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We’re KSM, a leading advisory, tax, and audit firm providing the inspiration, insight, and technical expertise you need to help you achieve your next great thing.

KSM's experts provide insights centered on the industries we serve and the services we provide through blogs, whitepapers, on-demand webinars, case studies, and more.

David Tiritilli is a senior experienced-hire recruiter with KSM. David supports the firm’s experienced-hire recruiting process by sourcing, interviewing, and qualifying highly skilled applicants within the accounting industry. Prior to joining the firm, David served as a talent acquisition consultant for a large public accounting, consulting, and technology firm with offices throughout the world. He has experience with sourcing, qualifying, and recruiting talent for business, accounting, and IT roles.

Despite early uncertainty in Q2, KSM’s M&A deal activity surged mid-quarter with over 40 active projects and 20+ deals in the pipeline. Explore key transactions by sector here.

When managed effectively, ESOPs can deliver meaningful benefits to employees, reward selling shareholders, and strengthen a company’s financial position. But missteps in oversight or execution can lead to legal challenges, fiduciary risk, and diminished employee trust. In this webinar – presented in partnership with the National Center for Employee Ownership (NCEO) – KSM’s Andy Manchir and Krieg DeVault’s Tom Stafford explored real-world examples of common ESOP pitfalls and the proactive strategies that can help companies avoid them. Watch the recording to gain actionable insights to support your ESOP’s long-term sustainability and success. For more information about ESOPs, reach out to your KSM advisor or fill out the form below.

Veterinary hospitals continue to face mounting pressures as client expectations shift, appointment volumes fluctuate, and price sensitivity becomes more pronounced. Amid these challenges, many hospitals are encountering periods of staff underutilization, particularly during seasonal slowdowns. Rather than allowing these lulls to erode productivity, practices can reallocate internal resources strategically by designating a team member as a patient advocate. A patient advocate serves as a liaison between the client and veterinary team, ensuring pet owners feel heard, informed, and supported throughout their pet’s care journey. This role not only strengthens client relationships but also contributes directly to key practice metrics like client retention and satisfaction. As economic pressures intensify, pet owners are becoming more discerning about where and how they spend their money, making exceptional service a key differentiator. Key Benefits of Designating a Patient Advocate Improved Client Communication: Advocates help ensure clients clearly understand diagnoses, treatment plans, and follow-up care instructions, reducing confusion and increasing compliance. Increased Client Retention: Personalized attention fosters trust and loyalty, encouraging repeat visits even in financially uncertain times. Optimized Staff Utilization: Cross-training an underused team member improves morale and boosts operational efficiency. Stronger Client Relationships: Ongoing communication, follow-ups, and availability for questions create a deeper sense of care and connection. Improved Patient Care: By facilitating clearer communication and proactive follow-ups, patient advocates help ensure that pets receive timely treatments, adhere to care plans, and experience better health outcomes. This role is particularly effective when integrated into daily operations. For example, a patient advocate can review patient histories for next-day appointments, prepare relevant recommendations to support care decisions, and serve as a touchpoint before and after visits. This approach helps reinforce the value of care and improves treatment acceptance. Advocates can also help identify lapsed patients and initiate outreach, further contributing to consistent appointment volume and improved outcomes. As veterinary medicine continues to evolve, practices that prioritize communication and client support will be better positioned to retain loyal clients, capture referrals, and sustain long-term growth. Investing in a patient advocate is more than a customer service enhancement – it’s a strategic move that turns underutilization into tangible results. Looking for ways your hospital can become more operationally efficient? Contact our veterinary consulting team by using the form below.

Discover how a health system leveraged the FQHC Look-Alike model to unlock $10.7 million in additional reimbursement, enhancing access to care for underserved communities.

Discover how FreightMarks standardizes fleet maintenance GL data to improve benchmarking, financial clarity, and strategic cost management.

Discover how KSMTA's FreightMath helps carriers boost profitability through strategic freight network design and data-driven decision-making.

We’re KSM, a leading advisory, tax, and audit firm providing the inspiration, insight, and technical expertise you need to help you achieve your next great thing.