage of female ownership, and is a Top 15 auditor of the nation’s largest health systems. PYA is also ranked a Top 20 healthcare consulting firm in the U.S.
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Min project size
$5,000+
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Hourly rate
Undisclosed
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Employees
250 - 999
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Locations
Knoxville, TN
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Year founded
Founded 1983
6 Locations
- Knoxville , TN
- Atlanta , GA
- Tampa , FL
- Overland Park , KS
- Brentwood , TN
- Charlotte , NC
Service Lines
- Accounting
- 20%
- Fractional CFO Services
- 15%
- Compliance Consulting
- 10%
- Litigation Support Services
- 5%
Select Focus Area
- General Accounting Focus
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- Financial Audit
- 20%
- Accounting Software Specialist
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- Sage Accounting & Implementation
- 15%
- Business Consulting Focus
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- Due Diligence Consulting
- 11%
- Sourcing and Procurement Consulting
- 11%
- Business Valuation Services
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- Valuation Review
- 15%
- Tax Valuations
- 10%
- Compliance Consulting
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- Digital and IT Strategy Consulting Focus
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- Mobility Strategy
- 20%
- IT Assessment
- 15%
- IT Consolidation
- 15%
- IT Governance
- 15%
- Virtual CIO Services
- 15%
- Fractional CFO Services
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- Financial Gap Analysis
- 35%
- Cash Flow & Budgeting Management
- 20%
- Financial Decision-Making
- 20%
- Business Cost Structuring
- 10%
- Internal Financial Controls
- 10%
- Profit Maximization & Dividends
- 5%
- Litigation Support Services Focus
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- Tax Focus
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- Tax Preparation
- 40%
- Tax Audit
- 20%
- Tax Consulting
- 20%
Industries
- Medical
- 40%
- Business services
- 20%
- Financial services
- 10%
- Government
- 10%
- Information technology
- 10%
- Other industries
- 10%
Clients
- Midmarket ($10M - $1B)
- 50%
- Enterprise (>$1B)
- 25%
- Small Business (<$10M)
- 25%
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Our Story
PYA is a privately owned, client-first CPA and consulting firm founded in 1983. Our team blends deep healthcare, financial services, real estate and industry expertise to deliver audit, tax, valuation, M&A, performance transformation, technology/cybersecurity and reimbursement solutions. Guided by a culture of HELP, integrity and community service, we’ve grown into a Top‑100 firm and Top‑20 healthcare consultant through decades of trusted client partnerships.
What Sets Us Apart
Privately Owned and Focused on Clients
PYA remains privately owned, with decisions guided by client needs and long-term relationships. The firm's culture emphasizes responsiveness, practical advice and accountability.Accounting and Consulting in One Firm
PYA combines accounting, tax and audit services with business advisory and management consulting. Clients can draw on expertise in financial reporting, valuation, transactions, and operational performance as their needs change.More Than 40 Years of Healthcare Advisory
PYA brings more than 40 years of healthcare advisory experience to hospitals, health systems, and physician practices. Its services address reimbursement, compliance, provider compensation, valuation, and performance transformation.Locations (6)
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