Josh Ayers

Josh Ayers

Assurance Partner


BDO St. Louis Office



Executive Summary

Josh Ayers has over 13 years of audit and financial reporting experience in a variety of industries, including healthcare, technology, professional services, retail, and manufacturing and distribution. He holds over 12 years of experience providing Service Organization Control (SOC) examinations, SysTrust, WebTrust, and Health Information Trust Alliance (HITRUST) services. His clients include a broad range of service organizations and technology companies, including third-party administrators, payment processors, application service providers, software development companies, data storage companies, website hosting and development companies, managed information technology service providers, and large governmental agencies.
Josh has authored several SOC-related articles and has spoken on employee benefit plan auditing and compliance, SOC reporting, and information security for various organizations. He has also served as an adjunct professor for a fraud examination and forensic accounting course.

Professional Affiliations

American Institute of Certified Public Accountants, Peer Review Program SOC Specialist
Health Care Administrators Association (HCAA), Director and Treasurer
Information Systems Audit and Control Association (ISACA)
Missouri Society of Certified Public Accountants (MSCPA)—Technical Issues Group
Self-Insured Institute of America (SIIA)


M.Acc., University of Illinois Springfield
B.S., Business Administration (emphasis in Accounting), Saint Louis University