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TMDG incorporates the advantages and resources of a major national firm with its healthcare expertise to deliver personal and responsive service to its clients.

Our ownership structure gives us full responsibility and authority to serve our clients in all matters. However, we can quickly draw upon national support from the following resources when appropriate:

National Resources
AICPA Member

We are committed to maintaining the highest quality standards of our profession. To that end, the firm is a member of the American Institute of Certified Public Accountants’ (AICPA) Private Companies Practice Section, as well as its Center for Audit Quality (CAQ) and Employee Benefit Plan Audit Quality Center (EBPAQC).

Centers such as the CAQ and the EBPAQC are firm-based, voluntary membership organizations designed to help CPAs meet the challenges of performing quality audits. By meeting the stringent membership requirements of the CAQ and the EBPAQC, the firm demonstrates our dedication to achieving audit quality in the practice of employee benefit plan audits by establishing and maintaining high levels of quality control. In addition to fostering a culture of high audit quality, our membership provides us with an additional resource for research and staff development.

We adhere to the AICPA’s Professional Standards, Code of Professional Conduct, and Bylaws. These standards and related interpretations are the basis for our system of quality control, which is designed to ensure that we:

  1. Have the skills and knowledge at the level required to ensure competent professional service,
  2. Exercise due professional care in the performance of professional services,
  3. Adequately plan and supervise the performance of an engagement, and
  4. Obtain sufficient relevant data to afford a reasonable basis for conclusions or recommendations in relations to the professional services performed.

Peer Review
Peer reviews are intensive reviews of a firm’s quality control system applicable to its accounting and auditing practice. Performed by CPAs from other AICPA division member firms, the review evaluates our policies and procedures and examines a sample of our engagements to determine compliance. Click here for our latest report.

RSM Alliance

TMDG is an integral part of RSM US Alliance, a premier affiliation of independent accounting and consulting firms in the United States, with more than 75 members in over 38 states, the Cayman Islands and Puerto Rico. RSM US Alliance provides member firms access to the resources, tools and expertise of RSM US LLP, the leading U.S. provider of audit, tax and consulting services focused on the middle market, with more than 9,000 professionals in 86 offices nationwide. In addition, RSM US Alliance members have access to resources through RSM International, the sixth largest worldwide network of independent audit, tax and consulting firms, with more than 38,000 professionals in over 120 countries.

RSM US Alliance provides its members with access to resources of RSM US LLP. RSM US Alliance member firms are separate and independent businesses and legal entities that are responsible for their own acts and omissions, and each are separate and independent from RSM US LLP. RSM US LLP is the U.S. member firm of RSM International, a global network of independent audit, tax, and consulting firms. Members of RSM US Alliance have access to RSM International resources through RSM US LLP, but are not member firms of RSM International. Visit for more information regarding RSM US LLP and RSM International. The RSM™ logo is used under license by RSM US LLP. RSM US Alliance products and services are proprietary to RSM US LLP.

Learn more about our “best in practice” services utilizing
guidelines and standards developed by the AICPA and RSM US LLP.