Active in the field since 1994, Karl offers operational and strategic consulting to health care clients. He leverages his deep expertise in provider operations and finance, strategic business planning, and capitation arrangements to assist hospitals, physician organizations, health plans, and management services organizations as they strive to succeed in the current environment. He has experience with service line assessments, turnarounds, feasibility studies, development of capitation models, and negotiation and analysis of managed care contracts.

Prior to joining Moss Adams, Karl served in senior management positions in hospitals as well as physician organizations.

Selected Publications

  • "The 5 Mega-Trends That Are Changing the Face of Health Care" (The Atlantic, May 2012)
  • "Capitation Isn’t a Four-Letter Word" (California Healthcare News, March 2012)

Selected Speaking Engagements

  • Consolidations Mergers and Acquisitions
    Washington State of Reform Health Policy Conference (January 2014)
  • Hospital Acquisitions of Physician Practices, Considerations for Both Sides
    Moss Adams webcast (December 2013)
  • Health Care Reform and Its Impact on the Health Care Industry
    HFMA Region 10 Annual Conference (May 2013)

Professional Affiliations

  • Fellow, Healthcare Financial Management Association
  • Member, American College of Healthcare Executives


  • BS, accounting, California State Polytechnic University, Pomona
  • MBA, University of California, Irvine