Services
Cleveland Ivy LLC is a full-service Certified Public Accounting firm licensed in the state of Florida, serving individuals and small to medium-sized businesses with integrity, professionalism, and personalized attention.
Founded in 2014, Cleveland Ivy LLC was created to provide tax, accounting, and advisory services to clients throughout Florida, with a strong presence in Palm Beach County. Based in West Palm Beach, the firm is dedicated to delivering customized accounting, consulting, tax compliance, and tax planning solutions designed to help clients achieve financial success and peace of mind.
At Cleveland Ivy LLC, we believe that individuals and businesses are best served through direct, one-on-one relationships. The success of our firm is directly tied to the success of our clients — which is why we are committed to providing high-quality, timely, and cost-effective service grounded in trust, accuracy, and dedication.
Healthcare Financial Management & Advisory Services
At Cleveland Ivy LLC, we understand the financial and operational challenges healthcare organizations face — especially in clinics and rural hospitals where efficiency and sustainability are critical.
As a medium-sized CPA and advisory firm, we deliver personalized, results-driven financial solutions that strengthen your bottom line while supporting high-quality patient care.
💡 Why Healthcare Organizations Choose Cleveland Ivy LLC
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Proven experience with clinics and rural hospitals
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Expertise in cost containment and financial efficiency
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Utilization management integrated with strategic budgeting
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Practical, actionable solutions supported by robust internal controls
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Commitment to transparency, accountability, and community impact
🏥 Who We Serve
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Rural and community hospitals
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Physician practices and outpatient clinics
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Behavioral health centers and rehabilitation facilities
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Home health agencies and long-term care providers
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Federally qualified health centers (FQHCs) and nonprofit health organizations
💼 Our Specialized Healthcare Services
1. Accounting & Financial Reporting
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Monthly accounting and financial statements
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Grant and fund accounting for community programs
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Budget preparation and variance analysis
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GAAP and healthcare-specific reporting compliance
2. Cost Control & Utilization Management
We help healthcare organizations optimize cost efficiency without compromising patient outcomes.
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Service line and department cost analysis
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Expense reduction and resource utilization reviews
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Benchmarking and performance measurement
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Budgetary control and spending oversight
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Supply chain and procurement optimization
3. Internal Controls & Risk Management
Strong internal controls are vital for protecting assets and ensuring compliance.
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Internal control system design and implementation
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Segregation of duties and fraud prevention
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Revenue and expenditure monitoring
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Audit preparation and compliance testing
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Policy and procedure documentation
4. Revenue Cycle Management (RCM)
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Billing and collections process improvement
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Denial management and appeals
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Accounts receivable reconciliation
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Cashflow analysis and forecasting
5. Advisory & Fractional CFO Services
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Strategic financial planning and forecasting
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Service line profitability and cost allocation models
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Capital budgeting and debt management
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Board and management financial reporting
Non-Profits
Why Nonprofits Cleveland Ivy LLC:
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Deep expertise in nonprofit accounting standards
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Experience with federal, state, and private grant compliance
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Scalable support — from startups to multi-program organizations
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Collaborative partnership with your executive and board teams
Accounting & Financial Reporting
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GAAP-compliant financial statements (FASB ASC 958)
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Fund and grant accounting
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Chart of accounts setup for functional expenses
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Budget vs. actual reporting
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Financial statement preparation for board and donors
💰 Audit, Review & Assurance
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Financial statement audits (GAAS & Yellow Book)
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Single Audits (OMB Uniform Guidance)
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Internal control assessments
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Agreed-upon procedures and compliance testing
🧮 Tax & Regulatory Compliance
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IRS Form 990 / 990-EZ / 990-PF / 990-T filing
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Exemption applications (Form 1023 / 1023-EZ)
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Unrelated Business Income Tax (UBIT) analysis
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State charity registration and annual reports
📊 Advisory & Strategic Services
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Fractional CFO & Controller services
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Board and governance advisory
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Grant compliance and financial policies
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Financial modeling, KPI dashboards, and mission alignment metrics
👥 Payroll & HR Advisory
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Payroll processing and payroll tax filings
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Benefit plan setup (403(b), PTO, healthcare)
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HR compliance, compensation benchmarking
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Worker classification reviews (employee vs. contractor)
💻 Technology & Systems Implementation
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Nonprofit accounting software setup (QuickBooks, MIP, Intacct, Blackbaud)
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Cloud accounting & workflow automation
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Expense management systems
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Integration between donor and accounting systems
🎓 Training & Education
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Financial literacy workshops for boards and staff
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Budget management and grant compliance training
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Internal controls and fraud prevention sessions
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CFO/finance team mentoring and systems training
Mergers & Acquisitions (M&A) Advisory
At Cleveland Ivy LLC, we provide comprehensive Mergers & Acquisitions advisory services designed to help clients navigate the complexities of buying, selling, or merging a business with confidence and precision.
Whether you’re acquiring a business, planning an exit, or evaluating a merger, our experienced M&A professionals deliver the financial insight, deal structuring expertise, and tax strategies necessary to protect your interests and maximize long-term value.
We guide clients through each phase of the transaction — from due diligence and valuation to negotiation and post-closing strategy — ensuring that every decision is informed, compliant, and aligned with your financial goals.
Services for Business Acquisitions
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Financial Due Diligence – Assessing target company financials for accuracy, stability, and growth potential
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Tax Due Diligence – Identifying and mitigating potential tax risks in the transaction
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Tax-Efficient Deal Structuring – Designing acquisition terms that optimize after-tax cash flow
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Negotiation Guidance – Supporting clients with financial insight during deal negotiations
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Financing Referral Assistance – Connecting clients with reputable funding sources for transaction support
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Business Valuation Services – Determining fair value based on market, income, and asset approaches
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Investment Banking Collaboration – Partnering with professionals for complex or large-scale transactions
Services for Selling a Business
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Pre-Sale Planning – Preparing the business financially and operationally for optimal market positioning
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Financial Statement Audit & Preparation – Ensuring transparent and reliable reporting for potential buyers
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Business Valuation Services – Providing an objective and defendable assessment of enterprise value
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Due Diligence Assistance – Supporting sellers through the buyer’s review process
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Tax-Efficient Structuring – Minimizing tax exposure and maximizing proceeds from the sale
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Negotiation Support – Assisting with financial modeling and analysis to secure favorable terms
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Tax Planning & Projections – Developing customized strategies to anticipate and manage tax implications
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Estate Planning & Wealth Preservation – Ensuring proceeds are protected and aligned with long-term goals
Cleveland Ivy LLC combines technical expertise, strategic foresight, and a commitment to integrity — helping clients execute successful transactions that create lasting value and financial security.
Advisory Services
At Cleveland Ivy LLC, we provide strategic advisory services that empower business owners and executives to make informed decisions, strengthen performance, and achieve sustainable growth.
Our advisory approach blends deep financial insight with practical business experience — helping clients navigate challenges, seize opportunities, and position their organizations for long-term success.
We Advise Our Clients On:
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Growth and Scale – Strategies to expand operations, increase profitability, and optimize resources
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Business and Economic Trends – Insightful analysis to anticipate market shifts and emerging opportunities
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Operations Management – Streamlining processes and improving efficiency across departments
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Treasury and Risk Management – Safeguarding assets and ensuring liquidity through sound financial practices
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Cost Strategy and Management – Identifying cost-saving opportunities while maintaining operational excellence
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KPIs and Dashboards – Developing performance metrics and financial dashboards for better decision-making
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Business Succession Planning – Structuring seamless ownership transitions for long-term continuity
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Executive and Management Search – Assisting with recruitment of leadership talent aligned with strategic goals
Through a personalized and collaborative approach, Cleveland Ivy LLC helps clients transform financial data into actionable strategies that drive measurable results.
Fractional CFO Services
At Cleveland Ivy LLC, our Fractional CFO services provide growing businesses with executive-level financial leadership — without the full-time cost. We partner with business owners and management teams to bring clarity, structure, and strategic direction to their financial operations.
Our approach goes beyond accounting — we focus on improving profitability, strengthening cash flow, and providing the insights needed to make confident, data-driven decisions.
Our Fractional CFO Services Include:
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Strategic Financial Planning & Analysis – Developing and executing financial strategies that align with your business goals
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Budgeting & Forecasting – Creating accurate financial projections to guide decision-making and performance tracking
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Cash Flow Management – Monitoring, forecasting, and optimizing liquidity for operational stability
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KPI Development & Financial Dashboards – Designing key metrics and dashboards to track performance and identify trends
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Cost Management & Profitability Analysis – Analyzing margins and expenses to improve efficiency and increase profit
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Internal Controls & Process Improvement – Strengthening accounting systems and reducing risk through better control design
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Board & Investor Reporting – Preparing detailed financial presentations to support stakeholder confidence
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Financing & Capital Strategy – Assisting with debt or equity financing, lender negotiations, and capital allocation decisions
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Mergers, Acquisitions & Exit Support – Providing financial leadership through transactions, valuations, and post-deal integration
Whether your business is scaling, restructuring, or preparing for investment, our Fractional CFO solutions deliver the same high-level expertise and strategic insight as a full-time CFO — tailored to your needs and budget.
Bookkeeping & Accounting Services
At Cleveland Ivy LLC, we provide reliable and accurate bookkeeping and accounting solutions designed to help businesses maintain financial clarity, make informed decisions, and achieve sustainable growth.
Our services are tailored to the unique needs of individuals, entrepreneurs, and small to medium-sized businesses, ensuring that every client benefits from our expertise, attention to detail, and commitment to excellence.
We Prepare:
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Financial Statements – Accurate monthly, quarterly, and annual reports for informed decision-making
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Budgets and Forecasts – Data-driven financial planning to manage resources and achieve growth targets
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Business Plans – Comprehensive plans with financial projections for startups, investors, and lenders
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Internal Controls – Systems to safeguard assets, improve accuracy, and enhance accountability
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Forensic Accounting – Investigation and analysis of financial data to detect and resolve discrepancies
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Fraud Prevention – Procedures and strategies to identify and mitigate financial risk
Our bookkeeping and accounting services ensure your records are precise, your processes are efficient, and your business is positioned for long-term success.
Revenue Cycle Management (RCM)
At Cleveland Ivy LLC, we understand that every organization’s success depends on the efficient generation, collection, and protection of cash. Our Revenue Cycle Management (RCM) services are designed to strengthen financial performance by improving processes from billing to cash reconciliation.
We develop and implement comprehensive policies, procedures, and internal controls that ensure accurate revenue recognition and effective management of accounts receivable. Our team helps clients identify bottlenecks, prevent revenue leakage, and establish accountability across departments.
Our RCM services include:
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Revenue process mapping and optimization
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Billing and collections review
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Accounts receivable reconciliation and aging analysis
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Payment posting and variance tracking
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Denial management and root-cause analysis (for healthcare clients)
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Internal control design and implementation
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KPI reporting and cashflow forecasting
Outcome: Improved liquidity, reduced days in accounts receivable, and stronger financial transparency — giving leadership the confidence to make timely, informed decisions.
Tax Preparation, Planning & Strategy
At Cleveland Ivy LLC, we provide comprehensive tax preparation, planning, and strategy services to help individuals and businesses stay compliant, minimize tax liability, and make informed financial decisions throughout the year.
Our goal is to ensure every client receives accurate, timely, and proactive tax solutions tailored to their unique situation — whether you’re an individual, business owner, or nonprofit organization.
We Prepare:
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Individual Tax Returns (Form 1040)
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Business Tax Returns — LLCs, Partnerships, S-Corps, and C-Corps
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Not-for-Profit Organization Tax Returns (Form 990)
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Foreign Nationals and Expatriate Tax Filings
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Payroll and Sales Tax Returns
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Audit Defense and IRS Representation
Our approach integrates strategic tax planning with personalized guidance, helping you anticipate future obligations, reduce tax exposure, and stay ahead of compliance requirements.