Courtney McFarland
Reimagining Mission Delivery in a Changing Funding Environment
You’re probably managing your fundraising strategy and your partnership opportunities as two separate tracks. Most organizations do. But nonprofits that weather economic uncertainty best have figured out something different: the same trust-based, relationship-driven discipline that builds a strong philanthropic program is exactly what makes strategic partnerships work, and vice versa. In this session of AAFCPAs’ […]
FY 2025 CHC Cost Reports Released for Massachusetts Providers
The Massachusetts Center for Health Information and Analysis (CHIA) issued the FY 2025 Community Health Center (CHC) Cost Report on May 8, 2026. AAFCPAs would like to make clients aware that providers required to file must submit no later than July 7, 2026. CHIA collects these reports pursuant to regulation 957 CMR 6.00. Who is […]
IRS ERC Review Delays: New Extension Process for Disallowed Claims
Over the past year, many taxpayers with disallowed Employee Retention Credit (ERC) claims have found themselves waiting, often longer than expected, for the IRS to review their responses. Meanwhile, statutory deadlines continue to run while these claims sit under review. In late April, the IRS introduced a new, limited procedure that allows certain taxpayers to […]
How Nonprofits Can Build Stronger Partnerships Between Boards and Management
Nonprofits change in step with the communities they serve. Programs grow, ambitions expand and, with them, the questions multiply: Are governance and strategy moving together—or drifting apart? Boards and leadership teams who pause to reflect on their roles, priorities, and long-term objectives often find new ways to contribute to the organization’s vision and strengthen the […]
AAFCPAs to Present Financial and Data Strategies for Community Health Centers at CHI 2026
Rising costs, shifting healthcare reimbursement models, and growing patient demand continue to strain Federally Qualified Health Centers (FQHCs) and other healthcare providers across the nation. Management is forced to weigh difficult decisions while seeking practical ways to stabilize operations, improve cash flow, and protect mission‑driven care. AAFCPAs is pleased to present two sessions at the […]
FQHC Financial Pressures Draw National Attention, With Insight From AAFCPAs
HealthLeaders (April 10, 2026) – AAFCPAs was recently featured in a HealthLeaders article “The Hardest Year Yet: How This FQHC Is Fighting to Regain Financial Footing,” which examines rising financial strain across federally qualified health centers. In the article, Courtney McFarland, CPA, MSA, 340B Apexus Certified Expert™, Partner at AAFCPAs, describes how expenses are outpacing […]
Financial Challenges Facing FQHCs
The following content, contributed by AAFCPAs’ Healthcare Practice Leader Courtney McFarland, appeared in STAT First Opinion, a platform showcasing perspectives and opinions on biotechnology, medicine, and the life sciences. Mission-critical Care is Financially Unsustainable Under FQHCs’ Current Model Twenty years ago, when I started working with federally qualified health centers, I once performed a walkthrough […]
2025 HRSA Site Visit Protocol Updates Refine Compliance Expectations
The Health Resources and Services Administration (HRSA) has released its 2025 updates to the Health Center Program Site Visit Protocol, refining how Operational Site Visits are conducted for Federally Qualified Health Centers (FQHCs) and Look-Alikes. Many revisions align language and methodology with current program guidance. Several changes, however, provide clearer direction in areas where documentation […]
How Nonprofits Can Prepare for Any Financial Scenario
Key takeaways: Organizations rarely have the luxury of planning in calm conditions alone. Funding models change, costs rise, programs evolve, and expectations continue to grow. The organizations best positioned to respond are not those that predict every outcome, but those that have already done the work to understand their cost structure, program sustainability, and financial […]