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Jim Crisp


410.900.1372  | 

Jim Crisp, CPA, has spent 30+ years helping healthcare and nonprofit organizations with audit, tax and operational services. Being a sounding board for clients on financial and business matters is one Jim's favorite parts of being a CPA.



There is nothing – landscape, flower or decorated birthday cake – that hasn’t been a subject for Jim’s camera. Of special interest to Jim are lighthouses. He has photographed countless lighthouses up and down the East Coast.

Jim Crisp, CPA, is the director of the firm’s Healthcare Group. During his 30+ year career in public accounting, he has provided audit, accounting, tax, operational and reimbursement-related services to long term care facilities, including skilled nursing homes, retirement communities and assisted living facilities, as well as senior housing and community-based health clinics. Jim also conducts employee benefit plan audits for businesses and nonprofit organizations.

Jim publishes an annual benchmark report for skilled nursing facilities. He presented the findings of their study in a seminar at the joint 2018 HFAM/Lifespan annual conference.

He also serves nonprofit organizations, including those that require Single Audits (formerly OMB Circular A-133). He has conducted and authored numerous training programs and articles on topics such as charitable giving techniques, unrelated business income tax issues, and the regulatory requirements of OMB Uniform Guidance.

Being a sounding board for clients is one of Jim’s favorite roles as a CPA. While Jim is passionate about sharing his knowledge and experience with his clients, he admits that he continues to learn from them as well. The back-and-forth exchange about financial and operational matters with business owners, executives and board members is particularly enjoyable to Jim.

Around the office, Jim thoroughly enjoys teaching and guiding staff members in their careers. His colleagues know they can always count on Jim for a good story, as he readily shares his personal and professional experiences.


  • Bachelor of arts degree in economics with a concentration in accounting, UMBC (1980)


  • American Institute of CPAs
  • BKR International
  • District of Columbia Health Care Association
  • Employee Benefit Plan Audit Quality Center
  • Health Facilities Association of Maryland
  • LeadingAge Virgina
  • LifeSpan Network
  • Maryland Association of CPAs
  • Maryland Nonprofits

More Fun Facts

  • Jim views gourmet dining, with a great bottle of wine, as one of life’s great pleasures. Of course, dessert is part of the experience, as Jim has never met a chocolate he didn’t like.
  • An avid boater, Jim is not above admitting that he once ran out of gas and had to be towed to shore.

Articles By Jim

5 Steps to Building a Strong Census In Your Skilled Nursing Facility

We get it. As an administrator, you’re overloaded. You’re wrestling with staffing shortages, complex reimbursement issues, and keeping up on regulatory requirements – all while giving top notch care to your residents. When polled for our 2018 Maryland Skilled Nursing Facility Survey, skilled nursing facility administrators, owners and senior financial staff said their top three concerns are finding and retaining qualified employees; changes in payment/reimbursement systems; and the level of outside regulatory requirements. These three issues consistently top our list of top concerns in our annual skilled nursing facility survey. Coming in at fourth in 2018 is maintaining census. Maintaining census is an excellent thing for administrators to be concerned about. Here's why.

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4 Things We Learned From the 2017 Maryland Skilled Nursing Facility Outlook Survey

With the minimal amount of outlook data available, getting a pulse on what is happening in the Maryland skilled nursing industry can be difficult. To help, we surveyed Maryland skilled nursing facility owners, executive directors and administrators as part of our 2017 Maryland Skilled Nursing Facility Outlook Survey to get their feedback on topics like their optimism for the future, top concerns and more. Here is what we learned:

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New Payment & Reimbursement System Is the #1 Thing Keeping Skilled Nursing Facility Executives Up at Night

When we polled skilled nursing facility (SNF) executives for our 2016 Maryland Skilled Nursing Facility Outlook Survey, more than two out of three of them ranked changes to the payment and reimbursement system as their number one concern. Concerns about the new payment and reimbursement system are significant among both for-profit and nonprofit SNF executives. Likewise, it is of nearly equal concern to owners, administrators and chief financial offers of Maryland’s facilities.

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