Healthcare

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Physicians who are managing medical practices and clinics have unique challenges.

The Jones & Roth Healthcare Team works with medical practices and clinics across Oregon & Southwest Washington providing a comprehensive suite of services including practice management, advisory services, retirement plan administration and tax & accounting services.

Our services are designed to ease the business-related pressure of practice operations and ownership:

  • Practice assessment
  • Key performance indicators
  • Income Allocation
  • Physician compensation
  • Business plan development
  • Establish procedures and policies
  • Coding and documentation
  • Contract review and negotiations
  • Billing and collections reviews
  • Employee recruiting, evaluation and development
  • Retirement Plans
  • Computer systems evaluation and implementation
  • Interim practice administration
  • Practice appraisals
  • Financial advisory services
  • Tax, audit and accounting services
  • Payroll services
  • Coding and documentation

 


“Medical practice management has become increasingly challenging. Our goal is to provide a level of guidance and service that results in superior financial management that facilitates excellence in patient care”

— Jeremy Prickel, CPA & Medical Practice Advisor

Healthcare Team


Jeremy Prickel, CPA

Jeremy Prickel, CPA

Healthcare Leader

Bio

Nicole McOmber, CPA

Nicole McOmber, CPA

Senior Manager

Bio

Brian Newton, CPA

Brian Newton, CPA

Senior Manager

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Mathew Hamlin, CPA

Mathew Hamlin, CPA

Manager

Bio

Elliott Tracy, CPA

Elliott Tracy, CPA

Manager

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Healthcare Events

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Healthcare News

Depreciation Tips for Small Healthcare Clinics

Depreciation Tips for Small Healthcare Clinics

Growing your practice by investing in new high-technology medical equipment is one of the best strategies for the success of your business. Interest rates are still very low and business loan interest is still 100% tax deductible. The newest technology gives you an advantage over your competition, both in marketing and quality of care.

There’s no denying that investing in new medical equipment is an investment in your success. Taking a big tax deduction on equipment in the year of purchase can be a huge benefit to your practice. Unfortunately, it’s also very common for it to become a five-year financial burden that some practices never recover from. The cookie-cutter approach to accelerated depreciation can hamstring the growth of your practice.

How is this possible? Accountants love to talk about the time value of money, and it’s true that a deduction today is worth more than the same deduction next year. But what happens in three years when you are still paying off the equipment loans, your taxes have gone through the roof, and the loan principal payments are not tax deductible? Will you have had enough growth by then to sustain that kind of cash outflow? Does it make sense to save fifteen cents on the dollar today when you could be in the 35% tax bracket next year?

The answer is maybe. It is not a simple question, and careful consideration and planning is the key. Your personal cash flow needs, business loan payments, projected practice growth, and many other factors all play into determining the best strategy for your new equipment or practice purchase.

Avoid the landmines and make the most of your opportunities by consulting a healthcare-specific tax professional. There are too many variables and too much at risk to use the cookie-cutter approach.

Oregon Legislature Update for Healthcare Practices

Oregon Legislature Update for Healthcare Practices

The Oregon Legislature voted and passed a tax bill in February in response to the federal tax reform enacted in December 2017.

In planning for 2018 taxes, the following are a few of the key Oregon provisions to take into consideration:

  • Addition of Oregon tax credit for certified contributions to the Oregon Opportunity Grant Fund.
  • Oregon disconnected from federal tax law that allows specified pass-through entities a deduction of up to 20% of qualified pass-through business income on the federal return. As a result, the amount will be an addition to taxable income on Oregon tax returns.
  • Oregon Pass-Through Entity reduced rates:
    • For 2018, an addition of sole proprietorships for eligibility of preferential tax rates on business income.
    • Limits preferential tax rates available to sole proprietorships and nonpassive income of partnerships or S corporations to first $250,000 of qualified taxable income.
    • Limits use of preferential rates to businesses not classified in certain North American Industry Classification System industries.
  • For tax years 2018 – 2025, increases Oregon personal exemption credit from $90 to $113.

As you are planning for 2018, it is important to include changes from both federal and Oregon tax laws to ensure you are effectively optimizing your cash flow and minimizing your tax liabilities.

 

Nicole McOmber is a Healthcare CPA and Senior Manager in the Eugene office of Jones & Roth CPAs and Business AdvisorsNicole McOmber, CPA is a Healthcare CPA and the leader of the Jones & Roth Healthcare Team. She specializes in practice management, advisory services, and tax & accounting services for medical practices and clinics across Oregon & Southwest Washington. 

MIPS/MACRA Update

MIPS/MACRA Update

Happy New Year. I hope your new year is off to a great start.

Every year practices face various challenges and 2018 is no different. In planning for success, you will want to start early.

In our recent webinar featuring Elizabeth Woodcock, we navigated through MIPS/MACRA: Gearing up for 2018. As we enter our second year of the government’s Quality Payment Program we find many still confused along with continued changes to the program. For 2018 it is important not only to understand which quality payment program pathway you will follow, but also how you are scored so you can ensure you are armed for success in meeting minimum thresholds to optimize practice cash flow.

With the deadline to send in your performance data quickly approaching, by March 31, 2018, make sure you are ready. If you missed our webinar, we encourage you to watch the recording as Elizabeth presents some great tips and tools on how your practice can prepare.

 

Nicole McOmber is a Healthcare CPA and Senior Manager in the Eugene office of Jones & Roth CPAs and Business AdvisorsNicole McOmber, CPA is a Healthcare CPA and the leader of the Jones & Roth Healthcare Team. She specializes in practice management, advisory services, and tax & accounting services for medical practices and clinics across Oregon & Southwest Washington.