Monroe J Gierl

Monroe is a Managing Director in KPMG’s Tax practice with cross functional experience advising organizations across the healthcare sector, including complex integrated health systems, physician practices, commercial health insurers, and tax exempt HMOs, as well as some of the nation’s largest private foundations, leading academic medical centers, and non governmental organizations.

Monroe performs comprehensive tax due diligence for hospital mergers and other strategic transactions, identifying potential tax exposures and planning opportunities, including for organizations that have or are considering participation in group exemptions. He also oversees the integration of tax structures to support seamless post transaction transitions. In addition, Monroe routinely advises hospital facilities on compliance with federal requirements under Section 501(r) of the Patient Protection and Affordable Care Act and serves as a trusted adviser to tax exempt hospitals nationwide.

Monroe is actively involved with the Healthcare Financial Management Association (HFMA), a national organization representing more than 100,000 healthcare finance professionals across hospitals, health systems, provider groups, physician practices, and payer markets. He recently served as President of HFMA’s Minnesota Chapter.

Outside of work, Monroe enjoys spending time outdoors in Minnesota with his family and is a working parent to two young daughters.