Health Center Cost Reports Extended by CHIA and CMS

AAFCPAs would like to make Community Health Center (CHC) clients aware that due to recent events surrounding COVID-19, the Centers for Medicare and Medicaid Services (CMS) and the Center for Health Information and Analysis (CHIA) have both announced deadline extensions for 2019 cost reports.

CMS Announces Extension for Specific 2019 Fiscal Year End Cost Reports

CMS has granted an automatic extension for Medicare Cost Report filing for all providers with specific 2019 fiscal year ends. The following is a summary of the fiscal year ends and their extended due dates:

2019 Medicare Cost Report Instructions are available on the CMS website at

Get your PS&R Reports now at

CHIA Announces Extension for Fiscal Year 2019 Cost Reports until August 3, 2020

CHIA has granted an automatic 90 day extension for all CHC Cost Reports. All CHCs, regardless of Fiscal Year End date, are now required to file their fiscal year 2019 cost report by August 3, 2020.

2019 Community Health Center Cost Report Instructions and INET Instructions are available on the CHIA website at

AAFCPAs’ Cost Report Expertise

AAFCPAs is deeply familiar with the instructions and the most beneficial ways to minimize the effort necessary to prepare, while maximizing reporting to properly reflect your true cost of care. We understand the key objectives of the cost reports and critical areas of focus. We are regularly called upon by the Massachusetts League of Community Health Centers to provide guidance. Because we serve the vast majority of CHCs in the state, we are able to ensure consistency of costs with peers to avoid outliers. Additionally, our close and respectful working relationship with CHIA aids in our research of complex matters.

If you need any guidance or assistance in preparing your cost reports, please let us know.

If you have any questions, please contact Pauline Legor, CPA, MBA, at 774.512.4158,; Courtney McFarland, CPA, MSA at 774.512.4051,; or your AAFCPAs Partner.

About the Authors

Pauline is a leader in AAFCPAs’ Healthcare practice, providing assurance and consulting solutions for Federally Qualified Health Centers (FQHCs) and behavioral health providers. Pauline has extensive expertise overseeing audits in accordance with Uniform Guidance/Single Audit and Government Auditing Standards, state-specific filing requirements, such as the Massachusetts’ Uniform Financial Report (UFR), as well as U.S. Department of Health and Human Services (HHS), and the Centers for Medicare and Medicaid Services (CMS). Additionally, she has deep expertise in the federal 340B Drug Pricing Program helping clients ensure 340B Program integrity and maintain accurate records documenting compliance with all 340B Program requirements. Beyond audits, she provides specialized analysis & advisory services for healthcare organizations to optimize their reimbursements. This includes revenue cycle assessments, fee structure analysis, Sliding Fee Discount Program assessments, Medicaid and Medicare Cost Reporting, denials prevention and management, as well as data analysis and benchmarking.
Courtney McFarland
Courtney is an audit partner in the firm’s Healthcare Practice with over 15 years of assurance experience and a comprehensive understanding of the nuances of the healthcare industry. She delivers a full range of solutions solving the challenges that AAFCPAs’ healthcare clients face, including: audits in accordance with Uniform Guidance/Single Audit and Government Auditing Standards, 340B pharmacy program requirements, best practices for reconciliation & analysis of statistical and programmatic data, tracking and monitoring risk-based contracts, maximizing reimbursements, and guidance on healthcare reform. Courtney is a member of AAFCPAs’ Revenue Recognition Task Force, dedicated to helping the firm and clients understand best practices for an efficient and effective implementation of the robust new framework.