• Healthcare
• Professional Service Firms
• Manufacturing & Distribution
• Real Estate

Healthcare

The health care industry faces constant financial challenges, and to stay afloat, practitioners need the tools and expertise to manage their finances in an ever-changing environment. At Joyce & Company, we have specialists with expertise in dealing with the challenges specific to the health care industry.
Specializing in medical and dental group practices for more than two decades, our partners have been at the forefront of many significant changes in healthcare. We have guided our clients through the complex issues of managed care, government regulation and intervention, and the business of practice management. Joyce & Company professionals understand that the financial success of a practice is no longer solely dependent upon the skills of the medical or dental professional. We help our clients track revenue, improve cash flow, and enhance profitability—to allow doctors more time to devote to their patients.
Serving a broad base of clients of all sizes, our professionals have developed knowledge in both technical and operational issues. We have a proven track record handling practice mergers and roll-ups, reimbursement and participation decisions, physician and staff compensation arrangements and information systems implementation.
Joyce & Company has worked with home health agencies, physician practices, university and other health care institutions. We understand firsthand the challenges that healthcare providers face in their tightly regulated environment, and we know how crucial cost control and revenue enhancement are to the mission of your organization.
Beyond our traditional accounting and consulting services, we can provide:

• Medicare and Medicaid cost report preparation and consulting
• managed care and other contract negotiations and review
• representation in Medicare and Medicaid appeals
• medical practice acquisition
• multi-state third-party reimbursement report preparation
• internal control design and review
• physician compensation design

Services for Group Practices

• Business Advisory Services
• Practice Valuation
• Mergers & Acquisitions
• Buy/Sell Agreements
• Compensation Formulation
• Employee Incentive/Benefit Plan Evaluation and Design
• Practice Expansion Strategies
• Practice Assessment and Benchmarking
• Managed Care Review and Negotiations
• Process Analysis and Cost Efficiency Studies
• Billing Service Analysis
• Budget Development

Our firm is a member of the Medical Group Management Association (MGMA) and specializes in providing health care services to physician group practices, and other health care organizations.
Few firms, large or small, can provide our range of specialized services required by the medical professional and their organizations. The services we provide for the health care profession are many, including the following:

• Physician Practice Assessment
• Physician Income Distribution
• Contract Negotiations
• Practice Succession – Valuation
• Billings and Collections
• Automation
• Compliance: Medicare and Medicaid
• Mergers and Acquisitions/Joint Ventures
• Employee Benefits
• Revenue Enhancement
• Group Practice Evaluation
• Strategic Business Planning
• Business Venture Feasibility Analysis
• New Practice Set-Up

We can help with:

• Accounting and Auditing
• Mergers, Acquisitions, Consolidations and Expansions
• Practice Management
• Retirement Plan Administration and Audits
• Compensation and Benefits
• Medical Practice Valuations
• Human Resource Management
• Provider and Practice Profitability Issues
• Buy-ins and Buy-outs
• Personal and Practice Tax Services
• Estate Planning and Wealth Accumulation Strategies
• Practice Taxation Reductions and Credits
• Compliance Programs

Professional Service Firms

We have a lot in common. Being in the professional services business ourselves, you could say we know a thing or two about the challenges and opportunities you face every day.
Joyce & Company has worked with lawyers, architects, engineers, public relations firms, and all manner of professional service groups. One thing remains constant among all of them: for those whose products are ideas, knowledge, and innovation, proper financial management and incisive business planning are essential to success.  Your employees may be your most important asset. We know just how to help.

• Buy/Sell Agreements
• Succession Planning
• Compensation Structures
• Budgets and Economic Indicators
• Strategic Planning
• Tax Planning
• Retirement Plan Analysis
• CFO Level Services

Each professional service firm has key management indicators to evaluate the success of the organization. Our services are designed to identify these indicators and monitor the success of the firm compared to its industry. Each firm is compared with industry norms, salary and labor utilization, fee arrangements, compensation and benefits and a variety of other management information.

Manufacturing & Distribution

When you compete on a global scale, a whole new set of cost pressures, regulations, processes, and other factors can, and often do, affect your operations. Add to that the complexities of the tax code and international economies, and you have a formidable assault on the bottom line. 
Joyce & Company has experts in all the disciplines of accounting and business consultation to help you improve profit margins, slash your tax liabilities, and stay competitive in a tough market. We've helped manufacturers and distributors of all varieties and sizes trim dollars off their cost columns. We can do the same for you.
Let us assist you with:

• Profit Contribution Analysis
• Cost Segregation Studies
• Tax Credits and Deductions
• Inventory Capitalization

Our core approach with most clients includes:

• Cash Flow Planning
• Sales Analysis
• Forecasting Systems
• Budget Variation
• Financial Statements
• Tax Reporting
• Tax Planning
• Internal Controls
• Inventory Controls

Real Estate

The real estate industry is far-reaching-from real estate development to management to sales organizations. Each of these entities faces its own financial challenges and compliance issues. Since inception, the professionals at Joyce & Company have been helping real estate industry clients comply with tax and governmental regulations, manage their business operations, improve their cash flow and better their bottom line.
Joyce & Company has a proven record advising real estate owners, developers and investors to help them achieve their unique financial and operational goals. We represent a roster of varying real estate entities—residential and commercial rental property, owner-occupied property, residential and commercial builders and real estate service companies such as real estate management companies.
Our services include:

• Cash flow analysis and forecasts
• Tax services, including return preparations, entity selection considerations, project analysis, tax-free exchanges, partnership taxation consulting, transaction assistance and analysis, passive activity rules, alternative minimum tax (AMT) issues, cost segregation and representation before the IRS
• Federal and state tax credit programs
• Ownership considerations, including business continuation and transition, formulating exit strategies, employee relationships, business valuations and mergers and acquisitions
• Personal tax services, including alternative minimum tax considerations, capital gains, installment sales and individual tax return preparation
• Estate planning, including charitable remainder trusts, family limited partnerships, gifting strategies and asset transfers
• Operational improvement services, including operational manuals, human resources management, compensation programs, operational reviews, internal control reviews and accounting system selection
• Assistance with the interpretation of complex financial reports

Specialty Services for Real Estate Owners

Cost Segregation Studies
              If you have made significant investments in your properties or are planning future acquisitions or projects, you may be able to benefit these specialized studies in order to assign asset lives that maximize depreciation deductions

Valuation or Appraisal of Properties
             For any real estate owner, whose property is often the most valued asset, it is usually advantageous to have an accurate understanding of the value of your assets for a variety of purposes.

Succession, Estate & Personal Financial Planning
             For the “property rich/cash poor” real estate entrepreneur, we can offer counsel on business continuity strategies, transfer of assets, as well as wealth management.

Tax-Free Exchanges
             The consultative expertise of Joyce & Company’s professionals can help effectively manage the tax consequences resulting from property sales or Section 1031 exchanges.