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Business Service Company

Blue & Co.

Independent accounting, tax and advisory firm serving businesses and healthcare providers in the American Midwest

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About Blue & Co.

Hospitals, rural clinics, dental practices, universities and family-owned businesses all turn up on the client list of Blue & Co., an independent accounting and advisory firm. According to its site it has more than 560 people working from 12 offices in Indiana, Ohio, Kentucky and Michigan.

An advisory attitude to accounting

The firm says its people entered the profession because they like helping others, not simply because they like numbers and spreadsheets. It describes its mission as learning what keeps a client awake at night and finding ways to give peace of mind, and it frames the job as helping with personal, financial and life goals as well as the profitability of the organization. It calls itself an advocate for its clients and lists responsive, caring and advocate as its watchwords.

Audit, tax and everyday accounting

On the assurance side the firm lists employee benefit plan audits, SOC reporting and work on the new lease accounting standard. Tax consulting sits beside it, and client accounting services cover the routine bookkeeping and reporting that smaller organizations hand over. Business consulting includes employee benefits consulting, planning solutions, transaction advisory services, cybersecurity and data management, and IT support for remote work.

A deep bench in healthcare

Healthcare is the practice area with the longest list. It covers reimbursement work such as Medicare bad debt, disproportionate share and uncompensated care claims, as well as revenue cycle consulting, 340B and pharmacy benefits consulting, outpatient therapy, post-acute care, physician practice management, patient experience and managed care contracting. The firm also advises rural health clinics and federally qualified health centers, and runs a dental practice consulting service. Its insights section covers topics such as Medicare cost reporting and court rulings that affect hospital payments.

Industries and resources

Beyond healthcare, the firm names agribusiness, beverage, closely held businesses, construction, financial institutions, higher education, manufacturing and distribution, not-for-profit organizations and technology start-ups. It has published resources for charities on the not-for-profit financial reporting standard ASU 2016-14, and earlier produced guidance on documentation and reporting during the coronavirus period. Partners and affiliates are listed on a separate page.

TrustList summary

Blue & Co. is an accounting and advisory firm with offices across Indiana, Ohio, Kentucky and Michigan. Beyond audits and tax returns, it acts as a business adviser and has a large group devoted to healthcare organisations.

Products and services

  • Assurance: including employee benefit plan audits and SOC reporting.
  • Tax consulting: planning and compliance work.
  • Business consulting: client accounting, planning and transaction advisory.
  • Healthcare consulting: Medicare reimbursement, revenue cycle, 340B, managed care contracting and dental practice advice.
  • Cybersecurity and IT: data management and remote work technology support.
  • Employee benefits consulting: help with plans and their administration.

Clients

Industry teams cover agribusiness, beverage, construction, financial institutions, healthcare, higher education, manufacturing and distribution, nonprofits, technology startups and closely held businesses.

Key facts

  • Based in: Indiana, Ohio, Kentucky and Michigan
  • Team: more than 560 people in 12 offices
  • Healthcare specialists: more than 145 professionals

Summary written by TrustList from the business's own published information, Oct 2026.

Categories & features

Rankings

Blue & Co. is ranked on 6 TrustList rankings: #8 on 2, #10 on 1, #12 on 1 and #19 on 2.

Every ranking orders its listings by their reviews, how complete the profile is and the Trust Score. Blue & Co. has no reviews yet and 3 of the 10 profile details we look for. Where no listing on a page has been reviewed, the order follows the profiles alone.

Business service company · 6 rankings

  • #8of 14
    Michigan

    It is the only one of the 14 here listing .NET and agriculture.

    Its profile: “According to its site it has more than 560 people working from 12 offices in Indiana, Ohio, Kentucky and Michigan.”

    Of the 14 here, 9 also cover accounting and 9 also cover tax; 2 also work in Washington and 2 also work in Detroit.

    Behind High Fidelity, ahead of Abacus Staffing.

  • #8of 13
    Not for profit

    It is the only one of the 13 here listing manufacturing and property.

    Its profile: “Beyond healthcare, the firm names agribusiness, beverage, closely held businesses, construction, financial institutions, higher education, manufacturing and distribution, not-for-profit organizations and technology start-ups.”

    Of the 13 here, 3 also cover outsourcing and 3 also cover reporting; 2 also work in North Carolina and 2 also work in Carolina.

    Behind Gibson Ruddock Patterson.

  • #10of 121
    Reporting

    It is the only one of the top 77 here listing not for profit and one of 4 here listing education.

    Its profile: “On the assurance side the firm lists employee benefit plan audits, SOC reporting and work on the new lease accounting standard.”

    Of the top 77 here, 19 also cover legal and 10 also cover simple; 5 also work in Texas and 5 also work in Dubai.

    Behind Blocworx, ahead of Blue Pearl.

  • #12of 100
    Education

    It is one of 2 here listing reporting and one of 11 here listing tax.

    Its profile: “Beyond healthcare, the firm names agribusiness, beverage, closely held businesses, construction, financial institutions, higher education, manufacturing and distribution, not-for-profit organizations and technology start-ups.”

    Of the top 64 here, 15 also cover medical and 14 also cover business services; 5 also work in New York and 5 also work in California.

    Behind WorkApp, ahead of A1 Career.

  • #19of 106
    Manufacturing

    It is one of 13 here listing accounting.

    Its profile: “Beyond healthcare, the firm names agribusiness, beverage, closely held businesses, construction, financial institutions, higher education, manufacturing and distribution, not-for-profit organizations and technology start-ups.”

    Of the top 75 here, 15 also cover engineering and 14 also cover financial services; 3 also work in Middle East and 3 also work in Mumbai.

    Behind WorkApp, ahead of AOP HR Consultancy.

  • #19of 10
    Ohio

    It is the only one of the 10 here listing education and manufacturing.

    Its profile: “According to its site it has more than 560 people working from 12 offices in Indiana, Ohio, Kentucky and Michigan.”

    Of the 10 here, 5 also cover production and 3 also cover goals.

    Behind Entertainment Unlimited Events, ahead of Acloche.

As of 2026-11-05. Organic ranks only; sponsored placements are never ranks. How TrustList ranks

What the business tells TrustList

Number of staff
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