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Maine businesses should plan to capitalize on the numerous advantages that the Dirigo Business Incentives Program has to offer. Effective January 1, 2025, qualifying businesses in all Maine jurisdictions will be eligible for a generous, refundable credit while simultaneously investing in their business. The Dirigo Business Incentives Program embodies a commitment to purposeful investment in human capital and infrastructure and the longevity of Maine’s economy and businesses. This program will supersede the familiar Pine Tree Development Zone Program and eliminate the Maine Capital Investment Credit.

What Maine businesses qualify for the Dirigo Business Incentives Program? 

A qualifying business is defined as a Maine-based, for-profit company operating in an eligible sector and possessing a letter of certification. The Maine Department of Economic and Community Development (DECD) is currently accepting applications and interested businesses may apply on the Maine.gov website. Your BerryDunn tax advisor may assist you with this filing. The letter of certification provided by the DECD is valid for five years and will outline the qualified business activities, locations, and business sectors for purposes of claiming the credit. Under the program, eligible sectors include:

  • Agriculture, forestry, and fishing
  • Manufacturing
  • Long-distance freight transportation
  • Software publishing, data processing, and computer design services
  • Engineering, architecture, and scientific research and development services

An important distinction exists between manufacturing, which is an eligible sector for purposes of the program, and construction, which is ineligible. Another significant distinction exists between long-distance trucking and local trucking, with long-distance trucking qualifying for certification and local trucking being ineligible for certification.

These distinctions in what comprises an eligible sector may become increasingly more complex with regard to businesses that engage in a combination of these activities. Please consult with your BerryDunn tax advisor to help navigate these complexities under the program.

Overview of the Dirigo Business Incentives Program credit

For qualifying Maine businesses, the credit allowed under the Dirigo Business Incentives Program is equal to the sum of:

  1. 10% of eligible capital investment property placed in service in all Maine counties besides Cumberland, Sagadahoc, and York counties;
  2. 5% of eligible capital investment property placed in service in Cumberland, Sagadahoc, and York counties
  3. $2,000 for each qualified employee engaged in a qualified employee training program provided by the business and completed during the tax year

Please refer to Maine Statutes Title 36, §5219-AAA or consult your BerryDunn tax advisor for additional information as to what constitutes eligible capital investment property, a qualified employee, and a qualified employee training program as defined under the program.

The credit under the program is refundable up to $500,000 per tax year. The unused portion of the credit may be carried forward up to four years and may be applied to tax years even after the expiration of a taxpayer’s letter of certification. There is, however, a $2,000,000 carryforward limit per year.

The credit already taken must be repaid and carryforwards of unused amounts disallowed if the eligible business property for which the credit was claimed is not used in the state for the entire five-year period following the date it was placed in service. The credit must also be disallowed if the company experiences a layoff within those five years, as defined under Maine Statutes Title 36, §5219-AAA.

Key takeaways

In summary, Maine’s Dirigo Business Incentives Programs will provide significant opportunities for qualifying Maine businesses. For additional guidance on whether you qualify and how this program could positively impact your Maine business, please reach out to your BerryDunn tax advisor.

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Maine's Dirigo Business Incentives Program: Are you eligible?

Read this if you administer a Medicaid agency, a CHIP program, or a Medicaid-participating managed care organization.

On September 26, 2024, the Centers for Medicare & Medicaid Services (CMS) released its State Health Official (SHO) # 24-005 letter, which addresses best practices for adhering to federal Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. EPSDT requirements are a cornerstone of the Medicaid program and ensure robust health coverage for children.

The goal of EPSDT is to ensure that eligible children get the healthcare they need, when they need it, in the most appropriate setting. EPSDT entitles eligible children under the age of 21 to Medicaid coverage of healthcare, diagnostic services, and treatment that are medically necessary to correct or ameliorate defects and physical and mental illnesses and conditions, whether or not such services are covered under the state’s Medicaid plan.

CMS interprets the “correct or ameliorate” requirement to mean that a service need not cure a condition to be covered under EPSDT as a medically necessary service. States will not be able to comply with EPSDT requirements unless their Medicaid policies and procedures, including medical necessity criteria, prior authorization requirements, and Medicaid fair hearings, reflect consideration of this EPSDT obligation, which creates a higher standard of coverage for eligible children than for adults.

In its State Health Official (SHO) # 24-005 letter, CMS discusses policies, strategies, and best practices to maximize healthcare access and utilization for EPSDT-eligible children. CMS summarizes federal requirements, followed by strategies and best practices to support the following three areas: 

1. Promoting EPSDT awareness and accessibility

CMS highlights a series of best practices in SHO #24-005, which include:

  • Use plain language in provider and family handbooks to describe the breadth of available services
  • Supplement beneficiary handbooks with web-based information, social media platforms, and electronic communication
  • Offer a beneficiary services contact line
  • Require managed care plans (MCPs) to provide proactive outreach and assistance to members
  • Establish Children’s Resource Centers to help families navigate programs that span multiple state agencies
  • Use a fixed risk-based payment under transportation broker models and require the broker to develop a beneficiary app to schedule trips
  • Use community-based care management entities (CME) to coordinate care for children who need moderate or intensive care coordination
  • Regularly review decisions for prior authorization requests, managed care appeals, and/or state fair hearing requests provided to EPSDT-eligible children, by managed care plan or service type, for clinical appropriateness
  • Create and require EPSDT-specific web-based provider training
  • Prioritize EPSDT-specific expertise
  • Extend EPSDT technical assistance to managed care plans (MCPs)
  • Use and enforce managed care contract language to require MCPs to use best practices
  • Convene MCPs around shared quality goals
  • Implement a non-clinical Performance Improvement Project (PIP) to ensure occurrence of well-child visits made by children enrolled in MCPs
  • Include children with disabilities or other complex medical needs in managed care quality strategies
  • Improve quality and utilization for children through optional focus studies in annual External Quality Review (EQR) for each contracted MCP

2. Expanding and using the child-focused EPSDT workforce

CMS has outlined the goal of broadening qualifications for providers and using additional tools such as telehealth, consultation, and coordination, as well as new payment methodologies to help drive adequate numbers of providers for these services. Best practices noted by CMS include:

  • Develop non-licensed practitioner types (such as peer support). CMS has noted that practitioner types that do not require licensure to deliver care have been added by some states where allowable.
  • Broaden the role of existing providers. To help reduce referrals to pediatric specialists and make the age range of potential patients broader, some states have offered optional provider training and rate increases.
  • Incorporate oral health into children’s primary care visits. At least one state has developed a model to link primary care visits with oral health.
  • Support and incentivize general practitioners, particularly in order to help them serve younger children via training, support, and enhanced payments to increase their ability to serve younger children.
  • Allow providers to deliver services via telehealth, particularly as it alleviates provider shortages through enrollment of additional providers, and/or enables enrollment of additional provider types in short supply.
  • Enroll out-of-state providers. One state has adopted a “Border Status” policy to permit providers in a bordering state to potentially enroll in the state’s Medicaid program. Under this policy, these providers can deliver telehealth services.
  • Connect primary care providers and child behavioral health providers. Using a Pediatric Mental Health Care Access Program (PMHCA) can help mitigate the need for referrals to pediatric subspecialists.
  • Adopt the Collaborative Care Model (CoCM). This evidence-based approach allows for easier interprofessional consultation to help integrate and improve both behavioral and physical health.
  • Attract providers to the Medicaid program using differential rates. To attract providers in regions where care may be sparse, states can set different FFS provider rates based on geography.

3. Improving Care for Children with Specialized Needs

CMS outlines the following best practices for enhancing care for children with behavioral health needs, children in foster care, and children with disabilities or complex health conditions:

i. Improving Care for Children with Behavioral Health Needs

  • Provide comprehensive EPSDT services, including screenings, assessments, crisis care, and home-based services per Bright Futures guidelines.
  • Remove diagnosis requirements, allow same-day behavioral/primary care billing, and implement unified entry systems for integrated care.
  • Focus on integrated care settings and avoid unnecessary residential placements.
  • Expand provider networks, leverage federal matching, and ensure Medicaid/CHIP parity, including addiction and tobacco cessation services.
  • Incentivize behavioral health screenings during well-child visits with quality payments and add-ons.
  • Deliver 24/7 crisis intervention and coordinated, trauma-informed care through Certified Community Behavioral Health Centers (CCBHCs).

ii. Improving Care for Children in or Formerly in Foster Care

  • Automatically enroll eligible children (Title IV-E foster care, kinship guardianship/adoption assistance, and former foster youth under 26) in Medicaid, ensuring coverage across state lines.
  • Conduct initial health assessments within days of placement in foster care, followed by well-child visits.
  • Partner with child welfare agencies to create care plans and implement foster care-specific MCPs with tailored benefits and rates.
  • Provide “wraparound” services (such as caregiver support), higher primary care reimbursements, and trauma-informed care managers.
  • Support foster parents through outreach, education, and navigation assistance.
  • Assist youth transitioning out of foster care or into permanent placements.
  • Require MCPs to assign a liaison and trauma-informed care manager to children in foster care.
  • Use statewide MCPs to align Medicaid and child welfare, ensure network adequacy, and monitor foster care-specific performance metrics.

iii. Improving Care for Children with Disabilities or Other Complex Health Needs

  • Provide EPSDT services, including care from pediatric specialists, therapies, and case management.
  • Ensure access to pediatric specialists and out-of-network providers when needed and establish interstate agreements for streamlined coverage.
  • Facilitate care through transportation assistance, timely provider enrollment, and streamlined out-of-state processes.
  • Implement specialized MCPs with enhanced care coordination and include children with disabilities in managed care quality strategies.
  • Establish single-point care coordination to integrate services and support families.
  • Develop person-centered service plans (PCSPs) under Home and Community-based Services (HCBS) programs to deliver supports like respite care, home modifications, and parental training.
  • Provide family navigation support through hotlines, advisory teams, and care coordinators.

EPSDT resources

If you have questions about EPSDT for Medicaid or need guidance in complying with these requirements, please contact us.

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What you need to know about EPSDT requirements

The Centers for Medicare & Medicaid Services (CMS) issued the final rule for the PPS for SNFs for FY 2025, which was published in the Federal Register on August 6, 2024. The regulations in this rule are effective October 1, 2024.

The rule:

  • Updates the PPS payment rates for SNFs for FY 2025 using the market basket update and budget neutrality factors effective October 1, 2024.
  • Updates the International Classification of Diseases, 10th Revision, Clinical Modification (ICF-10) mappings used under PDPM.
  • Changes the Nursing Home Enforcement Policies for civil monetary penalties (CMPs).
  • Updates the Skilled Nursing Facility Quality Reporting Program (SNF QRP); and
  • Updates the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program.

2025 PPS Rate Calculations

The final rule provides a productivity-adjusted market basket increase for SNFs of 4.2 percent beginning October 1, 2024, which reflects:

  • A market basket increase of 3 percent based on IHS Global Inc.’s (IGI’s) second quarter 2024 forecast with historical data through the first quarter of 2024.
  • Plus, 1.7 percent associated with a forecast error adjustment.
  • Less a reduction of 0.5 percentage points in accordance with the multifactor productivity adjustment.

CMS estimates that the aggregate impact of the payment policies in this final rule would result in a net increase of 4.2 percent, or approximately $1.4 billion, in Medicare Part A payments to SNFs in FY 2025. This estimate does not reflect a $187.69 million decrease as a result of the SNF VBP program reductions.

In addition to the SNF PPS rate update, CMS is rebasing and revising the SNF market basket to reflect a 2022 base year for FY 2025 and adopted the revised Core-Based Statistical Area (CBSA) delineations published by the Office of Management and Budget (OMB) in OMB Bulletin No. 23-01 (whitehouse.gov) to enhance the accuracy of wages and wage-related costs for the area in which the facility is located. The changes to the CBSA areas include changes to some counties from urban to rural, rural to urban, counties that will change to a different CBSA, and changes to some CBSA names and/or numbers.

The projected overall impact to providers in urban and rural areas is an average increase of 4.1 percent and 5.1 percent, respectively, with a low of 1.5 percent for urban outlying providers and a high of 7.4 percent for rural Middle Atlantic providers―actual impact will vary.

Changes in PDPM ICD-10 Code Mappings

CMS has made changes to the PDPM ICD-10 code mappings to help providers select more accurate and appropriate primary diagnoses for skilled intervention during a Part A SNF stay. These updated code mappings and lists can be found on the PDPM website in draft form until the final rule is in effect October 1, 2024.

Nursing Home Enforcement

Under the current regulations, depending on the health and safety deficiencies identified, penalties can be imposed per day or per instance for non-compliance, per-day penalties applied until the noncompliance is corrected and per-instance CMPs for isolated instances. Current enforcement did not allow the use of both types of CMPs during the same survey or for multiple CMPs to be imposed for multiple instances within the same deficiency that occurred on different days during a survey.

The new regulation revises the limitations to enable more types of CMPs to be imposed during a survey once a CMP remedy is selected, allowing the penalties to better align with the noncompliance identified and for more consistency of CMP amount across the nation. The revisions will permit multiple per-instance CMPs to be imposed for the same type of non-compliance, allow for both per-day and per-instance penalties to be imposed for noncompliance findings in the same survey, and ensure that the amount of a CMP does not depend solely on the date that the most recent standard survey is conducted or the date that the surveyors identified a finding of noncompliance.

SNF QRP Update

The following updates are being implemented by CMS beginning with the FY 2027 SNF QRP:

  • Collection of four new items as Standardized Patient Assessment Data Elements under the social determinants of health (SDOH) category. These items include Living Situation (1 item), Food (2 items), and Utilities (1 item).
  • Modification of the transportation item under the SDOH category.
  • Implementation of a policy requiring participation in a validation process for assessment-based measures, similar to the SNF VBP process. On an annual basis, up to 1,500 SNFs will be randomly chosen to submit a limited set of medical records for data validation. If the SNF does not provide the requested records within 45 days, the SNF’s annual market basket percentage update will be reduced by 2 percentage points.
  • Applying the Medicare Administrative Contractor’s (MAC’s) existing validation process for the SNF QRP claims-based measures.

SNF VBP Program Update

Updates to the SNF VBP program include the following:

  • Adoption of a measure selection, retention and removal policy beginning with the FY 2026 program year.
  • Adoption of a policy for incorporating technical measure updates into measure specifications and for subsequent updates to the SNF VBP performance standards beginning with the FY 2025 program year.
  • Adoption of a measure minimum, for a SNF to receive a SNF performance score and VBP incentive payment for the FY 2028 program year, and subsequent years, SNFs must report the minimum number of cases for four of the eight measures during the applicable performance period.
  • Updates to the SNF VBP review and correction process and the extraordinary circumstances exception policy.

As in prior years, our experts at BerryDunn have created an interactive rate calculator to assist you with the calculation of your PPS rates for FY 2025. The calculator is now part of the BerryDunn Senior Living Benchmarking Portal. The Senior Living Benchmarking Portal, along with the calculator, includes a carefully curated, comprehensive set of financial benchmarking reports, available in a self-service portal. Evaluating comparative financial performance and benchmarking is an important factor in helping facilities assess opportunities and move forward as innovators of the future. The Senior Living Benchmarking Portal can be accessed here.

If you have any specific questions about the Final Rule or how it might impact your facility, please contact Ashley Tkowski or Melissa Baez.

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Fiscal Year (FY) 2025 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule

On November 6, 2024, members of the BerryDunn financial services team joined bankers and board members throughout the state of Maine at the annual Maine Bankers Association FDIC Directors’ College in Augusta, Maine. Here are our key takeaways from the event:

  • Commercial real estate vacancies continue to increase, with the biggest concerns remaining in the office sector. And economists don’t believe vacancy rates are at their highest levels yet. These changes in vacancy rates have also had significant impacts on the values of such properties, possibly requiring the need for updated appraisals. If updated appraisals are received, institutions should review the inputs and assumptions used in these appraisals closely to ensure they appear reasonable given the current environment. These vacancy rates could also cause a lot of uncertainty in credit loss model forecasting, as vacancy rates may point towards the need for higher reserves, while low delinquency rates (see below) may indicate otherwise.
  • Credit quality indicators remain strong. Even with the slight uptick in delinquencies seen recently, delinquency rates are still well below 1%. Although this is great news for the industry, the prolonged period in which these indicators have remained strong could mean that workout teams are not well equipped for a period of significant workout volumes. For instance, teams in place during the financial crisis may have retired or transitioned to a new role or employer. Thus, it is important for institutions to proactively ensure that workout teams have the tools and knowledge to effectively work through problem credits should there be an uptick in the demand for workouts.
  • Third-party risk remains a focus for regulators. Although third parties can be seen as an opportunity for institutions, allowing institutions to diversify their services and products and possibly expand into new areas, such as banking as a service, substantial due diligence should be performed on these third parties prior to entering into any arrangements. Institutions should avoid “building the ship while it is sailing.” Many of these third parties are not privy to the regulations federally insured institutions must follow. Therefore, when a third-party arrangement is entered into by an institution, monitoring for regulatory compliance may need to expand beyond the institution’s policies, procedures, and control environment.
  • Risk assessments are critically important. The FDIC had an entire session on risk assessments at the Directors’ College. Risk assessments should be an iterative process, not a “once and done” exercise, with reporting to the Board continuously occurring. If your institution plans to get into a new product or service, a risk assessment should be performed, or existing risk assessments should be revisited. Risk assessments also play a critical role in maintaining regulatory compliance, with changes in the regulatory landscape having impacts on risk assessments.
  • Contingency funding plans continue to remain important. It is also important to establish a monitoring framework, conduct stress testing, and periodically test your contingency funding plans:
    • A monitoring framework should consider early warning indicators, which could be systemic, such as negative trends in economic or industry conditions, or bank-specific, such as an increase in delinquencies. The nature of these early warning indicators could have implications on the types of liquidity available to the institution.
    • Stress testing considerations:
      • Don’t assume that all contingent liquidity sources are created equally – access to FHLB borrowings is likely a faster liquidity source than sales of loans. It is important to diversify your liquidity sources, considering the amounts available and how quickly you can access these sources. Also, as noted above, the type of stress could also impact the liquidity sources available to your institution.
      • Consider the time buckets you are using in your stress testing – a 30-day bucket may not show deficiencies in liquidity, while a daily bucket may show deficiencies.
      • For directors, some questions to consider when evaluating stress testing:
        • Are scenarios stressful enough?
        • Are scenarios appropriate for my bank?
        • Are assumptions reasonable and supportable?
        • Are mitigating actions obvious, explained, and defendable?
        • Am I comfortable with the results?
    • Periodic testing considerations:
      • Ensure your institution’s roles and responsibilities are up-to-date and appropriate.
      • Ensure legal and operational documents are current and appropriate.
      • If the movement of collateral is part of your plan, ensure it is well tested, meaning it can be moved quickly and will be accepted as collateral.
      • Ensure contingent liquidity lines are available and accessible.

As always, if you have any questions on the above, or want to chat further, please don’t hesitate to reach out to your BerryDunn financial services team! We’re here to help.

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2024 Maine Bankers Association FDIC Directors' College Key Takeaways

The election created a sense of anxiety and uncertainty among many people for a variety of reasons. One such concern was around how the election would affect business value. Elections often lead to changes in consumer behavior, new regulations, and changes in existing policies, directly affecting business operations and value. Furthermore, elections influence market conditions and the economy, impacting factors such as interest rates, tax policies, and government spending, which in turn affect the cost of capital and the overall business environment. With the election uncertainty now behind us, we can now start making more informed decisions. The increased certainty in the political landscape allows us to better assess geopolitical risks and their implications on business value.

In our ESOP sector, we continue to perform annual valuations to assist employee-owned companies with share repurchases upon employee retirement. We saw a pickup in that activity in the third quarter, as not all of our ESOP clients have a calendar year valuation date. We are actively preparing for our “ESOP season” as we approach the end of the calendar-year.

Meanwhile, other members of the valuation team have been focusing on assisting business owners with exit planning through their value acceleration service. Recently, Casey Karlsen from our valuation team presented about this topic at the Maine Tax Forum, highlighting its growing interest. The value acceleration exit planning framework is designed to help business owners identify and address value constraints and transferability limitations, but like turning a ship, it takes time. We recommend that business owners understand their strengths, limitations, and value at least five years before planning to exit. This proactive approach allows for a smoother transition and maximizes the business’s value.

We track trends in several databases of private company transactions, among them GF Data, Capital IQ, DealStats, and BIZCOMPS. As presented below, we saw a slight downturn in multiples in the third quarter of 2024. We also saw the number of transactions decrease slightly in the third quarter compared to the first and second quarters of 2024.

Don’t get too fixated on the multiples in this chart as an indicator of value for your company. Look at the trends. Multiples vary dramatically from industry to industry and business to business. If you are interested in exploring value drivers for your company, read this recent article.  

The value of privately held companies often isn’t as volatile as share prices for public companies. However, activity in the stock market provides general guidance that is often much more timely than data available for private companies.

There are a few indexes we keep an eye on. The S&P 500 is generally considered the go-to benchmark for stock market performance, although it is dominated by a handful of large tech stocks. The Russell Midcap Index cuts out the largest 200 companies in the Russell 1000 Index, keeping 800 US companies with market capitalizations between $2 billion and $10 billion. The Dow Jones Industrial Average is comprised of 30 “blue chip” US stocks that may be similar to many private companies.

Stock prices have followed a generally upward trend throughout the first three quarters of 2024.

Many drivers of business value can be influenced or controlled by the decisions of the business’s management team, including product diversification, brand recognition, and employee retention. Other drivers are outside of management’s control, such as inflation and unemployment rates. As summarized below, key drivers of the US economy generally remained near similar levels in 3Q as in 2Q.1

1 Source: Federal Reserve Economic Data, available at https://fred.stlouisfed.org/.

2 Indicates the likely effect on business value for most businesses. Depending on the business model, certain businesses may demonstrate an inverse relationship to economic variables compared to the market as a whole.

As many of our clients are located in New England, we’ve included a summary below of some of the key economic drivers that affect businesses in the Northeast3. If your business is headquartered outside of New England, reach out to us for an economic analysis specific to your market area. 

Economic activity  

Economic activity was roughly flat overall. Employment was unchanged and wages rose moderately. Prices increased only slightly, although isolated cost pressures were still noted. Retail and tourism led in terms of activity—including moderate gains in international travel—but still showed only slight growth on balance as consumers’ price sensitivity persisted or even intensified. Manufacturing revenues were down slightly amid weak demand at most firms. Demand and revenues were steady among software and IT services firms. Home sales posted modest gains from a year earlier despite an especially soft summer. Commercial real estate activity was flat but varied across property types. Sentiment for late 2024 and 2025 was cautiously optimistic on average but ranged from bullish, among tourism contacts, to pessimistic, among some manufacturers.

Labor markets  

Employment was flat net of seasonal increases, and wages increased further at a moderate pace. Among IT services contacts, headcounts were stable, and wage increases ranged from slight to moderate. Summer hiring on Cape Cod in retail and hospitality was facilitated by a resurgence in short-term visas for foreign-born workers as well as increased supply of domestic seasonal workers. Hotel contacts around Boston also reported a normalization of labor supply, notwithstanding the ongoing hotel worker strike in the area. Manufacturing employment was stable overall, but one firm paused hiring and incentivized early retirement, while another increased headcount slightly. Manufacturers reported either no changes in wages or standard raises, but one firm continued to face above-average wage pressures, and another reported a large increase in healthcare costs. The outlook for hiring was subdued, as only one contact (a manufacturer) planned to expand its headcount significantly in the coming months; at the same time, no contacts intended to make layoffs.

Prices 

Prices increased slightly on balance. Most manufacturers held output prices steady over the quarter, in one case despite a significant rise in healthcare costs, but one offered discounts in response to declines in input prices. Otherwise, manufacturers’ nonlabor costs (excluding healthcare) increased modestly, and one firm was concerned about increased uncertainty in shipping costs. Among IT firms, output prices increased slightly to adjust for inflation. Retail prices were stable despite slight input cost pressures. Hotel room rates in the Greater Boston area rose modestly on a year-over-year basis, though marking a step down from the pace reported in the previous quarter. Hospitality contacts on Cape Cod said that average rates for accommodations were down slightly this past summer from the previous one. Across all sectors, planned output price increases for 2025 were modest, and contacts did not express major concerns about cost pressures aside from healthcare and shipping.

Retail and tourism 

First District4 retail and tourism contacts reported slight growth in revenues in recent months. Retailers on Cape Cod had a strong summer season, with activity that was roughly level with the summer of 2023. An online retailer had stable revenues overall but observed a growing gap in sales volumes between promotional periods and off-promotion periods, especially for higher-priced items. Airline passenger traffic through Boston increased moderately year-over-year, with international travel up more than 15% over 2019 levels. Hotel occupancy in greater Boston rose modestly in August from earlier in the summer, consistent with seasonal expectations and on par with August 2023. Contacts are forecasting strong tourism and convention activity for Boston for the rest of 2024 and early 2025, supported by both domestic and international visitors. Retailers expressed cautious optimism that demand would hold steady moving forward.

Manufacturing and related services 

Manufacturing revenues were down slightly from the previous quarter. Most firms described demand as weak, although a frozen food producer reported strong growth in year-to-date revenues compared with the same period in 2023. For one contact, third-quarter revenues beat expectations despite declining slightly from a year earlier, while a semiconductor manufacturer said that recent results fell short of expectations because of an ongoing industrywide slump. Inventories rose modestly at selected firms, approaching higher-than-desired levels. Capital expenditures were consistent with previous plans, with one firm spending much more than last year to add a new production facility. Most firms expected stable or improving demand for the rest of 2024, but the outlook for 2025 was mixed. Half of contacts were either cautiously or unreservedly optimistic, but the other half perceived a high degree of uncertainty and feared that sales would fall short of targets.

IT and software services 

Among First District IT services contacts, demand and revenues held steady on average. Concerning revenues, one firm beat expectations with a healthy increase from the previous quarter, and another saw a temporary dip that was attributed to the firm’s transition to a subscription-based model. Capital spending was flat at very low levels or declining in one case due to increased reliance on cloud-based servers. Contacts held neutral-to-positive expectations for activity at their respective businesses, based on beliefs that demand for their products and services was on the rise. Nonetheless, contacts saw risks to the overall business climate from uncertainty surrounding the presidential election, and one firm worried that inflation could surge again and hurt its profit margins.

Commercial real estate 

Commercial real estate activity was stable on average, but office leasing fell short of seasonal expectations. In the Boston area, legal and financial tenants continued to provide decent office demand, but weak demand from high-tech firms persisted. The life sciences industry buoyed leasing activity in Providence, but not enough to drive meaningful changes in vacancy rates or rents. Contacts reported no recent office foreclosures, though many properties remained distressed. Industrial leasing was stable but on the slower side, especially for larger spaces, although industrial sales picked up moderately. Retail leasing was stable, and retail rents showed slight increases. Lending conditions remained tight relative to historical norms, especially for office properties, while funding was comparatively more available for industrial and multifamily properties. The outlook for the sector was mixed, with some contacts expecting no major changes in conditions and others expecting a significant increase in activity in 2025 as election-related uncertainty was resolved and interest rates fell further.

First District contacts described commercial real estate activity as flat overall. Office leasing slowed somewhat, as is typical for summer, but fell to an extremely low level in Hartford, CT. Office rents were flat, and office vacancy rates increased slightly. After having softened earlier in the year, industrial leasing was stable. Industrial vacancy rates remained extremely low, and industrial rents have reportedly stabilized at levels well above 2019 averages. The retail sector experienced steady demand, but tenants showed greater caution amid worries about consumer spending. Investment sales were flat, even though demand for non-office properties remained healthy. In general, bank lending to commercial real estate remained weak, but the CMBS market and life insurance companies continued to provide funding. However, one small regional bank expanded its (non-office) CRE portfolio modestly. Construction was flat or down slightly and still concentrated in the multifamily sector. For non-office properties, contacts expected stable, if restrained, activity going forward, reflecting elevated political and economic uncertainty. The outlook for office properties weakened further, as contacts expected a significant increase in foreclosures in the coming 12 months.

Residential real estate 

First District residential home sales in August 2024 were up modestly from a year earlier but were down slightly from June net of seasonal factors. Single-family home sales increased moderately on a year-over-year basis (to August 2024) in most states but fell slightly in Massachusetts. (No data were available for Connecticut.) Contacts in Massachusetts said that summer home sales were muted, even relative to seasonal norms, as prospective buyers waited for mortgage rates to fall further; the same contacts noted that home prices softened for two consecutive months but still increased moderately from a year earlier. Home prices were also up moderately from August 2023 in the other First District states, on average, but the price changes were somewhat mixed across markets. For-sale inventories rose substantially on a year-over-year basis (to August) in every market except Massachusetts, where inventories were flat from one year earlier. Contacts were guardedly optimistic that home sales would improve further in late 2024 and into 2025, based on the likelihood that mortgage rates would fall further during that period.

3 Quoted from the Beige Book – October 2024 from the Board of Governors of the Federal Reserve System.

4 The Federal Reserve System’s First District includes Connecticut (excluding Fairfield County), Massachusetts, Maine, New Hampshire, Rhode Island, and Vermont.

Where to find us

Casey Karlsen and Seth Webber are leading a four-part workshop series for business owners about increasing business value and liquidity. We previously summarized this content in a couple of blog posts (Session 1 and Session 2). Take a look if you missed us! The next session is February 11. Register to join us here. Each session is designed to stand alone, so don’t worry if you missed the first two sessions.

Erik Olson, Seth Webber, and Casey Karlsen will be hosting a transaction advisory overview session on January 15.

Interested in meeting the team? Please reach out to us. We would love to connect. 

Article
State of the industry: BerryDunn's 3Q 2024 business valuation quarterly report

From workforce shortages to rising costs to regulatory changes, today’s healthcare organizations face greater challenges than ever. By properly managing the revenue cycle, healthcare providers can reduce operational costs, improve patient satisfaction, and ultimately reinvest in better care and services.

The revenue cycle is an intricate system involving interdependent functions. Like an ecosystem, each component plays an important role. To optimize your revenue cycle, it helps to understand these four components of the ecosystem and the roles they play.

The role of patient access in the revenue cycle

Patient access is the first point of contact a patient has with your organization. It’s one of the most critical interactions your team will have, setting the tone for the patient’s experience and ensuring that information is collected accurately. Key aspects of the patient access component include:

  • Scheduling appointments, registration, and gathering essential patient information
  • Verifying insurance coverage and benefits, a vital step in preventing claim denials and ensuring provider reimbursement
  • Financial counseling, helping patients understand their financial obligations and reducing the likelihood of unpaid bills
  • Accurate data collection, eliminating errors that can lead to claim denials, delays, and additional administrative work

The role of coding and compliance in the revenue cycle

The process of translating medical diagnoses, procedures, and services into standardized codes is a fundamental part of revenue cycle management and an essential means of ensuring compliance with various federal, state, and payer-specific regulations. Proper coding and compliance play a vital role in:

  • Accurate billing and reimbursement, ensuring that healthcare providers are paid correctly for their services and reducing billing errors and claim denials
  • Adherence to legal requirements, ensuring that medical records are correctly documented and billed, reducing the risk of fraud and legal issues
  • Data analysis and research, providing a standardized way to record patient information, track health trends, and evaluate treatment outcomes

The role of billing in the revenue cycle

The billing component of the healthcare revenue cycle plays a critical role in optimizing your organization’s financial performance. Proper billing management can reduce administrative costs and improve patient satisfaction by ensuring transparency and accuracy in financial transactions. Important aspects of the billing process include:

  • Creating and submitting accurate and properly coded claims for reimbursement to insurance companies
  • Tracking and processing payments from insurers and patients, including posting payments to patient accounts and managing discrepancies
  • Billing patients, generating bills for out-of-pocket expenses, and ensuring that patients are aware of their financial responsibilities
  • Following up on accounts receivables and promoting timely collection of outstanding amounts

The role of denial management in the revenue cycle

Despite your best efforts to ensure accuracy at every point in the revenue cycle, claims can be denied for a variety of reasons. Effective denial management includes a proactive process for reviewing denied claims, understanding the reasons for the denial, making necessary corrections, resubmitting claims, and appealing if necessary. The denial management process plays a role in:

  • Maintaining your organization’s financial health by reducing revenue loss and delays in reimbursement
  • Identifying and addressing the underlying coding, coverage, billing, or other issues related to each claim denial in order to reduce future denials
  • Improving coding accuracy through ongoing staff training and education, real-time reviews, and automated coding tools

BerryDunn’s revenue cycle consultants engage with your healthcare organization to objectively review existing processes and develop actionable strategies for short- and long-term performance improvement. With experts along the entire continuum of care, our approach focuses on cash acceleration, revenue integrity, and helping to ensure that every dollar owed is collected. Based on best practices, we help bolster performance and improve the efficiency and effectiveness of your revenue cycle. Learn more about our services and meet our team.  

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Exploring the healthcare revenue cycle ecosystem

As energy costs continue to rise, rural businesses and agricultural producers face increasing pressure to find cost-effective, sustainable solutions. The Rural Energy for America Program (REAP) Grant offers a unique opportunity to help businesses reduce energy expenses by investing in renewable energy systems or improving energy efficiency. Administered by the US Department of Agriculture (USDA), the REAP Grant provides financial support that can significantly ease the burden of upgrading or modernizing energy systems.

In this guide, we’ll explore the key benefits of the REAP Grant, explain who should consider applying, and highlight the important tax implications to help you make informed decisions about whether this program is right for your business.

What is the REAP Grant?

The REAP Grant, provided by the US Department of Agriculture (USDA), provides financial support that can significantly ease the burden of upgrading or modernizing energy systems through renewable energy projects such as solar, wind, geothermal, and biomass, as well as energy efficiency improvements such as HVAC upgrades, insulation, and lighting.

  • Grant amount: Covers up to 25% of eligible project costs, with a cap of $500,000 for renewable energy projects and $250,000 for energy efficiency projects.
  • Loan guarantees: USDA loan guarantees cover up to 75% of the project cost, making larger projects more accessible.

Who should consider a REAP Grant?

The REAP Grant is ideal for:

  • Agricultural producers who generate at least 50% of their income from farming or related activities and want to reduce energy costs, such as those related to irrigation, heating, or grain drying.
  • Rural small businesses located in areas with populations under 50,000. These businesses can benefit from cutting utility costs through energy efficiency upgrades or renewable energy systems.

If your business plans to invest in renewable energy or update inefficient equipment, the REAP Grant could be a valuable resource.

How can a REAP Grant benefit your business?

A REAP Grant has many benefits for your business, including: 

  • Reducing energy costs: Improve energy efficiency or install renewable systems to lower utility bills and enhance profitability.
  • Increasing energy independence: Renewable energy systems reduce reliance on fluctuating energy prices, offering long-term savings.
  • Enhancing market appeal: Sustainable practices attract eco-conscious customers and improve your brand image.
  • Accessing financing for larger projects: Loan guarantees make financing for significant energy projects easier to obtain.

What are the requirements for a REAP Grant?

To apply, you must be an agricultural producer or rural small business, and your project must involve renewable energy systems or energy efficiency improvements. The application requires:

  • A detailed project proposal
  • Financial projections showing cost savings
  • An energy audit or assessment for energy efficiency projects
  • Environmental compliance documentation

Grants cover up to 25% of project costs, but you must provide the remaining 75% through self-funding or other financing.

When are the application deadlines?

  • Small projects (under $80,000): Deadlines are typically October 31 and March 31.
  • Larger projects: The deadline is March 31.

Loan guarantees are available year-round, but early submission is recommended due to limited funding.

What are the tax implications of receiving a REAP Grant?

Receiving a REAP Grant has tax consequences:

  1. Taxable income: The grant is considered taxable income and must be reported on your federal tax return.
  2. Interaction with tax credits: If your project qualifies for the Investment Tax Credit (ITC), the portion funded by the REAP Grant must be subtracted from the ITC-eligible project costs. For example:
    Solar project cost $400,000
    REAP Grant received $100,000
    ITC-eligible amount $300,000

  3. Depreciation: You can depreciate the project under the Modified Accelerated Cost Recovery System (MACRS), but the depreciable basis is reduced by the grant amount.

What tax incentives are available? 

In addition to the REAP Grant, you can take advantage of tax incentives such as:

  • Investment Tax Credit (ITC): Up to 30% of eligible renewable energy costs.
  • MACRS depreciation: Accelerated depreciation of energy assets over five years.
  • State-level incentives: Many states offer additional tax benefits, such as sales tax exemptions or property tax relief for renewable energy projects.

Why should I work with a tax professional?

Due to the complexity of integrating the REAP Grant with federal and state tax incentives, consulting a tax professional is highly recommended. BerryDunn has specialized tax professionals in place to help determine if the REAP Grant is right for your business. They can help you maximize your benefits while ensuring compliance with tax regulations.

The REAP Grant provides a significant opportunity for rural businesses and farms to reduce energy costs, increase sustainability, and secure financing for larger projects. Although the grant is taxable, combining it with federal tax incentives like the ITC and MACRS can greatly reduce the cost of energy upgrades. With careful planning and expert guidance, the REAP Grant can be a smart investment in your business's future.

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REAP Grant: Key benefits and tax implications for businesses

Read this if you are responsible for your bank’s fraud risk management.

Fraud in the banking industry is a persistent and evolving threat that has significant implications for financial institutions and their customers. As technology advances, so do the methods employed by fraudsters, making it crucial for banks to stay vigilant and proactive in their fraud prevention efforts. This article explores the current trends in banking fraud, highlighting traditional schemes, emerging threats, and effective preventive measures.

Introduction to banking fraud

Banking fraud is the illegal act of deceiving a financial institution or its customers for financial gain. This type of fraud has been a significant problem for centuries, impacting the banking sector in various ways. The consequences of banking fraud can be severe, including financial losses, damaged reputations, and legal repercussions. Moreover, it can erode trust in the banking system and affect the overall economy.

Traditional banking fraud schemes

One of the oldest and most common forms of banking fraud is check fraud. Despite the decline in the use of checks, they remain a prevalent payment method, making them a target for fraudsters. Check fraud can take several forms, including forgery, alteration, and counterfeiting. For instance, check washing involves stealing a check, erasing the original details, and altering the payee name and amount before cashing it. Another method is creating counterfeit checks using real account numbers but depositing them under fake identities.

The statistics are alarming. In 2022, there were 680,000 reports of check fraud, nearly double the number reported in 2021. The surge in mail-theft-related check fraud has also been significant, with a 161% increase in mail theft complaints from March 2020 to February 2021. Criminals have even resorted to armed robberies of postal carriers to obtain master keys that open mailboxes, providing easy access to checks.

Emerging banking fraud trends for 2025

As technology evolves, so do the methods employed by fraudsters. Identity theft and synthetic identity fraud are two emerging trends that pose significant threats to the banking industry. Identity theft involves stealing someone's personal information to obtain credit or other financial benefits, while synthetic identity fraud involves creating a fictitious identity using a combination of real and fake information. Both types of fraud can have serious consequences for victims, including financial losses and damage to their credit scores.

Phishing and social engineering attacks are also on the rise. Phishing attacks use email, messaging, or other means to trick individuals into divulging sensitive information, such as passwords or credit card numbers. Spear phishing attacks are more targeted, using personal information to make the attack seem more legitimate. Social engineering attacks manipulate individuals psychologically to obtain sensitive information.

The rise of artificial intelligence (AI) has introduced new dimensions to banking fraud. Fraudsters use AI-driven techniques, such as deep learning and natural language processing, to perpetrate fraud, including phishing and account takeover attacks. For example, deepfakes, a form of AI-generated media, can impersonate individuals and trick employees into transferring funds. In January 2024, a Hong Kong-based firm lost $25 million to fraudsters who used deepfake technology to impersonate the firm's chief financial officer on a video call.

Banking fraud: Preventive measures and detection techniques

Preventing and detecting banking fraud requires a multi-faceted approach. Traditional methods, such as signature verification and positive pay, remain effective in combating check fraud. Positive pay involves companies informing their bank about issued checks ahead of time, allowing the bank to verify the checks before processing them. Fraud detection software, which uses algorithms to analyze check data and identify potential instances of fraud, is also a valuable tool.

For emerging fraud trends, constant training and testing are essential. Periodic self-study trainings and fake phishing emails can help keep fraud red flags front of mind for employees. Acknowledging and celebrating individuals who follow bank policies and prevent fraudulent activity can also reinforce good practices.

AI-powered analytics tools can analyze large amounts of data and identify patterns and anomalies that may indicate fraudulent activity. Some banks are already using AI to automate fraud detection processes and send investigations to the appropriate teams. For instance, JPMorgan uses large language models to detect signs of fraud in email compromises, while Mastercard's Decision Intelligence tool scans a trillion data points to predict if a transaction is genuine.

Banking fraud is a complex and evolving challenge that requires continuous vigilance and adaptation. By understanding traditional fraud schemes and emerging trends, financial institutions can implement effective preventive measures and detection techniques to protect themselves and their customers. As fraudsters become more sophisticated, the banking industry must leverage technology, such as AI, to stay one step ahead and ensure the security and integrity of the financial system. As always, please don’t hesitate to reach out to the BerryDunn financial services team should you have any questions.

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Fraud trends in banking: What to look out for

Communities are constantly adapting to the demographic shifts, economic fluctuations, social trends, and other factors that influence how they evolve, grow, and prosper over time. Fortunately, there is a powerful tool to harness that change and shape your community’s future: your economic development strategic plan.

The seven key success factors outlined below address the essential elements of an economic development strategy––a roadmap for the actions your community will take to encourage economic growth, create jobs, and improve the quality of life.

1. Understand the current economic landscape

The first step in planning for your community’s future economic growth is to undertake a comprehensive assessment of the current economic landscape. What are the local economic conditions, demographics, and industry trends impacting your community today? Use a data-driven approach to highlight what is working, what needs attention, and what is possible. Tell the story of your community in a way that fosters a shared narrative and invites community engagement.

2. Build effective stakeholder partnerships

For your strategy to be effective, it’s essential to nurture meaningful collaboration and partnerships with stakeholders in your community. Actively engage with local business owners, government agencies, educational institutions, community organizations, residents, and others with an interest in how your community grows and develops. Integrate these diverse interests into your plan to ensure greater buy-in and support for your economic development strategy.

3. Develop a shared economic vision

The purpose of your plan is to help your community achieve its goals for a prosperous economic future. By laying out a clear vision that is backed by well-defined strategic goals and actions, your plan will bring the community together and direct investments toward meaningful economic growth. It’s essential to develop your economic vision using a methodical approach that links the vision to key focus areas to ensure that all efforts align with your community’s aspirations.

4. Create an effective implementation plan

Your implementation plan is an essential tool for delegating responsibilities, tracking progress, and supporting the long-term sustainability of your community’s economic development efforts. An effective plan will include actionable steps and clear timelines that transform goals into manageable tasks. Detail the resources, partners, timelines, and actions necessary to execute your plan and establish measurable performance metrics and benchmarks to gauge its success.

5. Build resilience through scenario analysis

Scenario analysis is a forward-looking “what if” approach that helps communities evaluate the potential impact of future events and develop plans that can withstand uncertainty. Anticipating and preparing for future economic changes enhances your community's ability to adapt and remain resilient in the face of challenges. Recognize that your economic development strategic plan is not just a set of static objectives but a living framework that evolves with changing circumstances.

6. Establish key performance indicators (KPIs)

Establishing well-defined KPIs is essential for monitoring and measuring progress toward economic goals and enabling your community to make informed decisions about ongoing initiatives. Select relevant and impactful KPIs and regularly monitor them to enable timely assessment of progress and effectiveness. This data-driven approach facilitates transparency and accountability, ensuring that initiatives remain aligned with your community's economic objectives.

7. Be willing to pivot

Having a process for continually evaluating and adapting your strategies based on feedback ensures that the economic development plan remains effective. Design your plan to facilitate adaptability, enabling organizations and participants to respond effectively to changing circumstances. By being proactive, communities can transform a static plan into a dynamic playbook that provides direction to all stakeholders when conditions change, and their roles and responsibilities need to evolve.

BerryDunn’s economic development team can help you analyze, strategize, and plan for both the known and the unknown to create a thriving community in any economy. From strategic planning to market analyses to community outreach and engagement, we have firsthand experience in local government and understand what you need and how to best achieve your goals. Learn more about our services and meet our team.

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Economic development strategic planning: Seven keys to success