Josh has provided consulting services to health care organizations since 2001. His clients have included hospitals, group medical practices, mental health agencies, home health agencies, dialysis centers, health plans, and health networks. He has extensive experience with not-for-profit accounting, governmental accounting standards, and the Office of Management and Budget Circular A-133.

Josh regularly presents on issues related to health care reform and industry-specific accounting and finance issues. He is a fellow of the Healthcare Financial Management Association and has served on the boards of various health care and not-for-profit organizations. He also has experience serving as an adjunct professor of accounting at Seattle Pacific University.

Selected Publications

  • "A Crystal Ball for Health Care: Feasibility Studies Can Help Elucidate Major Decisions" (Moss Adams Insights, November 2014)

Selected Speaking Engagements

  • Healthcare Reform: Employer Considerations Panel
    (Alaska State of Reform Conference, October 2013)
  • Healthcare Accounting 101 Roadshow
    (Healthcare Financial Management Association, Washington/Alaska Chapter, various dates in 2013 and 2014)
  • Healthcare Reform Update
    (Healthcare Financial Management Association, Washington/Alaska Chapter, December 2012)

Professional Affiliations

  • Member, Healthcare Financial Management Association
  • Member, Washington Society of Certified Public Accountants
  • Secretary, Healthcare Financial Management Association, New Mexico Chapter


  • BA, accounting, Seattle Pacific University
  • MBA, Seattle Pacific University