Karen D. Costa CPA

Karen D. Costa



Assurance Services Group

At a glance

Karen is responsible for leading the delivery of comprehensive professional services to healthcare service providers. With 30 years of experience in public accounting, Karen has been with the Firm since 1994 and is a founding member of the Dopkins Not-for-Profit/Healthcare Team.

During her professional career, Karen has obtained a broad background in the manufacturing, construction, and general service industries. However she now specializes in accounting and operations consulting with healthcare providers receiving most of their funding from Medicaid and other third-party payors as well as New York state agencies such as the Office of Mental Health and the Office of Alcoholism and Substance Abuse Services.

Principal areas of expertise

  • Audit
  • Consolidated fiscal reports (CFRs)
  • Cost reporting

Industries Served

  • Healthcare
  • Not-for-Profit


  • Certified Public Accountant

Professional Affiliations

  • Member, American Institute of Certified Public Accountants (AICPA)
  • Member, New York State Society of CPAs (NYSSCPA)
  • Member, NYSSCPA Healthcare Committee
  • Member, Healthcare Financial Management Association (HFMA)


  • Bachelor of Business Administration in Accounting, Niagara University

Awards & Achievements

  • Honoree, “Health Care 50” by Business First of Buffalo (2013)

Community Service

  • Member, Board of Directors & Treasurer, Mental Health Association of Erie County

Representative clients

Karen is experienced in consulting with many different segments within the health care industry including home health, outpatient surgery centers, health care clinics, behavioral health, hospice providers and dental practices.

Blog Posts

Do What You Love.
Love What You Do.

It’s about balance. The variety and quality of the clients, along with access to the latest technology and business information keeps the work interesting.

Learn More
Three Dopkins Employees

Opportunity Awaits

Take your career to the next level at Dopkins

Learn more