
The acquisition accelerates Blue & Co.’s entry into the high‑growth Texas healthcare market, enhancing its service depth and competitive positioning in a sector demanding specialized reimbursement expertise.
The accounting industry is witnessing a wave of consolidation as firms seek scale and niche expertise to meet evolving client demands. Blue & Co.’s purchase of D & Co. reflects this trend, targeting the lucrative healthcare reimbursement segment that has grown alongside rising regulatory complexity and value‑based care models. By integrating D & Co.’s seasoned consultants, Blue & Co. not only broadens its geographic reach but also enriches its portfolio with deep‑dive audit and projection services that are increasingly critical for hospitals and clinics navigating payment reforms.
D & Co. brings a legacy of over four decades in healthcare advisory, offering granular knowledge of hospital reimbursement, clinical consulting, and financial forecasting. The combined talent pool—more than 40 new specialists and six senior directors—creates a robust platform for cross‑selling services to existing Blue & Co. clients while attracting new Texas‑based healthcare providers. This synergy enables the firm to deliver end‑to‑end solutions, from compliance audits to strategic financial planning, positioning it as a one‑stop shop for complex healthcare finance challenges.
For the Texas market, the deal signals intensified competition among accounting firms vying for a share of the state’s expansive health system network. Blue & Co.’s entry could pressure local players to elevate their service offerings or pursue similar acquisitions. Moreover, the expanded footprint may open doors to partnerships with regional hospitals seeking integrated advisory support. As healthcare reimbursement models continue to evolve, firms that combine scale with specialized expertise—like the newly formed Blue & Co.–D & Co. entity—are poised to capture emerging opportunities and drive sustained growth.
Blue & Co. expands into Texas after acquiring D & Co.
Published February 10, 2026
Top 60 accounting firm Blue & Co. has expanded into Texas after adding D & Co. (formerly Durbin & Co.), an accounting firm with offices in Lubbock, Dallas, Fort Worth, and Waco, effective Feb. 1. Financial terms of the deal weren’t disclosed.
Blue & Co. will be adding more than 40 employees from D & Co. with expertise in healthcare reimbursement, hospital and clinical consulting, healthcare audits, projections, and financial advisory.
The Carmel, IN‑based accounting and advisory firm has also added six directors as a result of the deal: Brent Fuller, Tommy Davis, Steven Thummel, Andrew Castillo, Shonna Cannaday, and Aaron Milligan.

Brad Shaw
“We have had a long‑standing relationship with D & Co. LLP for over 15 years and knew that they would be a great fit for Blue when the time was right. It is very exciting to think about the expanded service offerings that we will be able to bring to the market as one team. This expansion represents our shared belief in putting people first and delivering high‑quality, responsive service to our clients,” said Brad Shaw, managing director of Blue & Co., in a statement on Feb. 6. “D & Co. has a strong reputation with healthcare organizations in the Southwest and a team that aligns deeply with our values. We’re honored to build on the trust they’ve established with their clients and together, look forward to advocating and creating meaningful opportunities for our clients and team members as we continue to grow.”
Founded in 1981, D & Co. is a full‑service accounting and advisory firm providing highly specialized healthcare reimbursement consulting services to providers across the country. D & Co. is a registered certified public accounting firm that can perform financial audit services, providing a multitude of healthcare advisory and consultation services. The firm specializes in healthcare reimbursement, hospital and clinical consulting, healthcare audits, projections, and financial advisory.
“D & Co.’s employees and clients will benefit immensely from this move. Blue & Co. is a people‑focused firm that will allow us to provide additional top‑of‑the‑line services to our clients while continuing to provide our teams with an exceptional work culture,” said Tommy Davis, a partner at D & Co.
Founded in 1970, Blue & Co. is an independent accounting and advisory firm with more than 625 people in 17 offices across Indiana, Kentucky, Ohio, Michigan, Tennessee, and now Texas. Blue’s public accounting expertise includes the practice areas of assurance, tax compliance and consulting, healthcare consulting, benefit plan services, valuation and litigation support, and business services. Its industry specializations include healthcare, construction, nonprofit, manufacturing and distribution, technology, financial services organizations, and agribusiness.
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