Healthcare Consultant for Long-Term Care and Senior Housing

Doug Palmer is a senior executive with MSL. Doug has over 40 years of public accounting experience and maintains long-term relationships with his clients. As a key member of the Firm’s Long Term Care Practice Group, Doug provides reimbursement, structuring, and organizational consulting services and serves as a seasoned business advisor to clients in the healthcare industry.

Professional Experience

Doug has advanced experience providing reimbursement consulting and cost control strategies to skilled nursing facilities and other institutional healthcare facilities and healthcare providers. He has served over 100 skilled nursing facilities in the state of Florida. Doug helps clients to optimize their Medicare and Medicaid reimbursement levels and structure their organizations effectively.  He provides clients considering mergers and acquisitions with comprehensive guidance on obtaining and structuring financing, tax considerations, and organizational structure. Doug also prepares Certificate of Need applications and Proof of Financial Ability statements, which are required for state licensure and to receive Medicare and Medicaid reimbursements.  He has additional expertise in the bond offering process, corporate recovery and financial audits. Doug has spoken at national, regional and local healthcare organizations and conferences, including the Florida Health Care Association (FHCA) and the National Investors' Conference for long-term and healthcare providers.  He has also given presentations to clients on acquisitions, financing, Medicaid and Medicare reimbursement plans, special issues, and regulatory updates.  Doug coauthored an article in the Orlando Business Journal regarding Florida’s leading role in the formation of a full continuum of care for seniors.


  • BA in Accounting, University of South Florida
  • CPA, Certified Public Accountant


  • American Institute of Certified Public Accountants
  • Florida Institute of Certified Public Accountants
  • Area Agency on Aging of Central Florida, Inc. d/b/a Senior Resource Alliance, Board Member
  • Seniors First, Inc., Past Chairman, Board Member
  • Seniors First Foundation, Past Vice President and Board Member
  • Florida Pioneer Network, Steering Committee Member
  • Florida Health Care Association
  • LeadingAge Florida  
  • Economic Development Commission of Mid-Florida, Former Board Member
  • Orlando Chamber of Commerce
  • Moore Stephens North America, Inc., Former Board Member