Kourtney has over ten years of accounting and auditing experience, specializing in service to healthcare and not-for-profit organizations. She has managed and participated in numerous audits of healthcare facilities, ranging in size from stand-alone facilities to large health systems. Kourtney joined MCM in 2008 after working at Ernst & Young for more than eight years. She also has significant experience in public debt filings and refinancing, interest rate swaps and A-133 audits. Kourtney has also managed and participated in internal audit outsourcing projects that include reviewing operational, financial, and technology processes to provide management with assessments of financial risk, and recommendations for improvements of the overall effectiveness and efficiency of processes.