Deeper Understanding.
Sharper Results.
WHY JP MOHLER?
At JP Mohler LLC we are passionate about being proactive, producing new ideas, researching our ever-changing industry trends and information and providing educated advice in front of those changes.
We efficiently communicate with our clients for a deeper understanding of their situations and business to produce sharper results and critical problem solving. We work to uncover savings others leave on the table and protect your bottom line the same as we would our own.
We operate with a sense of urgency and pride ourselves on being responsive and going beyond just the financials. Our clients consider us an extension of their team and we wouldn’t have it any other way.
About Us
Ambulance Industry
Expertise
JP Mohler has worked with more private providers of medical transportation services than any other CPA firm in Ohio. JPM is a member of the Ohio Ambulance and Medical Transportation Association and has an outstanding relationship with its leadership and members.
Ambulance Industry Expertise
JP Mohler has worked with more private providers of medical transportation services than any other CPA firm in Ohio. JPM is a member of the Ohio Ambulance and Medical Transportation Association and has an outstanding relationship with its leadership and members. We are deeply invested and committed to helping the industry solve their challenges, particularly with the continued and ever changing legislative and regulatory environment.
We understand that the private medical transportation industry is already heavily regulated and the new cost data collection requirement is merely an additional burden.
We also recognize that the profit margins in the medical transportation industry continue to shrink for many reasons outside the control of the business (e.g. shrinking labor pool, increased costs [labor, fuel, insurance, repairs/maintenance, increased regulatory burdens, etc.])
Areas where we learn about providers and their businesses, and questions we ask:
Call Intake is where it all begins, and it can have a huge impact on the company’s profitability. If your call intake system is not functioning correctly, it impacts the entire process.
- Who is answering calls?
- How are staff trained (current and ongoing)?
- What documentation is in place for call intake procedures throughout the year?
- How are calls currently being answered?
- What questions are being asked?
- What data is being captured (or not)?
- What notifications are in place for certain patients, ordering facilities, etc.?
- Is there an automated process that can be replicated for any variety of calls?
- Does any of the call intake data automatically populate in a run sheet?
- What is your current process, and what tools/technology are you using to verify insurance?
- How many runs are prescheduled vs on-demand?
- How many days in advance are prescheduled calls reserved?
- Are dispatchers reluctant to assign certain tasks for fear of upsetting the crew?
- Evaluation of deficiencies that delay billings (e.g. documentation, signatures, general completion during shifts, etc.)
- Identification of training needs
- Analysis of Technology (manual vs ePCR)
- Identification of challenging facilities/doctors
- Identification of staffing/training opportunities
- Are daily runs being billed within an acceptable amount of time?
- If runs are not billed within 24 hours, what are the key reasons (e.g. PCS, crew documentation, etc.)?
- What is the current process to have run sheets evaluated/corrected by staff?
- What is the current process to have invalid PCSs evaluated/corrected?
- Are there certain repeat offenders (staff, doctors, facilities)? If so, what systems are currently in place to mitigate this behavior (e.g. education, training, incentives, etc.)?
- What are the daily billing goals (runs, dollar, etc.)?
- How are tasks delegated to billers?
- What is the protocol for when the primary biller/manager is absent from the office?
- What is the daily average quantity of billing being batched?
- Evaluation of clearing house and tools
- Detailed review of accounts receivable reports to identify areas of risk
- Who is responsible for monitoring commercial insurance, facilities, private pay, etc. and what are the processes in place to ensure optimal accountability?
- Follow up, especially with private pay and facilities can be challenging, do you have the capacity to manage these functions?
- What are the current daily run volume levels for each service type?
- How many runs are prescheduled vs on-demand?
- What is the level of daily runs required to achieve breakeven vs maximum profitability?
- How many runs are declined each day and what are the contributing factors?
- If run levels are not being achieved, why (e.g. lack of demand, staff call offs/no shows, cancelled runs, etc.)?
- Does the team/crew have a daily run goal?
- How many runs are you doing in each facility/per contract, average revenue per call, etc.?
- What is your process for managing face sheets?
- Review shift schedules compared to demands
- Built-in overtime vs unplanned overtime
- How are shifts assigned? Do you have a shift bid system?
- When are crews dispatched during the day?
- What times do rejected calls occur?
- Are you deploying your limited resources for the most profitable opportunities?
- Evaluation of compensation structure components: hourly rates, shift differentials, on call pay, bonuses, retirement plans, health insurance, other fringe benefits, etc.
- Because we work with so many providers, we are able to provide a confidential financial comparison to your peers. We are able to identify areas for improved cash flow and profitability based on our in-depth technical expertise on the industry.
- Evaluation of key expense categories
- Compensation
- Repairs and maintenance
- Fuel
- Insurance (liability and health)
- Federal, state and local income tax reduction, as well as indirect taxes (sales tas, commercial activity tax, fuel tax, etc.)
Full Service Relationships
We use our own proprietary process to get to know our clients and their businesses so we can find ways to help them and that will allow us to see if we would be a good fit for each other. We call this process the JPM Process ™.
Full Service Relationships
We use our own proprietary process to get to know our clients and their businesses so we can find ways to help them and that will allow us to see if we would be a good fit for each other. We call this process the JPM Process™.
The JPM Process™ entails the following:
- Get to know each other
- Determine if we can be helpful
- Explore how our teams work together
- We pay for the meal
- Review tax and financial information
- Tour the facilities
- Understand processes
- We prepare a service proposal explaining our services, meeting schedule, fees, etc.
- Work together to onboard new clients
- Establish regular monthly meeting schedule
- Advise on regulatory, tax, etc. changes that impact your business
- Continue business discussions, strategy, etc.
- Fulfill the commitment
Tax Consulting
Our firm has a niche in identifying taxes that have been inadvertently paid. We provide service to for profit and nonprofit organizations, including school districts, governmental agencies (cities, counties, townships) and other nonprofits.
Tax Consulting
Our firm has a niche in identifying taxes that have been inadvertently paid. We provide service to for profit and nonprofit organizations, including school districts, governmental agencies (cities, counties, townships) and other nonprofits.
We provide specialized state and local tax consulting services to small, midsized and large businesses, many of which already have well established and trusted tax advisory relationships. Our consulting services do not conflict with these existing relationships. Instead, we act as an additional resource to provide specialized expertise.
We have deep technical expertise and experience with minimizing the following state and local taxes:
Ohio imposes a state level sales tax, while each of Ohio’s 88 Counties also levies an additional separate sales tax. Furthermore, 45 states and the District of Columbia impose a sales tax, with approximately 32,000 different rates, across 7,000 different tax jurisdictions (e.g. state, county, city, etc.). Due to these complexities, collection, remittance and overall compliance can be overwhelming.
Ohio also taxes many services, and provides numerous exemptions and exclusions that are not commonly known to many business owners or tax professionals. Because we specialize in sales and use taxes, we can help you manage the compliance burden while minimizing your overall liability.
Below is a summary of the services we can provide to assist with your sales and use tax needs.
- Refund Studies: Have you overpaid sales tax to your vendors or Departments of Revenue during the past 3 to 4 years? The goal of a refund study is to determine if overpayments exist and recoup taxes that have been paid in error.
- Exemption Certificate Reviews: Do you have exemption certificates on file for all past and current customers? What procedures do you have in place to ensure proper documentation is obtained from all future customers? We can review your sales tax exemption certificates and processes to verify that all required exemption certificates are on file, complete and up-to-date.
- Manuals and Training: Who is making taxability decisions for your organization and what would happen if they left the company? We can help you develop a guide and documentation for the taxability of purchases or sales, tailored to your company’s specific industry, needs and requirements.
- Audit Representation: Are you currently under an audit? We can provide assistance from the pre-audit conference through the appeals process to help minimize sales and use tax assessments.
- Nexus Reviews: Are you filing sales tax returns in all states where sales representatives live or travel on a regular basis? Do you know what your potential sales tax exposure might be if a state required the business to charge, collect and remit sales tax for the past ten years? Failure to collect and remit sales/use tax can cost companies thousands to millions of dollars upon discovery by state and local taxing authorities. Due to increasing technology and improved communication between the various departments within a state, across different states and the IRS, states have become much more adept at identifying non-filers. A nexus review will assist your company in understanding where it has sales and use tax registration and collection requirements based on current and planned activities. It will also quantify past tax liabilities, which will help you make an informed business decision regarding tax compliance.
- Voluntary Disclosure Agreements: Are you aware of historic tax exposure and wish there was a way to “come clean” and pay the tax while minimizing penalty and interest? Many states offer voluntary disclosure agreement programs which will minimize or eliminate past tax obligations and potential penalties. As your representative JPM will anonymously contact states on your behalf and negotiate to obtain the most favorable possible agreement terms.
In 2005 Ohio implemented its most significant tax reform in over 40 years. As part of the tax reform, Ohio introduced the low-rate, broad-based Commercial Activity Tax (CAT) on business gross receipts. We have followed the CAT from the time it was introduced into the Ohio legislature, up through its current implementation. We have a thorough understanding of the law and the Department of Taxation’s guidance, policy and audit techniques.
Whether you are an Ohio based company, or an out of state business, we can help you understand the CAT and assist with reducing your liability with a variety of services, including:
- Refund reviews
- Filing and registration requirements
- Taxable and excluded entities
- Filing options and elections
- Nexus standards
- Taxable and excluded gross receipts
- Sourcing (Ohio vs. non-Ohio gross receipts)
- Other tax reduction strategies (e.g. deductions, credits, etc.)
There are over 500 municipalities in Ohio that impose an income tax on most business entities and/or business owners. Businesses that operate in multiple cities and states face an increasingly difficult burden to comply with complex and constantly changing laws and regulations.
We can assist your business in complying with these tax laws and regulations, while minimizing your overall tax liability through the following services:
- Refund Review: Are you confident you have not overpaid your taxes in the past 3 to 4 years? We can review previously-filed state and local tax returns to identify refund opportunities.
- Review of Business Structure: Could a different business structure reduce your taxes? We can review your company’s current operational and organizational structure to ensure optimal performance and profitability.
- Filing Methodology Analysis: Many cities and states permit (or require) affiliated companies to file income tax returns on a unitary, combined, or consolidated basis. The rules regarding permissive and required filing methodologies can be complicated but we can assist your company in analyzing the optimal filing methodology.
- Review of Allocation and Apportionment Factors: This review involves determining whether apportionment factor strategies are available to reduce the amount of income or tax base subjected to tax. We can help reduce your tax base with efficient planning and our knowledge of the various state and municipal apportionment formulas.
- Audit Representation: Are you or your business being audited for income of franchise taxes? Many issues can trigger state tax audits. Early communication is a critical component to successful audit resolution. JPM can assist your company in gathering and responding to information requests, communicating with state auditors, providing analysis of audit schedules and work papers, negotiating assessment items and liability, and representing your company through administrative level appeals.
- Nexus Studies: Are you filing income or franchise tax returns in all cities and states that your employees live or visit on a regular basis? We can assist your company with determining the jurisdictions in which your company may have filing obligations and the liability associated with such obligations.
- Voluntary Disclosure Agreements: Are you aware of historic tax exposure and wish there was a way to “come clean” and pay the tax while minimizing penalty and interest? Many cities and states offer voluntary disclosure agreement programs which will minimize or eliminate past tax obligations and potential penalties. As your representative JPM will anonymously contact states on your behalf and negotiate to obtain the most favorable possible agreement terms.
There is significant competition among state and local communities to attract and retain businesses and jobs. This competition has created a significant increase in business tax credits and incentives. Many credits and incentives can only be obtained through negotiated offers, while other credits and incentives are statutorily available (negotiation is not required).
We can help your company identify, quantify and negotiate the most favorable credits and incentives package possible. We can also help you ensure that you are maximizing the benefit available from statutory credits and incentives.
In addition to reviewing state tax returns for tax credit opportunities that may still be available, we can help identify, negotiate and secure incentives related to:
- Screening current employees and new hires for employment tax credits
- Construction of a new facility
- Expansion of an existing facility
- Consolidation of facilities
- Capital expenditures associated with job creation and/or job retention
- Training employees
- Analyzing tax credit or incentive packages offered by competing state or local tax jurisdictions.
- Evaluating your company’s status in meeting a state’s recurring compliance requirements
Buried in the cost of fuel are various federal and state taxes. Our firm has a deep technical knowledge and understanding of these tax laws, including those that provide various exemptions and allowances which are often overlooked. JPM can help identify opportunities to recoup refunds of prior year tax payments and also minimize tax liabilities in the future.